What Do I Pay?
Co. Deseret Mutual

Student Health Plan Contribution Rates

FALL SEMESTER 2014

Regular On-Campus & Away-From-Campus CoverageExtended Coverage
Single / Married Student Only Semester $528 $897 per month
Block $264
Single / Married Student Plus Dependent(s) Semester $1,980 $1,386 per month
Block $990

Services at the Student Health Center

Office Visit FeePlan Pays After Office Visit Fee (for Covered Services)You Pay After Office Visit Fee (for Covered Services)
$10 80% 20%

Copayments Outside the Student Health Center

Physician Services, Outpatient Care, and Urgent CareHospital Emergency RoomHospital Admission
$25 $50 $300

Plan Benefits Outside the Student Health Center*

Plan Pays After Copayment (Where Applicable)You Pay After Copayment (Where Applicable)
Contracted Providers 80% 20%
Non-Contracted Providers 50% 50%

*For most covered services.  For full details see the Student Health Plan Handbook.

Deductible

If you are married, you must pay a $500 deductible per person each year before the plan pays benefits.  Non-student spouses must also pay a $4,750 deductible for maternity care.

Preventative Services

When you see a contracted provider, preventative services covered by the Student Health Plan are offered at no cost to you.  For a list of covered preventative services or for more information, please see the Student Health Plan Handbook.

NOTICE TO PLAN PARTICIPANTS

The organization that sponsors your group health plan has certified that it qualifies for a temporary enforcement safe harbor with respect to the Federal requirement to cover contraceptive services without cost sharing. During this one-year period, coverage under your group health plan will not include coverage of contraceptive services.