Enrollment Forms and Policy Brochures

 

Please review the updated Coverage Periods and Policy materials.

 

 


 

2024/25 Policy Updates

Annual Premium Reduced by 6.6%!
  • 2024/25 Annual Premium: $2895.00 (Reduced from $3098.00 in 2023/24.)
Lower Out-of-Pocket Expenses!
Annual Deductibles:
  • Individual In-Network Annual Deducible: Reduced to $250.00
  • Family In-Network Annual Deductible: Reduced to $500.00 
Copays Eliminated at Campus Care
  • No Copay at Campus Care! (for covered services.)
  • No Copay for Mental Health/Substance Use Disorder Treatment off-campus by a Network provider
Prescription Medication Copays Significantly Reduced!
  • Tier 1: $0.00
  • Tier2: $10.00
  • Tier 3: $20.00
New Coverage Periods:

    Fall 2024: 8/20/2024 - 2/19/2025 (6 months)

    Spring Continuing 2025: 2/20/2025 - 8/19/2025 (6 months)

Additional Coverage Periods for New Enrollment:

    Spring New 2025: 1/1/2025 - 8/19/202

    Summer New: 5/1/2025 - 8/19/2025

 

 

Policy Materials for 2024/25

 

Please Note: The 2024/25 Coverage Periods, Premium Rates, Plan Design, and Payable Benefits have been updated.

 

Voluntary Enrollment Form | 2024/25 Policy Year

Voluntary Enrollment Form is for students that have not been automatically charged for the insurance and Dependents.

*Students that require enrollment due to a Qualifying Life Event (QLE) must contact the University Student Heath Insurance Department for assistance with their enrollment. Please review our website for additional information. 

 

Submission of Enrollment Form

SUBMIT ENROLLMENT FORM TO: studentinsurance@ohio.edu

   OR

OHIO University

Attn: Student Health Insurance

82 South Green Drive

140D Ping Center

Athens, OH, 45701

 

Policy Flyer 2024/25

Provides a basic 2-page overview of premium rates, dates of effective coverage, and out of pocket expenses. 

Policy Summary 2024/25

Provides information regarding annual deductible, coinsurance, copays, policy exclusions, coverage periods, and premium rates.

Policy Certificate 2024/25

Provides detailed information regarding payable benefits for covered services and additional policy information.

Online Account Directions 2024/25

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, free resources, and more!

VSP Basic Vision Insurance Summary 2024/25

Summary of benefits for the basic vision insurance package that is included in the cost of the student health insurance premium. (Dependents under the age of 19 , J1 Visiting Scholars, and QLE enrollments do not include the VSP coverage.)

TeleDoc Health and Wellbeing 2024/25

Talk to a doctor or therapist by phone or video. UnitedHealthcare Student Resources 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.

Optional Dental Insurance 2024/25

Information for Dental insurance plans available for purchase directly from United HealthCare. 

Optional Vision Insurance 2024/25

Information for Vision insurance plans available for purchase directly from United HealthCare. 

 


 

2024/25 Policy Information 

Detailed Coverage Information is Located in the Policy Summary and Policy Certificate located above.
COPAYS
Visit to Campus Care (for covered services) Eliminated for 2024/25!

$0.00

Provider Appointment, Laboratory, or Radiology outside of Campus Care (Per Visit)  

$25.00

Office Visit/Appointment with a Network Provider

$25.00

Urgent Care 

$35.00

Emergency Department at a Hospital (waived if admitted to hospital) 

$250.00

 

 

ANNUAL DEDUCTIBLES
Individual In-Network (Reduced for 2024/25)

$250

Family In-Network (Reduced for 2024/25)

$500

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