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Aetna Student Health

UMBC offers a student insurance plan through Aetna Student Health. Here is a link to the overview of the policy. 

Once enrolling in the plan the basic benefits are as follows:

  • The insurance policy term runs from August to August each year.
  • The policy has a deductible of $350 in-network and a $550 deductible out of network.
  • The insurance plan pays at 80% with a co-insurance of 20% in network and the plans pays at 60% with a co-insurance of 40% out of network.
  • A deductible is the amount of money you must out of pocket before any monies are paid by the insurance company. This is a fee paid once a policy year.
  • Co-insurance is the amount you must pay each time to go to an outside provider based on your charges.
  • In network is when you stay within the listing of providers who participate with Aetna Student Health.
  • Out of network is when you go to a provider that does not participate with Aetna Student Health.
  • There is a listing on Aetna Student Health that will help you navigate through providers to make sure you choose a provider that is in network.
  • Aetna Student Health also has copays for office visits, urgent care, emergency room, pharmacy, massage, and acupuncture.
  • The copays for UHS are listed below:
    • Office visit copay at UHS: $10
    • Massage copay at UHS: $20
    • Acupuncture copay at UHS: $20
    • Pharmacy copays: $10 for generic drugs and $40 for name brand drugs.
    • Acupuncture and massage are only covered if the services are performed at UHS.
  • The copays for outside providers are listed below:
    • Office visit copay at an urgent care provider is: $25
    • Emergency room copay: $75
    • Pharmacy co pays for an outside pharmacy: generic drugs $15 and preferred name brand $40
    • Non-preferred name brand: $60 and specialty drugs $60

Copays are the fixed amount of monies you must pay when receiving services from a provider.

There are no copays for any type of physical. Each person enrolled in Aetna student health receives one covered physical each year and women are also allowed one well-woman physical each year.

Aetna Student Health also includes a discount vision plan under the medical benefits. The coverage gives discounts on services offered by a vision care provider.

There are no dental benefits under the medical policy for Aetna Student Health. If a student wishes to have dental coverage there is a dental discount plan that a student can enroll in on the Aetna Student Health website for a small fee.

If a replacement card is needed due to loss, the student can call Aetna Student Health directly at 1-877-437-6535 and speak to a customer service representative to get a new card sent to their mailing address. Also, Aetna Student Health has a way to print your insurance card from its website. Directions are listed on the Aetna Student Health web page for UMBC.

If a student enrolls in the Aetna Student Health plan offered by UMBC, UHS becomes the student’s primary care provider. Students must first see an UHS provider for a referral to be able to see an outside provider for care. If a student does not have a referral for outside care, the deductible for Aetna Student Health increases to $550.