About the Plan

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The New School offers a university-sponsored Student Health Insurance Plan. It is an Aetna Open Choice PPO plan administered by Aetna Student Health. The plan covers basic medical, surgical, and hospital costs for accidents and sicknesses that occur 24 hours a day, worldwide.

The plan is administered by:

Aetna Student Health
P.O. Box 15708
Boston, MA 02215-0014
800.878.1927
www.aetnastudenthealth.com

Plan Highlights

  • Annual fee for the accident and sickness plan is $1,714 billed in two (2) installments fall: $691, spring: $1,023
  • Student Health Services Fee is $250 per semester
  • Medical and mental health coverage available from August 20, 2009 through August 20, 2010
  • Aggregate per-condition maximum: $500,000 (Plan 2)
  • Annual plan deductible: $100
  • Prescription benefits: $800 prescription maximum per policy year
  • Use of preferred care pharmacy: 100% of the negotiated charge after a $10 co-pay for each generic prescription drug and $20 co-pay for each brand-name prescription drug
  • Non-preferred care pharmacy: 70% of the reasonable charge after a $10 co-pay for each generic prescription drug and a $20 co-pay for each brand-name prescription drug
  • Medications not covered by this benefit include, but are not limited to, drugs whose sole purpose is to promote or to stimulate hair growth, appetite suppressants, smoking deterrents, immunization agents and vaccines, and non-self injectables
  • Prior authorization is required for growth hormones and drugs that are used for the treatment of malaria
  • Coverage is provided for oral contraceptives. For assistance, or for a complete list of excluded medications and drugs available with prior authorization, please call 800.238.6279
  • Physician office visits
    Preferred care: 90% of the negotiated charge
    Non-preferred care: 60% of the reasonable charge; $25 office visit co-pay
  • Inpatient hospital visit expense
    Preferred care: 90% of the negotiated charge
    Non-preferred care: 60% of the reasonable charge

These highlights provide a brief summary of benefits. For a complete plan description go to www.aetnastudenthealth.com. Click on "Find Your School" and enter 812804 as your policy number. It is your responsibility to understand the nature and scope of benefits and limitations as well as to abide by stated deadlines.