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Health Insurance

haveuheard health insurance um

Everyone needs it!

Students at many colleges today must have a health insurance plan that meets their University’s minimum requirement. And, if you forget to submit a waiver if your student is covered under your medical plan, the University will purchase an insurance plan for your student. Knowing this, my daughter still forgot to submit a waiver. When I spoke to someone at the University, they assured me that my daughter had received many, and I mean many, reminder emails. This oversight cost us a penalty to have it canceled.

All University of Miami domestic students actively enrolled in six or more credit hours per semester or considered full time (in a program requiring documentation of health insurance coverage; exceptions listed here are eligible and may participate in the plan on a voluntary basis. All international students, regardless of credit load, are required to be insured under the policy. Students must actively attend classes for at least the first 31 days (unless an official medical withdrawal has been approved by the Student Health Service) after the date for which coverage is purchased. Non-degree-seeking, non-credit courses, home-study correspondence, internet and television classes, and evening or weekend- only programs or courses do not fulfill the eligibility requirements.

Deciding on which health insurance plan your student should be on may require a degree in economics. There are so many variables to consider when choosing, does your current health insurance plan meet the university’s minimum coverage requirements? Is the monthly premium you pay for your child pre-tax or after-tax? Is it marketplace insurance or subsidized and again, does it meet the university’s minimum requirements? Does your current insurance cover your student at an out of state college? You are also paying for the University coverage upfront and not monthly as with your own health insurance.  I had to do an analysis for my daughter when the insurance she had under her father’s plan expired.
Trust me when I say DO THE MATH!

Additionally, if your student is coming to UM from out of state, you will need to check with your current health insurance coverage to see if it covers their costs while attending school and living out of state.
There are many decisions that need to be made in regards to health insurance. At the University of Miami, the UM Health Insurance Plan is administered by United Healthcare.  All insurance plans must adhere to the Affordable Care Act’s regulations. (Stay tuned for any changes made to the ACA)  If you are not attending for all three semesters, you do have other options.

Detailed explanations and information about the United Healthcare University of Miami Student Healthcare plan can be found here.

With this plan, you will receive the highest level of benefits when you seek care at the Student Health Service, or when referred to a network physician, facility or other healthcare professional. You will also receive a higher level of benefits when you seek care at UHealth facilities. In addition, you do not have to worry about any claim forms. You also may choose to seek care outside the network. However, you should know that care received from a non-network facility, physician or other health care professional means a higher deductible, copayment, and coinsurance. In addition, if you choose to seek care outside the network, United Healthcare only pays a portion of those charges, and it is your responsibility to pay the remainder. This amount you are required to pay, which could be significant, does not apply to the out-of-pocket maximum. We recommend that you ask non-network physicians or health care professionals about their billed charges before you receive care. This benefit plan is designed to be used in conjunction with the services of the Student Health Service. To obtain the greatest level of benefits, you will need to use the services of the Student Health Service first, where treatment will be administered or a referral issued.

Appointments are available at mystudenthealth.miami.edu; however, in the case of a medical emergency, maternity, when away from campus or when the Student Health Service is closed, you can seek care directly from any doctor in UnitedHealthcare’s network.

The University of Miami’s plan rates for a single student is approximately $235.00 per month (average). If your student is already covered by your own plan, you should consider what your cost is to keep them on your plan.  Suffice to say, if this is a Cafeteria Plan using pre-tax dollars, it could be more reasonable to keep them on your insurance plan.
In addition, if you are going to be studying abroad, you may want to consider your options on which plan to go with. The guidelines for the coverage and rates can be found here.

Student coverage prices for 8/15/17 – 8/14/18
Undergraduates: $2,813
International: $2,813
Domestic: $2,813
Domestic students can waive the University-sponsored insurance via the United HealthCare (UHCSR) waiver portal.  You or your designee will need your student ID (C#), date of birth and insurance information in order to submit a waiver request.  You will receive a waiver approval or denial (if they are unable to confirm insurance coverage) from waiverstatus@uhcsr.com within 5 business days of waiver submission.
Domestic students enrolled in six or more credit hours per semester (or considered full time, including graduate students enrolled in a 700/800 level class) are required to obtain adequate health insurance (see exceptions).  The annual premium for the health insurance plan offered through the Student Health Service is added to each student’s fees. Domestic students with adequate alternative coverage may request cancellation of the insurance fee via CaneLink. Students with limited out of area coverage or otherwise inadequate coverage are urged to carefully review their options before waiving the Student Health Service sponsored insurance plan. Deadlines to waive the insurance are July 25th for the Fall semester, January 25th for the Spring semester, April 25th for Summer I and June 25th for Summer II.

Insurance cancellation requests must be renewed each academic year via CaneLink.
The Master Policy on file at the school became effective August 15, 2017. Coverage becomes effective on the first day of the period for which premium is paid. The Master Policy terminates August 14, 2018. Coverage terminates on that date or at the end of the period for which premium is paid, whichever is earlier. You must meet the eligibility requirements listed herein each time you pay a premium to continue insurance coverage. To avoid a lapse in coverage, the premium must be received within 14 days after the coverage expiration date. It is the student’s responsibility to make timely renewal payments to avoid a lapse in coverage. The policy is a non-renewable, one-year term policy.

This means if you decide to switch your student to the school administered health insurance on an annual basis, then when you sign up for a new policy for your own needs in November, your student would already be on the University plan. It may make sense to sign up for the semester. If you are unsure of which plan makes the most sense for your family and you have a financial planner or a certified public accountant, they can run the numbers for you.

For information about UM’s student Health Insurance options, click here.
For information in regards to the Waiver requirements and forms, click here
For comprehensive information on Student Health Services click here


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2018-08-05T11:27:03+00:000 Comments

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