Enrollment Forms and Policy Brochures
The 2026/27 Policy materials will be posted as soon as they become available.
Policy Flyer 2025/26
Provides a basic 2-page overview of premium rates, dates of effective coverage, and out of pocket expenses.
Policy Summary 2025/26
Provides information regarding annual deductible, coinsurance, copays, policy exclusions, coverage periods, and premium rates.
Policy Certificate 2025/26
A full comprehensive detailed document outlining the policy, payable benefits for covered services, and additional policy information.
Online Account Directions 2025/26
Instructions to create your online account with United Health Care Student Resources after 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 2025/26
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 18 , J1 Visiting Scholars, and QLE enrollments do not include the VSP coverage.
Optional Dental Insurance 2025/26
Information for Dental insurance plans available for purchase directly from United HealthCare.
Optional Vision Insurance 2025/26
Information for Vision insurance plans available for purchase directly from United HealthCare.
2026/27 Policy Information
Detailed Coverage Information is Located in the Policy Summary and Policy Certificate.
| Copays | Price |
|---|---|
| Office Visit at Campus Care | $0.00 |
| Office Visit with a Network Mental Health Provider | $0.00 |
| Office Visit with a Network Medical Provider | $25.00 |
| Emergency Department (waived if admitted to hospital) | $250.00 |
| Annual Deductibles | Price |
|---|---|
| Individual In-Network | $500.00 |
| Family In-Network | $1,000.00 |
| Individual Out-of-Network | $5,000.00 |
| Family Out-of-Network | $10,000.00 |
| Out of Pocket Maximums | Price |
|---|---|
| Individual In-Network | $10,000.00 |
| Family In-Network | $18,400.00 |
| Individual Out-of-Network | $10,000.00 |
| Family Out-of-Network | $15,000.00 |