Student Health Insurance FALL 2014

Underwritten by: Blue Cross and Blue Shield of Illinois andAcademic Health Plans

ACA (Affordable Care Act) All students taking an On-Campus, Blended

or Hybrid course must provide proof of insurance that meets the standards of the ACA.

For International students it is typically necessary to purchase the University sponsored Student Insurance Plan since the guidelines of the ACA now mandate an ‘UNLIMITED’ dollar amount of domestic medical coverage.

Cost

$410 for UIS Student Insurance is automatically charged to Student Accounts!

There is no paperwork to complete in order to enroll.

Dependents/Spouses are eligible for enrollment via a separate form and fee, payable directly to Blue Cross using the Dependent Enrollment Form, available at www.myahpcare.com/uis

Coverage Dates*August 16, 2014-January 09, 2015

for Fall

January 10, 2015-May 31, 2015 for Spring

June 1-August 15, 2015 for Summer (you must take an On-Campus course to be automatically enrolled)

Correct Address is Important! Please update your mailing address

via Student Self-Service in Enterprise as soon as your housing becomes available! Blue Cross Blue Shield will mail an insurance card directly to you!

If your mailing address is not correct in UIS Enterprise, Blue Cross will mail your insurance card to Human Resources. You will be contacted by email to pick up.

Plan Benefits Injury and sickness maximum benefit

’UNLIMITED’ per person per academic year Hospital Expenses Doctor’s Visits (including Vaccinations

required by the Affordable Care Act) X-rays Ambulance Emergency Room

DEDUCTIBLE

Deductible-What you must pay out of pocket before the insurance company begins to pay at 80%.

Benefits will be paid by the insurance company at 80% after deductible of $400 annually has been paid by student out of pocket.

For example: Student A has X-rays totaling $800 Hospital bills the insurance company Insurance company applies $400 of $800

bill to student’s deductible. Deductible is now satisfied.

Student pays $400 deductible amount to hospital.

Remaining $400 paid by insurance at 80% ($320 paid by insurance company).

Remaining 20% ($80 owed by student).

X-rays Hospital bills sent to Insurance Company

Insurance company applies $400 of $800 bill to student’s Deductible. Deductible is now satisfied.

Blue Cross Blue Shield

Student now owes first $400 Deductible amount to hospital

Pays 80%

Pays remaining 20%

Limited Dental & Vision Coverage

Excluded- cavity fillings, dental exams, cleanings, dental X-rays

Excluded but Discounted- eye exams, contacts, glasses through Davis Vision- https://www.blue365deals.com/daily_deals/112991

Only an injury/sickness of the eye is included. Partially bony, impacted wisdom teeth is included.

Medical Facilities Campus Health Services-does not directly

bill insurance. Obtain a Walk-Out statement and send along with copy of your student account bill to Blue Cross.

St. John’s Hospital or any of its prompt care facilities-directly bills insurance

Memorial Hospital or any of its prompt care facilities-directly bills insurance

Prescriptions Must use participating pharmacy such

as Wal-Mart, Walgreens $10 Co-payment for generic drug $20 Co-payment for preferred brand Locate a participating pharmacy by

calling 800-423-1973 or online at uis.myahpcare.com

QUESTIONS ARE

WELCOMED