Insurance for Medical Students
Forms for 2013–2014
- Dental Insurance Enrollment Form
- Health Insurance Enrollment Form | Health Insurance Waiver
- Life and Disability Insurance Enrollment Form
- Vision Insurance Enrollment Form
Information for 2013–2014
- Dental Insurance Information
- Health Insurance Information
- Life and Disability Insurance Information (Enter ID number 644233)
- Vision Insurance Information
Your United Health Care Benefits at a Glance
July 1, 2013–June 30, 2014
|
Deductible |
$150 in network/policy year |
|
Out of Pocket Maximum |
$1,500/covered person/policy year |
|
Primary Care Visit |
$25 co-pay or 80% of preferred allowance |
|
ER |
$125 co-pay |
|
Urgent Care |
$35 co-pay |
|
Prescriptions |
$15 co-pay per script, tier 1 |
|
Inpatient Hospital |
80% in network, 60% out network |
|
Outpatient Hospital |
80% in network, 60% out network |
|
Other Expenses Including Ambulance, Home Health Care, Equipment, Supplies, Maternity, Complications of Pregnancy, Accidental Dental Injury & Hospice Care |
80% in network, 60% out network |
|
Network |
United Health Care Choice Plus |
|
Plan Maximum |
$2,500,000 per insured person/ per year |
|
Create an account |
Your Life & Disability Insurance Benefits at a Glance
July 2013–June 30, 2014
|
Long Term Disability Benefit |
$1,500 per month is paid for the first 5 years if you are unable to continue as student; after 5 years, if you are unable to secure an occupation or employment commensurate with your education and training, benefits continue until Social Security Normal Retirement Age |
|
90 Day Waiting Period |
Your benefits become payable after you are continuously disabled for 90 days |
|
Pre-Existing Conditions |
If a preexisting condition is present at any time during 6 months prior to the coverage effective date, your benefits begin after 12 months of coverage |
|
Assisted Living Benefit |
Up to $1,500 is payable upon meeting requirements |
|
Work Earnings or Income Offset |
You may earn up to $3,000 per month while disabled without a reduction in benefits |
|
Rehabilitation Plan Benefit |
While disabled, expenses for training, education, family care work and job search in connection with returning to work or school can be covered |
|
Lump Sum Benefit |
$5,000 is paid when you meet the requirements for Permanent and Total Disability |
|
Student Loan Repayment Benefit |
Up to $200,000 is paid to cover qualifying loans for college and medical school tuition, living expenses, fees, and textbooks |
|
Survivor Benefit |
Up to $7,500 is paid to your beneficiary if you die after receiving Long Term Disability for at least 180 days |
|
Continuation of Coverage |
$2,000/$2,500 monthly coverage will be available on a guaranteed issue basis while you are in residency training |
|
Long Term Disability Benefit |
$1,500 per month is paid for the first 5 years if you are unable to continue as student; after 5 years, if you are unable to secure an occupation or employment commensurate with your education and training, benefits continue until Social Security Normal Retirement Age |
