SHP Overview for Fall 2024

For the 2024-25 plan year, the following serves as an overview of key plan benefits and other pertinent information about the Student Health Plan and the optional dental and vision plans. 

Learn more about:

Plan Coverage and Benefits

Student Health Plan (Aetna)

  • $200 annual individual plan deductible ($400 for family).
  • After the deductible has been met for the year, eligible medical expenses are covered at 90% in-network or 70% out-of-network.
  • Mental health is covered at 100% in-network with $10 co-pay per visit, 70% out-of-network with deductible applied, or 100% with a $20 per visit co-pay for EPN.

For additional plan information, review the Student Health Plan.

Prescription Plan (Optum Rx)

  • $100 annual individual plan deductible ($200 for family).
  • After the deductible has been met for the year, eligible prescription expenses are covered at the retail (pharmacy) or mail order co-pay level.

For plan information, review the Prescription Plan.

Dental Plan (Cigna) – Optional plan

Cigna Dental DMO

  • In-network coverage with selected primary dental office only.
    • To change your primary dental office or find which office you assigned, contact Cigna
  • Allows two preventive cleanings and exams per calendar year at $0 copay.
  • May require referral for non-preventive dental services.

Cigna Dental PPO

  • In-network and out-of-network coverage.
  • Allows two preventive cleanings and exams per calendar year at $0 copay.
  • Referrals are not required.

For plan information, review the Dental Plans.

Vision Plan (VSP) – Optional plan

  • Well-vision/routine eye exam covered at 100% with $10 co-pay once per plan year.
  • Provides coverage towards the cost of eyeglasses, contact lenses, and lens enhancements.
  • Gives extra savings towards eyeglasses and sunglasses.

For plan information, review the Vision Plan.

Finding a Provider

Student Health Plan (Aetna)

Dental Plan (Cigna)

  • Find an in-network dental provider by going to the Cigna website. For Cigna DMO select the "Cigna Dental Care Access Plus" plan and for Cigna DPPO select the "Total Cigna DPPO" plan.

Vision Plan (VSP)

  • Find an in-network vision provider by going to the VSP website.

Referrals

  • Referrals for off-campus specialist services are required effective September 3, 2024. Referrals must be initiated through a University Health Services (UHS) clinician prior to your off-campus visits. See pages 5-6 of the SHP Summary Guide(.docx) for referral requirements and exceptions.
  • This applies to students and adult dependents who are enrolled in the Student Health Plan. Pediatric referrals are not required.

ID Cards

  • Plastic ID cards will not be mailed unless you contact the vendor directly to request one.
  • You may access your insurance cards by going to ID Cards.

Filing a claim for services provided by UHS

For billable services done at UHS (such as immunizations), the cost is charged upfront to your student account.

  • You would pay for the charge via your student account and then file a claim with the Aetna Student Health plan for reimbursement of that expense.
  • Reimbursement would be mailed to your campus mailbox in the form of a check.
  • Reimbursement would not be applied directly back to your student account.

The Aetna claim form and claim filing instructions can be found at Filing Claims.

You may contact Aetna at 1-877-437-6511 to inquire about claim processing or confirm where your payment was mailed.