The 2016-2017 academic year UNM Student Health Plan will be administered by Academic HealthPlans/BlueCross BlueShield of New Mexico (BCBSNM). Below is a basic summary of plan coverage. Detailed information, waiver period and process, and contact information will be available soon.
Enrolled students will still be able to access SHAC at a very low cost. Additionally, enrollees will be able to utilize the UNM Health Network as well as receive dedicated scheduling assistance and referrals from UNM Health. For services outside of SHAC or UNM Health, enrollees will be able to utilize the BlueCross BlueShield national PPO network, which includes 96% of hospitals and 92% of providers nationally.
As part of the covered services under the UNM Student Health Plan, enrollees will have access to Academic Emergency Services (AES). AES covers enrollees for emergency services, including emergency evacuation and repatriation coverage, if you were to experience an emergency while traveling 100 miles from home or outside your home country.
Students enrolled in the UNM Student Health Plan, are eligible to purchase the BlueCare Dental plan offered by BCBSNM. Additional information including purchase and payment options will be available soon.
The rates for the 2016-2017 academic year have increased by 10%
| Type of Coverage | Fall *7/11/16 - 1/15/17 **8/1/16 - 1/15/17 |
Spring/Summer *1/16/17 - 7/31/17 **1/16/17 - 7/31/17 |
Summer *6/5/17 - 7/31/17 **6/5/17 - 7/31/17 |
|---|---|---|---|
| Student Only | $924 | $924 | $308 |
| Spouse/Domestic Partner | $924 | $924 | $308 |
| Each Child | $924 | $924 | $308 |
*Medical Doctorate Students
**Graduate Assistant, Medical Health Professional and International Students
***UNM Student Insurance Plan |
UNM Student Health & Counseling (SHAC) Network |
UNM Health Network |
BCBSNM PPO Network |
|---|---|---|---|
| Plan Year Maximum | Unlimited | Unlimited | Unlimited |
| Deductible per Individual | $0 | $250 | $250 |
| Deductible per Family | Not Available | $500 | $500 |
| Out-of-Pocket Maximum Individual (Includes Deductible, Coinsurance, and Copays) | $6,350 | $6,350 | $6,350 |
| Out-of-Pocket Maximum Family (Includes Deductible) | $12,700 | $12,700 | $12,700 |
| Inpatient Hospital Expenses | Not Available | 20% Coinsurance | 20% Coinsurance |
| Outpatient Hospital Expenses | Not Available | 20% Coinsurance | 20% Coinsurance |
| X-ray and Lab | 20% Coinsurance | 20% Coinsurance | 20% Coinsurance |
| Primary Care Office Visit | $5 Copay | $15 Copay | $25 Copay |
| Specialist Office Visit | $10 Copay | $25 Copay | $35 Copay |
| Emergency Services | Not Available | 20% Coinsurance | 20% Coinsurance |
| Urgent Care Visit | Not Available | $15 Copay | $25 Copay |
| Urgent Care Expenses | Not Available | 20% Coinsurance | 20% Coinsurance |
| Preventative Care Services | No Copay | No Copay | No Copay |
Prescription Drugs |
|||
| Generic | $10 Copay | $20 Copay | $20 Copay |
| Preferred Brand | $20 Copay | $40 Copay | $40 Copay |
| Non-Preferred Brand | $30 Copay | $60 Copay | $60 Copay |
| Specialty | $100 Copay | $100 Copay | $100 Copay |
***Pre-existing condition exclusions: NONE
***Lifetime Maximum: Unlimited
***Plan Year Maximum: Unlimited
