Benefits effective August 1, 2017 and are subject to change.

Benefit Type AY17 Benefit AY18 Benefit

Chiropractic visits

12 visits per plan year

As medically necessary

Pediatric Vision Eyewear: lenses, frames, or contact lenses (through age 18)

Not covered

In-network: 35% coinsurance

Out-of-network: 55% coinsurance (after deductible is met)  

Telehealth Not applicable

Telehealth is a service that provides real-time video visits with a health care provider using a smartphone, tablet, or computer.

Students can access providers through either American Well (a company that BCBS has partnered with to provide these services) or any in-network provider who is contracted by BCBS to offer telehealth services.

Telehealth visits follow the same cost-sharing rules and visits that other office visits have. Learn more
Fitness Reward

Reimbursed up to 3 months of a qualifying gym membership per calendar year

Not covered
Prescription Coverage  Administered by OptumRx Administered by Blue Cross Blue Shield
Hospital Choice Cost Sharing:  copayment changes for certain services Not applicable

Hospital Choice Cost Sharing groups Massachusetts acute care hospitals into two categories for inpatient admissions, outpatient day surgery, and outpatient diagnostic high-tech radiology testing.

Students are empowered to control their out-of-pocket costs based on the hospital they choose for care. The out-of-pocket amount the member pays for these services is based on the hospital’s cost sharing level. Learn more

Out-of-Network Reimbursement  In some cases, out-of-network reimbursement was based on the provider’s actual charge BCBS reimbursement for all out-of-network providers is based on a set rate called an "allowed amount."

 

Policy Name AY17 Policy AY18 Policy

Late Waiver Fees

When you waive:

The Student Health Insurance Plan: You are charged a flat $75 in addition to a $50 fee for each week past the deadline.

The Student Health Fee: You are charged a flat $45 in addition to a $20 fee for each week past the deadline.

When you waive:

The Student Health Insurance Plan: You will be charged $50 per month late fee for each month (August and September) that your waiver is late.

The Student Health Fee: You will be charged $25 per month late fee for each month (August and September) that your waiver is late.