Student Health Coverage Plan

Student Health Coverage Plan for 2018-2019

 

Student Health Coverage Plan for 2018-2019

The University of Toledo believes it is important that all students maintain health care coverage to help ensure academic success and well-being. To be in compliance with the Affordable Care Act (ACA), all individuals are required by law to have health insurance coverage. To assist with this goal, The University of Toledo offers a student health insurance plan, run by Student Educational Benefit Trust (SEBT)-Medical Health Services Campus First Administrators.  For more information regarding the plan, click here.  Pharmacy coverage is included; students may also select optional vision and dental coverage plans. We believe the plan provides excellent levels of health coverage, with low out-of-pocket costs when compared to plans offered commercially or through the ACA website. For ACA plan information, click here.

Contact Us

Tonya Tressler or Spencer Kessen
Student Insurance Management Representatives
Student Union, Office 2521A
Phone: 419-530-3474
Fax: 419-530-3418
Email: studenthealthinsurance@utoledo.edu

All students attending the University of Toledo and enrolled for one (1) credit hour or more are eligible to enroll in one of the student health coverage plans.  International students holding J-1 visas, student athletes and students in programs requiring healthcare coverage will have the cost of the appropriate undergraduate or graduate Bronze level plan assessed to their student accounts.  Programs requiring students to have healthcare coverage for the 2018-2019 school year are theMD program and programs in the Colleges of Health and Human Services, Pharmacy & Pharmaceutical Sciences and Nursing.  The Bronze plan meets the individual mandate for healthcare coverage, the minimum essential coverage requirements as set forth by the Health Care Reform, and the J1 visa requirements as set forth by the U.S. Department of State. 

 

Payment of Insurance 

Premiums for students whose programs require you to have health care coverage will only be billed as part of your tuition. In order for coverage to be active, the student’s account must be paid in full or the student has entered into a payment plan. 

Dates of Coverage 

The new Plan begins August 11, 2018 and ends August 10, 2019. Students may enroll for fall and/or spring, plus summer, as currently available. Below, are the dates for open enrollment and waiver deadlines :

 

Fall 2018 Open   Enrollment Opens

07/18/2018

Fall 2018 Waiver   Deadline

09/30/2018

Spring 2019/Summer 2019   and Open Enrollment Opens

11/27/2018

Spring 2019/Summer   2019 Waiver Deadline

01/31/2019

  

Waiving Insurance

Students may waive this coverage with proof of comparable health insurance coverage online via their MYUTPORTAL.  To submit a waiver, click here.  If you do have other insurance, it is important to contact your insurance company’s Human Resource Manager or Agent to understand how these optional benefit plans could impact your high deductible health plan or out-of-state HMO. Students whose programs require a student benefit plan, international J-1 visa students and student athletes who do not complete an online waiver, with the necessary proof of current insurance prior to the waiver deadline, will be enrolled in the Bronze plan and the cost of the plan will be billed as part of their tuition.

UNDERGRADUATE STUDENT INSURANCE PREMIUM RATES

 NOTE: Spring/summer semesters are combined and cannot be separated so students can maintain continuous during the entire academic year.  Summer semester premium rate is only for “New or Transfer” students only.  

BRONZE PLAN
UNDERGRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$800/$1600
- Unlimited Medical with $6,250 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay



Fall 2018

(August 11, 2018 - December 31, 2018)




 

Spring 2019/Summer 2019
"*"
(January 01, 2019 - August 10, 2019)
 




Summer 2019
"*"
(New or Transfer Student Only)

(May 15, 2019 - August 10, 2019) 

Student Only  $796.00 $1166.00 $606.00
Student + Spouse $2914.00 $4267.00 $2218.00
Student + Children $2064.00 $3021.00 $1570.00
Family $4182.00 $6122.00

$3182.00

       
 SILVER PLAN
UNDERGRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$600/$1200
- Unlimited Medical with $5,250.00 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay
      
Student Only $995.00


$1457.00


$757.00

Student + Spouse  $3643.00  $5333.00  $2772.00
Student + Children  $2580.00 $3777.00  $1963.00
Family  $5227.00  $7653.00  $3978.00
       
 GOLD PLAN
UNDERGRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$400/$800
- Unlimited Medical with $4,250 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay
     
Student Only $1244.00

$1821.00

$947.00

Student + Spouse  $4554.00  $6667.00  $3465.00
Student + Children  $3224.00  $4721.00  $2454.00
Family  $6534.00  $9566.00  $4972.00

GRADUATE STUDENT INSURANCE PREMIUM RATES

NOTE: Spring/summer semesters are combined and cannot be separated so students can maintain continuous during the entire academic year.  Summer semester premium rate is only for “New or Transfer” students only.

BRONZE PLAN
GRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$800/$1600
- Unlimited Medical with $6,250 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay



Fall 2018

(August 11, 2018 - December 31, 2018)




Spring 2019/Summer 2019
"*"
(January 01, 2019 - August 10, 2019)
 




Summer 2019
"*"
(New or Transfer Student Only)

(May 15, 2019 - August 10, 2019) 

Student Only  $1,212 $1,774 $922
Student + Spouse $4,436 $6,494 $3,375
Student + Children $3,141 $4,599 $2,390
Family $6,365 $9,319 $4,843
       
 SILVER PLAN
GRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$600/$1200
- Unlimited Medical with $5,250 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay
      
Student Only $1,515


$2,217


$1,153

Student + Spouse  $5,545  $8,118  $4,219
Student + Children  $3,926  $5,748  $2,988
Family  $7,956  $11,648  $6,054
       
 GOLD PLAN
GRADUATE DOMESTIC/INTERNATIONAL

- Deductible $0/$400/$800
- Unlimited Medical with $4,250 Out of Pocket MAX
- Unlimited Pharmacy with Patient Co-Pay
     
Student Only $1,893


$2,772


$1,441

Student + Spouse  $6,931  $10,147  $5,274
Student + Children  $4,908  $7,185  $3,735
Family  $9,945  $14,561  $7,568

 SUPPLEMENTAL ROCKETCARE PLAN RATES

NOTE: This is not primary health care coverage you must have, other primary health insurance to sign up for this supplemental plan, this is only intended to help with the cost of your other primary high deductible plans.

UNDERGRAD/GRADUATE PLAN
SUPPLEMENTAL ROCKETCARE PLAN DOMESTIC/INTERNATIONAL

- Deductible $0/$350/$600
- Medical Annual Benefit Limit $2,500
- RX Maximum Benefit Limit $350


Fall 2018

(August 11, 2018 - December 31, 2018)




Spring 2019/Summer 2019
"*"
(January 01, 2019 - August 10, 2019)
 




Summer 2019
"*"
(New or Transfer Student Only)

(May 15, 2019 - August 10, 2019) 

Student Only   $142  $207  $108
Student + Spouse $518 $759.00  $394
Student + Children $367  $537.00 $279
Family $744 $1089 $566

 Where Can I Utilize My Insurance Plan

Our highly trained and experienced staff offers a variety of services, which include primary and acute medical care; women's health care; counseling and psychiatric services; laboratory testing; prescriptions and over-the-counter medications.  NOTE: You may also visit outside physicians that participate with the student health coverage plan. In the event you need medical services, please visit one of the following services:

Main Campus – Medical Center

Southwest side of campus across from I- House and Academic House, next to Rocket Hall

Phone: (419) 530-3451

Health Sciences Campus – Student Health and Wellness Center

Ruppert Health Center, Lower Level Suite #003

Phone: (419) 383-5000 

Prescription Drug Plan Option

Providers

For a list of providers within the state of Ohio, click here.

Dental Plan Option  

Delta Dental is the provider for the dental related services.  To learn more about the dental plan option, click here

NOTE: If you paid the additional premium for Dental Benefits, please note that your policy ID will be your ROCKET ID including the R when registering online with Delta Dental, or calling customer service.  To speak with a representative, please call 1-800-524-0149. 

Vision Plan Option 

Davis Vision is the provider for vision-related services.  To learn more about the vision plan option, click here.

 NOTE: To learn more about the vision plan option, click here. NOTE: If you paid the additional premium for Dental Benefits, please note that your policy ID will be your ROCKET ID including the R when registering online with Delta Dental, or calling customer service.  To speak with a representative, please call 1-800-524-0149.

 Print or Order an Insurance Card 

To print or order an insurance card, click here.

 

 

 

 

 

 



 

 

 

  
 

 

 


 

 

 
Last Updated: 8/28/18