1. Aetna Student Health Insurance
International Students
Student Health Insurance Coordinators

2. What you need to know about Aetna Student Health Insurance
Enrollment/Waiver Process
Coverage of Dependents
Summary of Benefits
Prescription Coverage
Traveling Abroad
Optional Health Discounts
Aetna Navigator

3. Medical Coverage

4. Enrollment/Waiver Process
Students are automatically enrolled in the medical insurance plans each semester and the cost of the student premium is billed to the Bursar account.
Should you need to waive coverage, waiver forms can be submitted through iStart within 10 days of the start of classes at your campus.
Student Medical Premium
Fall
$623
Spring/
Summer
$921

5. Coverage of Dependents
If you are covered by the International Student Insurance Plan, you may also enroll your spouse/same sex domestic partner (residing with the insured member) and dependent children under age 26.
Dependent Enrollment Deadline
Fall: September 15, 2015
Spring: January 31, 2016
Medical Premiums
Spouse
Child
Children
Fall
$623
$1,246
Spring/
Summer
$921
$1,842

6. Summary of Benefits Preferred Non-Preferred Annual Deductible
$500 per Person
$750 per Person
IUPUI Health Services
No Deductible - 100% after a $15 copay
IUB Health Center
Office Visit
100% after a $25 copay
50%
Urgent Care
100% after a $50 copay
Hospital Room and Board
100% after a $200 copay
Emergency Room
100% after a $100 copay
Diagnostic Services X-Rays and Labs
X-Rays: 100% after a $20 copay
Labs: 100% after a $10 copay
Ambulance Expenses
100% of actual charge for the services of a professional ambulance to or from a hospital, when required due to the emergency nature of a covered accident or illness.

7. Prescription Coverage
Prescription Drug Expenses
Preferred
Non-Preferred
Generic
$10 Copay
N/A
Preferred Brand
$40 Copay
Non-Preferred Brand
$60 Copay
Need to contact Aetna Pharmacy Management?
Call AETNA-RX ( )

8. Mail Order and Specialty Medications
Aetna Rx Home Delivery is the prescription mail service for Aetna pharmacy benefit members. Use it to order your maintenance medicines by mail. These types of drugs treat chronic conditions such as arthritis, asthma, diabetes, high cholesterol, heart conditions, hypertension and others. For more information, contact Aetna Pharmacy Management.
Aetna Specialty Pharmacy provides specialty medications and support to members living with chronic conditions. Visit for more information on how to order or talk with a pharmacist 24 hours a day, 7 days a week.
Contact Aetna Pharmacy Management (APM) with questions at AETNA-RX.

9. Additional Services and Discounts

10. Aetna Navigator
Aetna Navigator is your member website to view personal claims and health information. It's secure, so your information is protected once you create an account. By logging into Aetna Navigator you can:
Review who is covered under your plan.
Request, view and print member ID cards.
View Claim Explanation of Benefits (EOB) statements.
Lookup the cost of common health care services and procedures to better plan your expenses.
Research the price of a brand name drug and learn if there are generic alternatives.
Find health care professionals and facilities that participate in your plan.
Send an to Customer Service.

11. OnCall International Coverage While Traveling
24/7 Worldwide Emergency Travel Assistance
24/7 Emergency Travel Arrangements
Translation Assistance
Emergency Travel Funds Assistance
Lost Luggage and Travel Documents Assistance
Assistance with Replacement of Credit Card/Travelers Checks
Medical/Dental/Pharmacy Referral
Hospital Deposit Arrangements
Prescription Drug Replacement Assistance
Dispatch of Physician
Emergency Medical Record Assistance
Legal Consultation and Referral
Bail Bonds Assistance
Additional Benefits
Unlimited Medical Evacuation and Repatriation
Visit by Family Member/Friend during hospitalization
$2,500 Emergency Return Home in the event of death or life threatening illness of a parent, sibling or spouse
Up to $10,000 for Accidental Death and Dismemberment Benefits
If you require medical assistance and are more than 100 miles from home call:
Within the United States:
Outside the United States:

12. Aetna Discounts and Programs
Aetna Vision Discount Program provides access to discounts on vision exams, lenses and frames when a member utilizes a provider participating in the EyeMed Select Network.
Beginning Right Maternity Program provides you with information on how to make healthy choices for you and your baby. Aetna’s Beginning Right Maternity Program helps prepare you for the exciting changes pregnancy brings.
Quit Tobacco Cessation Program helps you say good-bye to tobacco and hello to a healthier future! The one-year Quit Tobacco program is provided by Healthyroads, a leading provider of tobacco cessation programs. You’ll get personal attention from health professionals that can help find what works for you.
Aetna’s Informed Health Line you can call toll free hours a day, 7 days a week. Get health answers 24/7. When you have a Aetna health insurance plan, you have instant access to the information you need.
For more information about available discounts and programs register at Aetna Navigator.

13. Questions?

14. Contact Information
Information about this plan and a copy of this presentation can be found at:
Melissa Williams and Shana Wigington
Phone:
Appointments can be made to speak with us at anytime during the year. Please contact us at the information above to make your appointment.