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 |
0% 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 |
0% 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