Underwritten by Blue Cross and Blue Shield of Illinois and Academic Health Plans ACA Affordable Care Act All students taking an OnCampus Blended or Hybrid course must provide proof of insurance that meets the standards of the ACA ID: 566434
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Slide1
Student Health Insurance FALL 2014
Underwritten by:
Blue Cross and Blue Shield of Illinois and
Academic Health PlansSlide2
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.Slide3
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
Slide4
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)Slide5
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.Slide6
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 RoomSlide7
DEDUCTIBLE
Deductible
-W
hat
you must pay out of pocket before the insurance company begins to
pay at 80%.Slide8
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
). Slide9
X-rays
Hospital bills sent to Insurance CompanySlide10
Insurance company applies $
400
of $800 bill to
student’s
D
eductible. Deductible is now satisfied.
Blue Cross Blue ShieldSlide11
Student now
owes first $
400
Deductible
amount to hospitalSlide12
Pays 80%Slide13
Pays remaining 20%Slide14
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.Slide15
Medical FacilitiesCampus 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 Slide16
PrescriptionsMust 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.comSlide17
QUESTIONS ARE WELCOMED