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Department of

UC Student Health Insurance

Coverage Rates: What am I going to pay for care?

University Health Services (UHS) '20-21 Rates

University Health Services on campus is the primary care provider for students covered under Student Health Insurance.

For primary care services rendered at UHS:   

Deductible  $0 for primary care
Co-Insurance  0% co-insurance for primary care
Preventative Care  $0
Dermatology  20% co-insurance waived deductible
Mental Health  20% co-insurance waived deductible
DME (durable medical equipment)   Rates vary depending on cost of item.
Prescriptions  $15/$30/$60 – tier 1/tier 2/tier 3
Maximum Out of Pocket  $5,000

 

*A referral is required for services received outside of UHS, unless it is for care received more than 50 miles from campus, or for ob/gyn or maternity care.

In-Network Provider Rates

Please see Out-of-Network rates for services rendered without a proper referral.

When seeing a doctor outside of the University Health Services, your deductible is always due first.  After you have met your deductible, you will have co-insurance, in which when the insurance company will pay a percentage, and you are responsible for the remainder amount, up to a maximum of $5,000.  For some services, in addition to your co-insurance you will also have a co-pay that would generally be due at the time of service.

Deductible  $500
Co-Insurance  20%*
Preventative Care   $0
Mental Health  20% co-insurance waived deductible
Prescriptions  20% co-insurance*
Physiotherapy  $35 co-pay + 20% co-insurance
Urgent Care  20% co-insurance*
ER  $150** co-pay + 20% co-insurance
**With a referral ER visit co-pay can be reduced-  call 513-556-2564  $50 co-pay + 20% co-insurance
Maximum Out of Pocket   $5,000
 Annual Family Plan Out of Pocket  $10,000 

*After deductible is met

Out-Of-Network Rates

Deductible  $800
Co-Insurance  40% after deductible 
Preventative Care     Not covered
Mental Health  40% co-insurance*
Prescriptions  40% co-insurance*
Physiotherapy  40% co-insurance*
Urgent Care  40% co-insurance*
ER  $150 co-pay + 20% co-insurance*
 **With a referral ER visit co-pay can be reduced-  call 513-556-2564  $50 co-pay + 20% co-insurance*
 Maximum Out of Pocket   $12,700
*After deductible is met




40% after $800 deductible
40% after $800 deductible

40% after $800 deductible
40% after $800 deductible




Health Information