The chart below shows how the plan pays your benefits for the major types of health care expenses. You can see the difference in your cost when you use preferred providers. A list of all preferred providers can be obtained using the Doc-Find tool. Click on the Doc-Find link to obtain more information on how to use it. The complete health plan brochure can be viewed by logging on to Aetna Student Health. Our health plan has a lot of different benefits available to those who are enrolled, such as travel assistance, health programs, and the Care Hub. Our school ID is IIT.
You may review our Summary of Benefits or Master Policy below.
Type of Service or Supply Benefit Level | ||
---|---|---|
Policy Year Maximum | Unlimited | |
Plan Deductible | Preferred Care: $300 Non-Preferred Care: $400 | |
Annual Out-of-Pocket Limit | Preferred Care: $6,850 Non-Preferred Care: $ Not applicable | |
Preferred Care | Non-Preferred Care | |
Physician Office Visit Expenses | Plan pays 80% | Plan pays 60% |
Inpatient Hospitalization Expenses | Plan pays 80% | Plan pays 60% |
Emergency Room Expenses | Plan pays 80% | Plan pays 80% |
Prescription Drug Expenses * | Plan pays 100% | Not covered |
Rx Co-pays | $12/40/55/110 (please see brochure and below for details on co-pays) | |
Rx Annual Maximum | Unlimited |
*There is a $12/40/55/150 co-pay for prescription drugs, a $12 co-pay for generic, a $40 co-pay for brand-name formulary, a $55 co-pay for brand name non-formulary, or a $150 co-pay for specialty drugs.
There is no coverage for prescription drugs filled at a non-preferred pharmacy.
Premiums
Annual | Spring | Summer | *Fall Only | |
Student | $2,286 | $1,344 | $496 | $942 |
*Monthly rates are based on qualifying life events only. Contact the SHWC for more information.
Coverage Period 2024-2025
Annual | August 10, 2024 through August 9, 2025 |
Spring | January 6, 2025 through August 9, 2025 |
Summer | May 20, 2025 through August 9, 2025 |
*Fall Only | August 10, 2024 through January 5, 2025 |
Enrollment and Waiver Deadlines
Annual | September 1 |
Spring | January 12 |
Summer | NA |