1. University of North Texas Health Science Center
Student Injury and Sickness Insurance Plan
StudentResources
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2. Rates Annual Fall Semester $2600 $1197 $997 Student
07/17/2018– 07/16/2019
Fall Semester
07/17/2018– 12/31/2018
Student
$2600
$1197
08/13/2018-8/12/2019
08/31/2018– 12/31/2018
$997
This plan is underwritten by UnitedHealthcare Insurance Company and is based on Policy # Domestic and # International. For a full description of coverage, including costs, benefits, exclusions, any reductions or limitations and terms under which the policy may be continued in force, log on to
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3. Plan/Benefit Highlights
• No Overall Maximum Per Insured Person, Per Policy Year for Covered Medical Expenses.
• $500 Deductible Per Insured Person, Per Policy Year for Preferred Providers; $1000 Deductible Per Insured Person, Per Policy Year for Out-of-Network Providers.
What’s a deductible?
A “deductible” is the amount of money you must pay towards covered medical expenses before the insurance company pays.
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4. Plan/Benefit Highlights
Covered Medical Expenses for Preferred Providers are payable at 80% of Preferred Allowance and Out-of-Network benefits are payable at 50% of Usual and Customary charges (all benefits are subject to satisfaction of the deductible, specific benefit limitations, maximums, and copays as described in the policy).
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5. Plan/Benefit Highlights
Student Health Clinic Benefits
Your deductible will be waived and benefits will be paid for 100% of Covered Medical Expenses incurred at the Student Health Clinic. Students paying the medical service fee are allowed access to providers for medical treatment.
The following are covered at the Student Health and Wellness Center:
under the Health Center's annual Pap coverage except as mandated: Chlamydia (STD), Thin Prep, Gonorrhea, RPR (Syphilis), H/H CBC, HIV testing, urinalysis with reflex to urine culture, and CMP or BMP (blood chemistry)
an annual physical for men and women will cover the examination and lab work, including BMP or CMP, urinalysis with reflux to urine culture, STD testing and CBC;
acne treatment (acne medications will be covered under the Prescription Drug benefits);
All CDC recommended immunizations, including HPV and Bacterial Meningitis are covered (If not a PPACA mandated benefit, a $25 Copay is applicable);
Immune Titers;
Screening for Tb.  If the test result is positive, a 1-view chest x-ray to determine if contagious.
TSH with reflux to T4
Needle stick/Face splash as a result of course work in a clinical setting will be paid as any other injury or sickness.
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6. Plan/Benefit Highlights
UnitedHealthcare Global: Global Emergency Services
Domestic students are covered when they are100 miles or more away from their campus or home address. International students are covered worldwide except in their home country.
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7. Plan/Benefit Highlights
UnitedHealth Allies®
• Included with every policy, the UnitedHealth Allies discount program typically saves members 5–50% on many health and wellness products and services.
• Members save on dental and vision care, fitness club memberships, weight management programs, smoking cessation, massage therapy, and much more.
The UnitedHealth Allies Discount Program is administered by HealthAllies, Inc., a discount medical plan organization. This discount program is not a qualified health plan under the Affordable Care Act. UnitedHealth Allies discount plan is NOT insurance.
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8. WAIVING COVERAGE
Students who have comparable coverage as outlined on the Student Health Insurance website may waive the school sponsored plan by going to:
Please allow 5-7 business days for waivers to be reflected on your student bill.
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9. ACCEPTING COVERAGE To accept school sponsored coverage, go to:
= Domestic Students = International Students
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10. TURNING 26 THIS YEAR?
Process the waiver (Unless you wish to have double insurance coverage)
Contact two weeks prior to losing your current coverage
Complete the gap insurance form and return to
Charge will be placed on your tuition bill and coverage added for the requested dates.
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11. DEADLINE
Students taking no action (waiver or activation) will be automatically enrolled in the health plan after the census date.
Pharmacy
August 28, 2018
DO-PA-PT
July 31, 2018
GSBS- SPH
September 4, 2018
*Census dates for each program may be found on the Registrar’s website under Academic Calendars.
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12. DEPENDENT COVERAGE
Spouse and Dependent Children may be insured for the same coverage period as the student.
Enrollment in and payment for dependent coverage is the sole responsibility of the student. Coverage can be added at any time.
Visit for pricing and enrollment information.
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13. Optional Vision and Dental Coverage
You do not have to be enrolled in the health plan to enroll in dental and/or vision coverage.
Visit websites -
Cigna Dental Coverage:
VSP Vision Coverage:
to obtain pricing and enrollment information.
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14. Immunization Requirements
Visit office of the registrar website for immunization requirements and checklist:
Meningitis
Students who are 22 years old and younger*, will be required to provide documentation of a bacterial meningitis vaccination (or submit a waiver/exemption) by the deadline. The bacterial meningitis vaccination or booster must be administered within five years of the deadline.
Records must be received by 5:00 PM 10 days before the first day of class.
We will be evaluating compliance after the census date each semester. If you have not met requirements between that time and before registration for the next semester, you will have a hold placed on your account. The hold will only block initial registration for the subsequent semester. We will begin enforcing compliance using the Medicat system during the Fall 2018 semester.
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15. Questions? UnitedHealthcare StudentResources
Phone:
Student Health Insurance Immunization Requirements
Office of the Registrar Student Health Clinic
Mayra Garcia Catrenia Thomas
Phone: Phone:
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16. Thank you, and welcome to….
Creating Solutions for a Healthier Community!
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