Student Health Insurance

Medical, Dental, Vision, and Pharmacy Coverage
Academic Year 2014-2015 Premium Benefit for Graduate Students

Effective January 1, 2015, some students will have the option of choosing the University Bronze coverage instead of StudentBlue.

This page provides a side-by-side comparison of the StudentBlue plan and the Bronze Health Insurance Plan.

If this page does not answer all of your questions about insurance benefit provisions:

  • StudentBlue: University Health Center, 402-472-7435.
  • University Bronze: UNL campus benefits office, 402-472-2600.

Basic info

StudentBlueUniversity Bronze
DescriptionAn ACA-compliant student insurance planAn ACA-compliant employer-sponsored insurance plan
EligibilityGraduate assistants, international students, and other students enrolled for 3 or more credit hoursEligible employees as determined by the University; these employees will be contacted by the University
Plan AdministrationBCBSNEBCBSNE
Medical CoverageYesYes
Pharmacy CoverageYesYes
Dental CoverageYesNo

Deductibles, coinsurance, and maximums

StudentBlueUniversity Bronze
Annual Deductible$500$5,250
Coinsurance80%/20%60%/40%
Annual Out-of-Pocket Maximum$2,500$6,350
Annual Aggregate Maximum BenefitUnlimitedUnlimited

Pharmacy copays

StudentBlueUniversity Bronze
Pharmacy CopaysUNL UHC Pharmacy/Other in-network pharmaciesAll pharmacies
Generic$5/$1025% Coinsur ($5 min/$25 max)
Brand Name Formulary$30/$4025% Coinsur ($25 min/$50 max)
Brand Name Non-Formulary$80/$8025% Coinsur ($50 min/$75 max)

What's covered

StudentBlueUniversity Bronze
Services at the University Health CenterCovered at 100% with no deductible or coinsuranceSubject to deductible and coinsurance
Services not at the UHCCovered, subject to deductible and coinsuranceCovered, subject to deductible and coinsurance
Routine vision exam and refraction age 19 and olderCovered at 100% at the UHC; $50 benefit outside the UHCNo
Annual Dental Benefit$1,000No
Medical evacuation and repatriation coverageYesNo
Child CoverageYes - $1,242.24 for each childYes - at no additional charge
Spouse/Domestic Partner CoverageYes - $1,739.16 for spouse or domestic partnerNo

Premiums

StudentBlueUniversity Bronze
Total Annual Student Premium$1,676$5,086
Graduate Assistant: Total Annual Premium paid by student (21%)$352.01 (equiv. of $29/month)
($147.02 fall + $204.99 spring)
$1,068 ($89/month)
Graduate Assistant: Total Annual Premium paid by the University (79%)$1,324.23
($553.08 fall + $771.15 spring)
$4,018
Premium Payment FrequencyPer semesterMonthly
Can the student use residual financial aid to pay for the premium before getting a financial aid refund check?YesNo

Dates and enrollment

StudentBlueUniversity Bronze
Plan Implementation DateAugust 14, 2014January 1, 2015
Open enrollment period for springOctober 27 - February 1November 17 - December 5
Enrollment methodGraduate assistants and international students are automatically enrolled; other eligible students enroll through MyREDEligible employees must enroll through the campus benefits office
Insurance waiversDomestic graduate assistants (soft waiver); all international students (hard waiver)not applicable
End of coverageDecember 31 or August 13The last day of the last month of employment
What if a GA takes no action before December 5, 2014?The GA will be automatically enrolled in the StudentBlue plan.