Health Plan Summary
The Ochsner Student Health Insurance Plan is an excellent, cost-effective plan for students while at school. The plan is typically less than half the cost of similar coverage available in the public market. -2018 Plan Brochure Coming Soon-
Cost and Period of Coverage |
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Annual*1/1/2019-12/31/2019 |
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Student Only |
$1,950 |
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Dependent rates are in addition to the student rate |
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Spouse |
$1,950 |
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Each Child |
$1,950 |
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*Premiums include an Administrative Service Fee |
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Network |
Non-Network |
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Plan Maximum |
Unlimited |
Unlimited |
Deductible |
$2,000 |
$2,000 |
Out-of-Pocket Expense Limit |
$6,850 Ind/ $13,700 Family |
$6,850 Ind/ $13,700 Family |
Coinsurance |
80% of PA |
60% of U&R |
Preventive Care |
100% of PA (no cost sharing) |
60% of U&R |
Inpatient Hospital Expense |
80% of PA |
60% of U&R |
Physician's Office Visit |
100% of PA after $25 copayment (ded. waived) |
60% of U&R after $25 copayment |
Urgent Care |
80% of PA after $50 copayment |
60% of U&R after $50 copayment |
Emergency Services Expense |
80% of PA after $100 copayment |
80% of PA after $100 copayment |
X-Ray and Laboratory |
80% of PA |
60% of U&R |
Prescription Drug Benefits- Prescriptions should be filled at a Participating Cigna Pharmacy Network |
100% of PPO Allowance after a: - $25 Copay for Generic Drugs; or -$50 Copay for Preferred Brand or -$70 Copay for Brand |
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PA= Preferred Allowance UR= Usual & Reasonable
*This summary is provided as a courtesy and is not meant to replace or override the terms and conditions detailed in the insurance policy/brochure. Please refer to the policy/brochure to verify medical coverage, eligibility, exclusions, limitations, and for more detailed information. |