Deductibles, Co-payments, & Co-insurance

Below are brief descriptions of insurance terms associated with student’s share of covered expenses. Refer to the Certificate of Coverage for the Plan’s official definition.

  • Deductibles: students must pay the Plan Year Deductible, first, before the Plan will begin to pay benefits, according to the applicable Provider Schedule. There is no Schedule 1 Deductible. Deductibles amounts applied under Schedule 2 also apply to Schedule 3.
  • Co-payments: students must pay a small co-payment for each physician or mental health visit, at the time of the visit.
  • Co-insurance: students must share in the cost of their treatment as a percentage of the Preferred Allowable or Reasonable charge.  The Preferred Allowable charge includes deep discounts under Schedule 2.  Reasonable charges apply under Schedule 3. Students are also responsible to pay the remainder of charges over and above what is Reasonable under Schedule 3.