2024 - 2025
Student Health Insurance Plan:
University of Florida
Who can enroll?
All newly admitted or re-admitted students who are enrolled at least half-
time* in a degree-seeking program and Health Science students are Plan resources at your fingertips
required to purchase this insurance plan unless proof of comparable
coverage is provided. All International students, including ELI, are also
required to purchase this insurance plan unless proof of comparable How do I enroll? www.uhcsr.com/uf
coverage is provided.
View benefits, submit a
All other Domestic Undergraduate students and Unsupported Graduate
claim and download
students enrolled in 6 or more credit hours, Unsupported Graduate students www.uhcsr.com/uf
working on a dissertation, Visiting Scholars, Gator Care Ineligibles and Post
your ID card via My
Doc Fellows are eligible to purchase coverage on a voluntary basis. Study Account
Abroad students are eligible to enroll in this plan on a voluntary basis. Eligible Find an in-network
Dependents (including Domestic Partners) of eligible students enrolled in the UHC Choice Plus
provider
plan may participate in the plan on a voluntary basis.
University of Florida Graduate students on an appointment as a pre- Find a prescription
doctoral fellow may participate in this insurance plan and have the Optum Rx
drug provider
individual premium paid by UF or supporting grant funds. To be eligible,
University of Florida Graduate students must be enrolled in a UF graduate
Value-added benefits
degree program, on an appointment through University of Florida,
appropriately registered and appointed as a pre-doctoral fellow. In order and services (Student
uhcsr.com/myaccount
to ensure that pre-doctoral fellows meet the above eligibility criteria, Assist1, HealthiestYou2,
departments must ensure the following: UHC Global3)
The pre-doctoral fellowship appointment must occur via the Letter of
Appointment (LOA) process in PeopleSoft, and all Letter of Appointment
criteria met. The student receives a stipend as a bi-weekly paycheck from
the appropriate UF account. The student receives a tuition waiver from the
appropriate UF account.
*Half time is defined as 6 eligible credit hours for undergrads and 5
eligible credit hours (3 credit hours during summer) for grad students.
This applies to both Domestic and International students.
The student (Named Insured, as defined in the Certificate) must actively attend
classes for at least the first 31 days after the date for which coverage is
purchased. Home study, correspondence, and online courses do not fulfill the
eligibility requirements that the student actively attend classes. Students who
do enroll may insure their dependents.
Coverage periods, plan cost and deadline date
Spring/
Rates Annual Fall Spring Summer 1 Summer 2 Summer 3
Summer
8/16/24 to 8/16/24 to 1/13/25 to 1/13/25 to 5/12/25 to 6/30/25 to 5/12/25 to
Coverage dates 6/29/25 8/15/25 8/15/25
8/15/25 1/12/25 5/11/25 8/15/25
Student $3,185.00 $1,308.00 $1,039.00 $1,877.00 $428.00 $410.00 $838.00
Spouse $3,135.00 $1,288.00 $1,022.00 $1,847.00 $421.00 $404.00 $825.00
One Child $3,135.00 $1,288.00 $1,022.00 $1,847.00 $421.00 $404.00 $825.00
Two or More Children $6,270.00 $2,576.00 $2,044.00 $3,694.00 $842.00 $808.00 $1,650.00
Spouse and Two or More Children $9,405.00 $3,864.00 $3,066.00 $5,541.00 $1,263.00 $1,212.00 $2,475.00
Rates are subject to regulatory approval and may change.
23COL4751-330-2
Plan highlights
Metallic Level: Gold with actuarial value of 86.100%
Student Health Center Benefits:
• The Deductible will be waived and benefits will be paid at 100% for Covered Medical Expenses incurred when treatment is rendered
at the Student Health Care Center for the following services: 1) Physician's Visits after a $25 Copay; 2) Prescription Drugs after a
$10 Copay per prescription generic drug and a $25 Copay per prescription brand-name drug.
• The Deductible and Copay will be waived and benefits will be paid at 80% for Covered Medical Expenses incurred when treatment
is rendered at the Student Health Care Center for the following services: Laboratory Services.
• The Deductible will be waived and benefits will be paid at 80% for Covered Medical Expenses incurred when treatment is rendered
at the Student Health Care Center for the following services: all other services listed on the Schedule of Benefits.
Dermatology Services: No SHCC Referral is required for the first 5 visits.
Benefits Preferred Providers Out-of-Network Providers
Overall Plan Maximum There is no overall maximum dollar limit on the Policy
Plan Deductible $200 Per Insured Person, Per Policy Year
Out-of-Pocket Maximum $6,350 Per Insured Person, Per Policy Year There is no Out-of-Pocket Maximum for Out-of-
After the Out-of-Pocket Maximum has been satisfied, $12,700 For all Insureds in a Family, Per Network benefits.
Covered Medical Expenses will be paid at 100% Policy Year
for the remainder of the Policy Year subject to any
applicable benefit maximums. Refer to the plan
certificate for details about how the Out-of-Pocket
Maximum applies.
Coinsurance 80% of Allowed Amount for Covered Medical 70% of Allowed Amount for Covered Medical
All benefits are subject to satisfaction of the Deductible, Expenses Expenses
specific benefit limitations, maximums and Copays as
described in the plan certificate.
Prescription Drugs $20 Copay for Tier 1 No Benefits
Prescriptions must be filled at a UHCP network $30 Copay for Tier 2
pharmacy. $50 Copay for Tier 3
UHCP Mail Order Network Pharmacy or Preferred Up to a 31-day supply per prescription filled at
90 Day Retail Network Pharmacy at 3 times the retail a UnitedHealthcare Pharmacy (UHCP) Retail
Copay up to a 90 day supply. Network Pharmacy
Self injectables are covered.
Preventive Care Services 100% of Allowed Amount Allowed Amount
Including but not limited to: annual physicals, GYN exams, after Deductible
routine screenings and immunizations. No Deductible,
Copays, or Coinsurance will be applied when the services
are received from a Preferred Provider. Please visit
www.healthcare.gov/preventive-care-benefits/ for a
complete list of the services provided for specific age and
risk groups.
The following services have per service Physician’s Visits: $25 not subject to Physician’s Visits: $25 not subject to
Copays Deductible Deductible
This list is not all inclusive. Please read the plan Lab: $25 not subject to Deductible Lab: $25 not subject to Deductible
certificate for complete listing of Copays. Medical Emergency: $100 Medical Emergency: $100
not subject to Deductible not subject to Deductible
The Copay will be waived if admitted to the The Copay will be waived if admitted to the
Hospital. Hospital.
Contact Customer Service at 1-800-996-4698
Questions about your plan?
or at customerservice@uhcsr.com
1
Student Assist services are provided through OptumHealth Behavioral Solutions and OptumHealth Care Solutions, UnitedHealth Group companies. The Student Assist is not a substitute for medical attention. If you have an
emergency medical condition, you should call 911 or your local emergency services number. 2HealthiestYou and the HealthiestYou logo are trademarks of Teladoc Health, Inc., and may not be used without written
permission. HealthiestYou does not replace the primary care physician. HealthiestYou does not guarantee that a prescription will be written. HealthiestYou operates subject to state regulation and may not be available
in certain states. HealthiestYou does not prescribe DEA-controlled substances, non-therapeutic drugs and certain other drugs that may be harmful because of their potential for abuse. HealthiestYou physicians reserve
the right to deny care for potential misuse of services. 3Non-Insurance Travel Assistance services are provided by or through United Healthcare Services, Inc., and affiliates under the UnitedHealthcare Global brand.
© 2024 United HealthCare Services, Inc. All Rights Reserved. The written materials contained in this document are a confidential property of UnitedHealth Group. Do not distribute or reproduce any materials without
the express written consent of UnitedHealth Group. This plan is underwritten by UnitedHealthcare Insurance Company and is based on policy 2024-330-2. For further details of the coverage including costs, benefits,
exclusions, any reductions or limitations and the terms under which the coverage may be continued in force, please refer to uhcsr.com. NOTE: The information contained herein is a summary of certain benefits which
are offered under a student health insurance Policy issued by UnitedHealthcare. This document is a summary only and does not contain a full or complete recitation of the benefits and restrictions/exclusions associated with
the relevant Policy of insurance. This document is not an insurance Policy document and your receipt of this document does not constitute the issuance or delivery of a Policy of insurance. Neither you nor UnitedHealthcare
has any rights or responsibilities associated with your receipt of this document. Changes in federal, state or other applicable legislation or regulation or changes in Plan design required by the applicable state regulatory
authority may result in differences between this summary and the actual Policy of insurance. Benefits and rates described herein are subject to regulatory approval and may change.
