Coverage Rates: What am I going to pay for care?
University Health Services (UHS) 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 |
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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 amount due, 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. Please see the plan certificate for full coverage details.
Deductible | $500 |
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Co-Insurance | 20%* |
Preventative Care | $0 |
Mental Health | 0% waived deductible and co-pay |
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
Required information for in-network prescription pick-ups:
ID # | SRID # |
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Group # | SI40320 |
Bin # | 012924 |
PCN # | AMER9999 |
Out-Of-Network Rates
Deductible | $800 |
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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
Contact Us
UC Student Health Insurance
Please email us at studins@ucmail.uc.edu. Please include your student M# in the subject line.