University of South Florida Student Insurance Overview for … · University of South Florida Student Insurance Overview for Graduate Students 2010/2011. Confidential property of

Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.

University of South Florida

Student Insurance

Overview for Graduate

Students

2010/2011


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StudentResources is

dedicated to the

student market with

student-focused

Customer Service

and Claims

Representatives

*• UnitedHealthcare Insurance Company

• Administered by UnitedHealthcare StudentResources in Dallas, Texas

The Carrier


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• Graduate/Research/Teaching Assistants

• Post-doctoral Scholars and Fellows

• Department Payees

• Program Mandated students and other

University subsidized groups are also eligible to

participate in Plan 1.

• Eligible dependents of enrolled students may

participate in this plan on a voluntary basis.

Who is eligible?


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• Spouse or Domestic Partner and their children

under 26 years of age who are not self-

supporting and who live with the Insured or who

are a full-time or part-time student.

• The Named Insured may also cover a

dependent child to the end of the year in which

the Dependent reaches age 30 under certain

circumstances.

Who are eligible dependents?


Effective and termination dates

• The student insurance plan is effective on August 18, 2010.

Your specific coverage is effective on the first day of the period for

which premium is paid or the date the enrollment form and full

premium are received by UnitedHealthcare, whichever is later.

• Coverage ends on August 17, 2011

Coverage terminates on that date or at the end of the period

through which premium is paid, whichever is earlier.

• Dependent coverage will not be effective prior to that of the

Insured student or extend beyond that of the Insured student.

• Refunds of premiums are allowed only upon entry into the

armed forces.

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Plan 1 Benefits Overview

• Up to $250,000 benefit maximum, per insured, per policy year

• In network :

deductible $50 for each injury or sickness, up to $250 max

deductible per policy year

co-insurance of 90% until the insured has paid $10,000. Payment

will be made for 100% of additional covered medical expenses not

to exceed the $250,000 maximum benefit.

• Out of network : deductible $50 for each injury or sickness, up to $550 max

deductible per policy year

co-insurance of 70% until the insured has paid $20,000. Payment

will be made for 100% of additional covered medical expenses not

to exceed the $250,000 maximum benefit

• PPO network is UnitedHealthcare Choice Plus

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Plan 1 Benefits Overview

• Inpatient benefits including hospital, newborn care,

physiotherapy, surgeon and assistant surgeon fees

• Outpatient benefits including day surgery,

anesthetist, medical emergency expenses,

diagnostic x-ray and lab services

• Other benefits including ambulance, alcholism/drug

abuse treatment, urgent care and walk in and adult

wellness.

• Prescription benefits

• This is just a partial list of benefits. For full plan

details including limitations and exclusions review

the plan brochure at www.uhcsr.com/usfenrollment

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Preferred Provider Organization

• USF student insurance includes access to

UnitedHealthcare’s Choice Plus network

You can search for network providers at

www.uhcsr.com/usf

• Physicians and facilities in the network have agreed

to provide services to University of South Florida

students for a discounted rate

• Using a network provider is recommended since

service is provided at the discounted rate and the

student insurance plan will pay for a larger

percentage of the eligible service received

If you use out of network providers, the cost of your service

will be greater, and the student insurance plan percentage

paid will be less

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http://www.uhcsr.com/usf


Scholastic Emergency Services

• Included with every policy for use when 100 miles

away from home or campus

• Emergency medical assistance services include:

Medical consult, evaluation and referral

Foreign hospital admission guarantee

Critical care monitoring

Evacuation and repatriation

Transportation to join patient

• Refer to the student insurance plan brochure for

additional details.

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Collegiate Assistance Program (CAP)

• Included with every policy, at no additional cost

• Available 24/7

• Toll free number is on your student insurance I.D.

card

• Access to Registered Nurses for health related

questions and concerns:

How to talk to your healthcare provider

Understanding a diagnosis

Uncertain about a prescription medication

• Access to Master’s Level Clinicians for personal,

legal or lifestyle questions and concerns

• AT&T Language Line Support is provided for 160

languages

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UnitedHealth Allies discount card

• Included with every policy at no additional cost

• Save between 10% and 50% on a variety of health and

wellness services including:

Annual eye exams, eyeglasses and contact lenses, even LASIK surgery

Dental checkups and routine treatment, cosmetic dentistry (including teeth

whitening) and orthodontics

Sports apparel and equipment from name brands like Champion, Danskin

and others

Books and other media, including textbooks from publisher McGraw Hill

Fitness club memberships including select Curves, Gold's Gym, World

Gym and Ladies Workout Express locations

Massage therapy and more

• Online access to providers and full benefit guide online at

www.sr.unitedhealthallies.com

Refer to your UnitedHealth Allies I.D. card for your member number. This

card will be delivered along with your student insurance I.D. card

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http://www.sr.unitedhealthallies.com/


What does the plan cost?

• .50 FTE portion:

Annual: $215.00

Spring/Summer:

$131.00

• .25 FTE portion:

Annual: $677.00

Spring/Summer:

$419.00

• The full student

portion may be

paid at enrollment

via credit card,

eliminating payroll

deductions

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Pay Period Dates Pay Dates .50 FTE .25 FTE

Pay Period No.Pay Period

Begin Date

Pay Period

End DateRegular Pay Date Employee Employer Employee Employer

1107 09/17/10 09/30/10 10/08/10 $14.00 $92.00 $43.00 $63.00

1108 10/01/10 10/14/10 10/22/10 $14.00 $92.00 $43.00 $63.00

1109 10/15/10 10/28/10 11/05/10 $14.00 $92.00 $43.00 $63.00

1110 10/29/10 11/11/10 11/19/10 $14.00 $92.00 $43.00 $63.00

1111 11/12/10 11/25/10 12/03/10 $14.00 $92.00 $43.00 $63.00

1112 11/26/10 12/09/10 12/17/10 $14.00 $92.00 $43.00 $63.00

Fall $84.00 $552.00 $258.00 $378.00

1113 12/10/10 12/23/10 12/29/10

1114 12/24/10 01/06/11 01/14/11

1115 01/07/11 01/20/11 01/28/11

1116 01/21/11 02/03/11 02/11/11

1117 02/04/11 02/17/11 02/25/11 $21.84 $138.84 $69.84 $90.84

1118 02/18/11 03/03/11 03/11/11 $21.84 $138.84 $69.84 $90.84

1119 03/04/11 03/17/11 03/25/11 $21.84 $138.84 $69.84 $90.84

1120 03/18/11 03/31/11 04/08/11 $21.84 $138.84 $69.84 $90.84

1121 04/01/11 04/14/11 04/22/11 $21.84 $138.84 $69.84 $90.84

1122 04/15/11 04/28/11 05/06/11 $21.80 $138.84 $69.80 $90.84

Spring/Summer $131.00 $833.04 $419.00 $545.04

Annual $215.00 $1,385.04 $677.00 $923.04

No Deductions

Total .50 GA Portion .50 USF Portion .25 GA Portion .25 USF Portion

Fall Premium $636.00 $84.00 $552.00 $258.00 $378.00

Spring/Summer Premium $964.00 $131.00 $833.00 $419.00 $545.00

Annual Premium $1,600.00 $215.00 $1,385.00 $677.00 $923.00


How do I enroll?

• Enroll in minutes at

www.uhcsr.com/usf

enrollment

• Dependents must

print an enrollment

form, complete it

and mail it to

UnitedHealthcare

StudentResources

• Benefit questions

call 800-767-0700

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http://www.uhcsr.com/usfenrollment

http://www.uhcsr.com/usfenrollment


Where do I get care?

• For health care, seek the

provider of your choice. To

maximize your benefits and

minimize out-of-pocket cost, go

to the USF Student Health

Services (SHS)

• SHS Hours: Monday-Friday 8:00

a.m. to 5:30 p.m.

• After hours, students are referred

to in-network local after care

offices.

• Dependents are not eligible to

seek care at the SHS

• Always show your student

insurance I.D. card when getting

care

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Where do I go for claims information?

• Access your account 24/7 at

www.uhcsr.com/usf

• Create an online account and:

Check claims status and EOBs

Print an I.D. card

Locate network providers

Link to Prescription plan account

information

• Call Customer Service at 800-

767-0700

Monday through Friday 8 a.m. to 8 p.m.

• eMail:

[email protected]

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http://www.uhcsr.com/usf

Documents

University of South Florida Student Insurance Overview for … · University of South Florida Student Insurance Overview for Graduate Students 2010/2011. Confidential property of