Plan Brochure:

Voluntary Student Health Insurance Plan Brochure (PDF)

Forms:

IU Health Center Claim Form (PDF)

Enroll
  • Online
  • PDF form

Resources:

Aetna Student Health information - Medical DocFind, Enrollment, Emergency Travel

Encore Health Network (Additional providers for those living in Monroe and Lawrence Counties)

Undergraduate and Graduate Students Voluntary Student Health Insurance 2008-2009

The plan is administered by Aetna Student Health. All information on rates, plan benefits, claim procedures and exclusions are stated in the Voluntary Student Health Insurance Plan brochure.

The information contained herein is intended to provide an overview of the Indiana University Student Health Insurance Plan. Students should not use this information in making decisions pertaining to health insurance coverage.

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Eligibility  

Participation in the Student Health Insurance Plan is voluntary for Indiana University undergraduate and graduate students.

All domestic undergraduate students taking six or more credit hours are eligible to enroll in this insurance plan. All domestic graduate students taking three or more credit hours or registered for thesis or dissertation are eligible to enroll in this insurance plan.

Students must be enrolled at Indiana University for at least the first 31 days after the date for which coverage is purchased. Home study, correspondence, internet classes (with the exception of Nursing PhD candidates) and television courses do not fulfill the eligibility requirements. If and whenever Aetna Student Health discovers the eligibility requirements have not been met, its only obligation is refund of premium; less any claims paid.

Eligible students who do enroll may also insure their dependents. Eligible dependents are the spouse/same-sex domestic partner (residing with the Insured student) and unmarried children under the age of 24. Dependent eligibility is effective and expires concurrently with that of the insured student. To enroll in the Plan go to www.aetnastudenthealth.com, click on “Find Your School” and enter 890423 as your Policy Number. The deadline for annual enrollment is September 15, 2008. You can also complete the enclosed Enrollment Form and mail it with the correct premium directly to Aetna Student Health by the September 15, 2008 deadline for annual coverage.

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Coverage Period

• First Semester:  August 15, 2008 through December 31, 2008
• Second Semester: January 1, 2009 through August 14, 2009

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Enrollment Deadlines

Enrollment applications must be received by Aetna Student Health no later than September 15, 2008 for the Fall Semester and January 31, 2009 for the Spring Semester. If the deadline has passed, you may not enroll for coverage until the next coverage period, provided an application and appropriate premium have been received by Aetna Student Health prior to or on the established deadline.

• Enroll on-line
• PDF enrollment form

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Premiums

Premiums for this plan are paid directly to Aetna Student Health.

	Student	Spouse	Child(ren)
Annual	$1564	$6,458	$6,458
First Semester	$626	$2,582	$2,582
Second Semester	$938	$3,876	$3,876
Quarterly	$391	$1,615	$1,615

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Download a PDF of the Summary of Benefits Chart
   (This chart is a part of the Plan brochure.)
   2008-09 (PDF)

The benefits are subject to the imposition of Policy limits and exclusions. All coverage is based on the Reasonable Charge allowance unless otherwise specified. Any charges in excess of the Reasonable Charge allowance are not covered under the Plan.

This Plan always pays benefits in accordance with any applicable Indiana Insurance Law(s).

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Continuation

All Insured Persons who have been continuously insured under the school's regular student policy for at least 6 consecutive months and who no longer meet the Eligibility requirements under the Policy are eligible to continue coverage by purchasing an independent continuation plan directly from Aetna Student Health for a period of not more than six months under the school's policy in effect. The deadline for the Fall Continuation is September 15, 2008. Contact the Student Health Plan Coordinator, 812-856-4650, for the current Continuation Form.

Continuation Plan Premium Rates (6 month maximum)

	Student	Spouse	Child(ren)
Monthly	$200	$917	$917

 

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Additional Questions?

Refer below for questions about enrollment, enrollment forms, plan booklets, coverage and claims.

Aetna Student Health
Telephone: 877-437-6512
Web: Plan website for Indiana University

IU Bloomington Campus Contact
812-856-4650
Poplars E165
Email:

IUPUI Campus Contact
812-856-4650
Education & Social Work Building, 2126
902 W. New York St.
Email:

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Benefit plan information on these web pages is in a summary format and is not intended to replace actual plan documents. Indiana University reserves the right to amend or terminate all or any part of any benefit plan.