Enrollment Forms and Policy Brochures
*Please be sure to review the updated Coverage Periods*
Enrollment Information:
- Review your student account after registration for the current term
- Domestic students registered for 5 or more 雅典 credit hours (Includes 雅典 online, Cleveland and Dublin credit hours; excludes eCampus credit hours) and international students registered for 1/2 or more credit hours, will be automatically charged for the student health insurance upon registration. Please review our webpage for details about automatic enrollment.
- Students that have received an approved Waiver during the same academic year will not be automatically charged for the insurance and will require voluntary enrollment.
- Students automatically charged for the Student Health Insurance do not need to submit an enrollment form
- Changes to a student's schedule, such as a reduction in credit hours or a class change, may require voluntary enrollment in the student health insurance
- Voluntary enrollment requires submission of an enrollment form during the designated Open Enrollment period 每学期
- Voluntary enrollment does not automatically continue
Voluntary Enrollment
2023/24 Enrollment Form
Use the link above to access the Enrollment Form for 雅典 and Regional campus students and their dependents.
Enrollment Form Submission:
电子邮件: studentinsurance@俄亥俄州.edu
CAMPUS LOCATION :
俄亥俄州 University
Attn: Student Health Insurance
82 South Green Drive
140D 平中心
雅典, OH, 45701
Policy Materials for 2023/24
Enrollment Form: 2023/24 Policy Year
Enrollment Form for 雅典 and Regional campus students and their dependents. Enrollment Forms must be completed for only the current coverage period and returned prior to the posted semester deadline for processing. Open Enrollment for additional coverage periods will be available at a later time.
Policy Summary 2023/24
Provides information regarding annual deductible, 共同保险, 元钱, policy exclusions, coverage periods, and premium rates.
Policy Certificate 2023/24
Provides detailed information regarding payable benefits for covered services and additional policy information.
Online Account 方向 2023/24
Instructions to create your online account with the insurance company once they have processed your enrollment. Access health insurance ID cards, claims and explanation of benefits, personal information, member balances, coordination of benefits, provider locator tools, 免费资源, 和更多的!
TeleDoc健康
Talk to a doctor or therapist by phone or video. UnitedHealthcare Student 资源 and HealthiestYou have partnered together to provide access to doctors and mental healthcare from anywhere you are. All services are free for students covered under the UHCSR insurance plan. Services are available for all other students for a fee.
VSP Vision Insurance Summary
Summary of benefits for the included basic vision insurance package included in the cost of the student health insurance premium. Dependents under the age of 19 and J1 访问ing Scholars are not enrolled in the VSP coverage. Optional Vision insurnace is available for purchase directly from UHOne. (网站: http://www.uhone.com/uhcsr)
Policy Out of Pocket Expenses
Detailed Coverage Information is Located in the Policy Summary and Full Policy Certificate located via the links provided above.
元钱 |
| Provider Appointment, Laboratory, and Radiology 校园关怀 (每次) | $15.00 |
| Office 访问/Appointment with a Network Provider | $25.00 |
| 紧急护理 | $35.00 |
| Emergency Department at a Hospital (waived if admitted to hospital) | $250.00 |
ANNUAL DEDUCTIBLES |
| Individual In-Network | $500 |
| Family In-Network | $1,000 |
| Individual Out-of-Network | $5,000 |
| Family Out-of-Network | $10,000 |
OUT OF POCKET MAXIMUMS |
| Individual In-Network | $5,000 |
| Family In-Network | $10,000 |
| Individual Out-of-Network | $10,000 |
| Family Out-of-Network | $15,000 |