- 2011-2012 Student Health Insurance Plan
- Need to find a doctor off campus within the Aetna Network? Look here.
- Find a pharmacy here.
- Pharmacy claims.
- Request a new card.
- Travel coverage.
- Six ways to save money with your Aetna Student Health benefits.
| Aggregate Maximum | $50,000 per illness/injury per policy year |
| Lifetime Maximum | $250,00 per illness/injury |
| Pharmacy Maximum | $2,000 per policy year |
| Annual Deductible | $200 per policy year |
| Annual out-of-pocket | $5,000 per covered person |
| Expenses | BGSU-Student Health Service | Preferred | Non-Preferred |
| Physician Office Visit | No co-pay, 100% of Negotiated Charge with qualifying diagnosis | 75% of the Negotiated Charge after a $20 per visit co-pay with SHS referral ($40 co-pay without SHS referral) | 50% of the Reasonable Charge after a $20 per visit deductible with an SHS referral. ($40 per visit deductible without SHS referral) |
| Inpatient Hospitalization | 75% of the Negotiated Charge after a $250 per visit co-pay | 50% of the Reasonable Charge after a $250 per visit deductible | |
| Emergency Room (per visit co-pay/per visit deductible waived if admitted) | 80% of the Negotiated Charge after a $100 per visit co-pay | 80% of the Reasonable Charge after a $100 per visit deductible | |
| X-ray and Lab | Lab: No co-pay, 100% of Negotiated Charge with qualifying diagnosis | 75% of the Negotiated Charge after a $20 per visit co-pay | 50% of the Reasonable Charge after a $20 per visit deductible |
| Prescription Drug | 80% of Negotiated Charge if filled at BGSU SHS Pharmacy | 50% of Negotiated Charge if filled at any Aetna Preferred Pharmacy | 50% of Reasonable Charge if filled at any Non-Preferred Pharmacy |
| Optional Coverage | 75% of the Negotiated Charge to a maximum of $500 | 50% of the Reasonable Charge to a maximum of $400 | |
| Psychiatry Office Visits | $20 co-pay, 75% of the negotiated charge | $20 co-pay, 75% of the negotiated charge | $20 deductible, 50% of the reasonable charge |
The plan will pay benefits in accordance with any applicable Ohio insurance law.
Please read the Bowling Green State University Student Health Insurance Plan brochure carefully for more benefit details. While this document describes important features of the plan, there may be other specifics of the plan that are important to you and some limits to what the plan will pay. If you want to look at the full plan description, which is contained in the Master Policy issued to Bowling Green State University, you may view it at 116 Health Center Building during business hours, or contact us at 419-372-7495. The annual maximum for the Bowling Green State University is $50,000 per illness or injury. The plan also contains other exclusions, limitations and benefit plan maximums. Some illnesses or injuries may cost more to treat and you may be billed for what the plan does not cover.
Student Insurance Office
Room 116 Health Center Building
Bowling Green, OH 43403-0147
Phone: 419-372-7495
Fax: 419-372-4812
studentins@bgsu.edu
MyBGSU
Email
Search
Directory
Academics
Admissions
The Arts
Athletics
Library
A to Z Links
Bowling Green State University