Find the cheapest Va student health insurance plans, whether you are full or part-time. Individual and family coverage, with many flexible benefits, is available online from most of the large companies. Quality low-cost coverage is offered to meet your medical needs and satisfy the requirements of your school or University. We shop multiple companies in Virginia so you get the best rates, regardless if you're attending school inside or outside the state. Our free review guides show you the most cost-effective way to enroll for a plan, both on or off the Marketplace. Supplementary and ancillary coverage is also offered.
We help you understand what benefits are the most important, which options best meet your needs, and how to pay the lowest rates for these policies, even if you are in graduate school or a technical college. Although most colleges and universities offer their own version of coverage, options are often limited, so they may not be the best solution to your needs. Affordable full-time and part-time coverage is available. In many situations your college policy may be the best choice, and we'll certainly recommend those specific plans. It's also possible that only limited or pay-for-service options are offered by your school, which may not cover expensive non-generic medications and ongoing therapy.
Advantage Of Individual Marketplace Plans
Exchange (or "Marketplace") policies don't require medical underwriting. Benefits, especially for out-of-area trauma centers, are often much higher than many school options. The availability of acute specialized care is critical if there is a major medical sickness or illness. Although treatment outside of the state will probably not be needed, it's still important to be able to utilize a nationwide network in case it is the best available option. Blue Cross Student Medical plans in Virginia are typically quite affordable and maintain a large provider network.
Another advantage of selecting your own private coverage is the package of "essential health benefits" that are included in all Marketplace plans (in accordance with ACA legislation). Although maternity benefits may not be needed, preventive coverage (annual physical, mammogram, and OBGYN visits), ER, office visits, prescription drugs, and mental illness/counseling are all included. Urgent Care visits also often are covered with a copay, instead of having to meet a deductible. Specialist visits, depending upon the plan, may also be covered with a copay, instead of a deductible. Online telemed visits are often provided with a small or no copay.
Depending on the treatment, other expenses may be covered at 100% with no copay, coinsurance or deductible to meet. Outpatient depression, mental health, and substance abuse services are often covered with a copay instead of having to meet a deductible. The savings can easily be thousands of dollars per year. However, inpatient treatment may be subject to the deductible and/or coinsurance. Additional items that are commonly covered include respiratory infections, contraception, skin conditions and rashes, urinary tract infections, fatigue, depression, eating disorders, and accidental injuries.
Obamacare Plans And The ACA
When you purchase your own private student plan, you're not restricted to accept just one standard option. You can customize your policy to include, and meet the needs that you are most likely to utilize. For instance, if you are in extremely good health, and are likely to only use preventive benefits, then an inexpensive "catastrophic" plan with a higher deductible may be the best choice. These plans are ideal for young persons that want the lowest possible premium, although the deductible and maximum out-of-pocket expenses may be as high as $8,150. Higher-tier plans (Silver, Gold, and Platinum) may offer lower deductibles.
Under the Affordable Care Act legislation, if you are under age 30, you can purchase a "catastrophic" plan. Although some comprehensive benefits are not included, the amount of premium you save may be substantial. Also, many schools offer a fairly inexpensive supplementary policy that works well in conjunction with catastrophic options. These riders are also available to International students if they are legal residents of the US. The supplement may cover accidents, ER visits, and perhaps first-dollar coverage for non-preventative office visits.
Bronze-tier policies should also be reviewed since often they are less expensive, and provide more comprehensive benefits. Often, most office visits and prescriptions only have a copay to meet, instead of a large deductible. They are also eligible to receive federal subsidies (discussed below), whereas catastrophic-tier policies do not qualify for any financial assistance, regardless of your income. Note: Often, a Bronze-tier plan will cost less than a catastrophic plan, regardless of the amount of the subsidy.
You may also qualify for a generous federal subsidy that reduces the premium. If you are listed as a dependent on a parent's tax-return, a subsidy may still be offered. In less than a minute, we can calculate your subsidy and determine how much each plan will reduce. It is possible your premium will be $0. If you are older than 30, a Bronze or Silver "Metal" plan will have the lowest rates. It is no longer a requirement to have in-force healthcare benefits, since the tax has been eliminated. Therefore, additional plans are offered outside of the Marketplace OE period.
Exchange Policies Through Marketplace
The Virginia Health Marketplace (Exchange) plans (you can get free quotes on our website) feature low-cost options that may be ideal for students, especially if there are existing conditions. Since medical questions are not part of the enrollment process, an applicant can not be denied because of health history. Only age, residence and smoking preference will factor into the rate. Official Open Enrollment for 2021 effective dates begins in November and continues for 45 days. However, under specific conditions, you can still apply for coverage, or select non-Marketplace plans.
The federal subsidy (as previously mentioned) potentially reduces the premium of your policy, with the exception of the catastrophic tier. Some of the cheapest available options are: CareFirst BlueChoice HMO Young Adult 8150, Cigna Connect 7000, Anthem HealthKeepers Catastrophic X 8150, Kaiser VA Catastrophic 8150/0/Dental, Anthem HealthKeepers Bronze X 7500, Anthem HealthKeepers Bronze X 5250, Optima Health OptimaFit Catastrophic 8150 M, and Piedmont Bronze 7900.
Depending on where you live, several companies may offer policies. Northern Virginia has one of the widest selections of polices and carriers. Bigger cities, such as Richmond, Chesapeake, Virginia Beach, Newport News, Alexandria, Hampton, and Norfolk will offer the most choices. Smaller cities and rural areas, such as Falls Church, Galax, Poquoson, and Martinsville, will have smaller provider networks and less plan availability.
Your own private policy will likely cost hundreds of dollars less per year and provide a much broader coverage if a severe illness or accident were to occur. There will be no lifetime or annual maximum, and most importantly, the network provider list will likely include facilities across the US, instead of local campus facilities. Emergency life-threatening medical treatment is usually covered with no network restrictions.
Blue Cross, UnitedHealthcare and Aetna are three major carriers with network reach across the entire country. However, many major carriers offer Group and Senior Medicare products, but not private single and family medical plans. Additional lines of business are typically offered, including dental, vision, life, and long-term care products. Often, a University may offer coverage from a carrier that offers student plans, but not Marketplace plans. Aetna, for example, underwrites student coverage in many states, but does not participate in the Federal Exchange.
This could be critical if specific treatment is necessary and can only be accessed at out-of-state hospitals. There are many specialized cancer treatment centers, facilities and hospitals in Texas and other states. In many situations, the only way to receive treatment is to own your own plan with a national network of providers. For comprehensive treatment of heart disease, cancer, and other diseases, often, specific facilities located outside of your area will be one of the best options. The Mayo Clinic in Minnesota, or Memorial Sloan Kettering Cancer Center in New York, are two of the most prominent Cancer Hospitals in the world.
For example, residents of Norfolk and students attending Norfolk State University have easy access to one of the top-rated hospitals in the country -- Sentara Norfolk General Hospital. However, without a statewide network, you may not be eligible to utilize discounted and negotiated network discounts if they are outside of your service area. For ER and hospital visits, it is not unusual to see thousands of dollars of savings by simply taking advantage of negotiated network repricing. Visiting an out-of-network hospital can be quite costly.
Special Enrollment Period (SEP)
Assuming you qualify for an SEP, individual policies can be purchased at any time of the year. If you are dropping off an existing policy, you do not have to wait for an Open Enrollment period. For example, if you were starting classes in mid-term, or perhaps the summer, you can easily apply for a plan. Unless there are citizenship or residency issues, you can receive an approval very quickly. Also, if you moved (your permanent residence), or reached age 26 while covered under a parent's plan, you can enroll for guaranteed coverage at any time. Losing qualified coverage from an employer, dropping off an ex-spouse's plan from a divorce will also qualify for an SEP exception. If you are pregnant, once the baby is delivered he/she will be eligible for an SEP exception.
There is a special 60-day window that allows you to shop for coverage to replace an existing expiring policy. However, if you forgot to enroll, missed the OE deadline, or did not have prior qualified coverage (even if it was terminating), you may be forced to accept non-Marketplace policies. And unless you are eligible for a guaranteed-approval option, you may be forced to accept basic medical coverage (only) until January 1. However, regardless of medical conditions, you can choose any tier (Platinum, Gold, Silver, or Bronze) for the new calendar year.
So what is the best type of policy to buy? One of the biggest factors that must be considered is the requirement of your school. Also, whether you are attending an in-state school, such as UVa, Liberty, George Mason, or William & Mary, or going out-of-state, you still must know what the minimum requirements will be. And these could be quite different, depending upon your choice of schools. Also, many colleges do not offer their own student medical coverage, although they will require you to provide proof you have enrolled in a suitable plan. Often, a supplementary contract can also be purchased, that helps reduce some out-of-pocket expenses if you are treated at the Campus medical facility.
University Of Virginia Plans
The University Of Virginia Student Health Insurance Program, is administered by Aetna. The premium for the 2020 school year slightly decreased. The Spring/Summer rate (which covers from January 1 to August 14), is $1,742. If you add your spouse, the rate jumps to $3,484. Adding a child to the family bumps the annual premium to $5,226. The price for a family with more than one child is $6,968. NOTE: Both domestic and international students must meet school healthcare hard waiver guidelines. The Elson Student Health Center has copies of guidelines available.
Summer rates are less but the session runs for less than four months. Once you sign up, you can NOT cancel and no refund will be given. It is also important to understand that students, of course, do not have to select this option. And if the "comprehensive Fee" is not paid, then the plan would not be available.
If you need benefits for the entire 12-month period, the price also reduced for 2020. For example, the "student-only" rate becomes $2,814, "spouse only" also becomes $2,814 and family premium increases to $11,256. In most situations, if you qualify for a federal Marketplace subsidy, it will cost less than the University plan. Typically, the annual premium must be paid by October 31st if the coverage waiver was not completed and signed. Coverage ends on August 14th.
While the rate is quite high, the routine non-emergency benefits are very good. By utilizing the provider network, a $25 copay is provided for primary-care physician and specialist visits. Lab tests and additional services or supplies will also are covered at 80% (after the deductible is met). Unlike an HMO, a referral is not necessary, so specialist visits can be scheduled very quickly, if needed. ER visits are subject to a $150 copay and 10% coinsurance, while Urgent Care visits are subject to 20% coinsurance.
Changes In UVA Plan
The annual deductible is $350 for preferred care ($700 per family). The non-preferred care deductibles are $500 and $1,000. This amount is significantly less than most Silver, Bronze and Catastrophic Metal policies. However, treatment you receive in non-network facilities will cost more, since the coinsurance increases. Also, the quarterly billing option has been removed. The maximum out-of-pocket expense (per year) was increased to $5,500 from $4,250 five years ago (maximum two per family). Also, expenses from injuries resulting from playing in intercollegiate sports are now covered. Previously, they were excluded.
If you need speech therapy consultations, the cap on the number of covered visits has been removed. An annual eye exam is included on student plans including replacement contact lenses or glasses. Pediatric dental and vision benefits are also provided. The prescription copays for generic, preferred brand and non-preferred brand drugs are $7, $40, and $80. Mail order is available, and contraceptive drugs are fully covered if preferred generic FDA-approved.
Additional worldwide travel benefits are now included if you study outside the US. And mental illness and substance abuse are considered covered benefits. Until the Va State Health Exchange became operational four years ago, many private plans did not cover these two items. Maternity is also provided, along with complete preventative benefits. Same or opposite-sex partners can utilize these plans. Graduate teaching assistants can also enroll.
Additional University Student Health Plans In Virginia
Liberty University does not offer individual or group coverage to students. However, the Student Health Center is available to all students. A $170 fee is charged each semester to cover expenses. Many benefits are provided, including acute care visits, health and nutritional coaching, preventative care visits including routine physicals and OBGYN, chronic disease management for diabetes, nutritional health coaching, asthma, auto-immune disorders, and other long-term diseases, blood tests, EKGs, x-rays, and other diagnostic tests. Appointments can be made for the same day, and walk-ins are accepted.
There is also no limit to the number of times you may receive treatment. Rx delivery is available on the campus, along with student counseling services. An initial live screening appointment is typically scheduled before treatment is provided. Substance abuse counseling, individual, couple, and family counseling, mental health crisis services, and psychiatric evaluations are available along with many additional benefits.
Occasionally, a small fee may be charged. For example, students will be charged $10 for failing to appear for a scheduled appointment. Specific diagnostic tests, several lab procedures, and other treatment may incur a small fee. Proper identification is also typically required for visits. An insurance card, current driver's license, and Flames Pass will be needed.
George Mason University offers a UnitedHealthcare plan to all students. The deductible is $200 with maximum out-of-pocket expenses of $6,350. The deductible does not apply to qualified preventative expenses, Urgent Care visits, prescription drugs, routine vision exams, pediatric dental and vision expenses, and routine newborn expenses. Generic, preferred brand, and non-preferred brand prescription drug copays are $15, $40, and $75. Tier 4 drugs are not covered. The ER copay is $250.
The annual rate for domestic students is $2,574 ($1,709 for spring/summer, and $737 for summer only. The spouse or single child rates are an additional $2,694, $1,678 and $677. Adding a spouse and two children (or more) costs $5,338, $3,356, or $1,354. United Healthcare also offers dental coverage at the following annual rates: Student: $496.13, Student and Spouse: $992.25, Student and Children: $1,250.87, and Student and Family: $1,850.31.
Student Health Services clinics are also available, regardless if the UnitedHealthcare plan has been purchased. There is no charge for the visits. However, there are fees for lab tests, medications, physicals, and supplies. Services provided include medical record management, STI testing and education, contraceptives, chronic health conditions, allergy testing, mental health, and smoking cessation. Clinics are located at Arlington, Science and Technology, and Fairfax campuses. When the student graduates, the policy continues until the end of the policy year.
James Madison University does not offer a medical plan. They recommend several local resources that can assist with finding private coverage. JMU does provide access to their University Health Center, which is funded by the comprehensive tuition fee. Routine and preventative care is available, along with an Urgent Care, pharmacy, allergy clinic and women's health clinic. Telephone nurse triage is also offered, with RNs available.
Students that are planning to travel overseas also have access to information regarding medical consultations, required vaccinations, disease risks, and travel prescriptions. An international travel consultation is available for a cost of $20. Several topics discussed include needed vaccinations, limiting risk of diseases, and medications that may be needed for travel. Consultations should be scheduled one month before departure. Visas and physicals must be taken care of by the student.
Additional services provided by the Center include a laboratory testing center, Sentara x-ray services, and sexually-transmitted disease testing. A nutrition counselor is available to help with medical diagnosis, eating disorders, mineral and vitamin deficiencies, vegan diet assistance, nutritional analysis, and impact of changes in appetite. Doctors, physician assistants, nurses, and nurse practitioners can evaluate, treat, and consult with patients. Cash, check, and credit cards are accepted forms of payment.
Virginia Commonwealth University charges a $107.50 health fee each semester to graduate and undergraduate students for access to the VCU Health Center. Part-time students (minimum of three hours) may also utilize the facility. All students are strongly encouraged to secure private or Group coverage to cover major medical expenses and many other claims.
The Clinic does cover immunizations, travel care, sexual health and wellness, ADHD, mental health, nutrition consultation, and body fluid exposures. Lab services and a pharmacy are also provided. The clinic is not open in the evening and on weekends, although phone consultations are offered if an urgent medical situation occurs. Since x-rays, ER visits, and hospital visits are not provided, students are encouraged to remain or parent's qualified plan or purchase their own coverage.
Additional expenses not covered include ER visits, specialist referrals, medications, allergy testing, vision and dental care, and accidental expenses requiring outside treatment. Services that are offered with a small fee include allergy injection visits ($10), routine physical exams ($30), STI screening ($15), and well-woman examinations, which include screenings and pap smear ($45).
Old Dominion University and UnitedHealthcare provide plan options. The annual rate is $2,295 for students, spouses, or dependents. The deductible is $250 with maximum out-of-pocket expenses of $4,000 and 20% coinsurance. Prescription drug copays are $30, $40, and $50 for Tiers 1, 2, and 3. Mail-order prescriptions are offered at a slightly-reduced cost. Office visits are subject to a $20 copay, and medical emergencies are subject to a $100 copay (waived if admitted to a hospital). In-network coverage is 80%, and of course, qualified medical expenses are covered at 100%. The ODU Student Health Center provides primary care treatment along with many other services.
Virginia Tech University does not require students to purchase coverage, although, of course, it is encouraged. Aetna provides coverage to students and their dependents that features a $450 deductible ($900 per family), with $5,750 maximum out-of-pocket expenses and coinsurance. The office visit (pcp and specialist) and Urgent Care copay is $25 for Tier I and Tier II preferred care. A referral is not required. Outpatient mental health visits are also subject to a $25 copay. The ER copay is $300, which is waived upon admission. Hospital room/board, and intensive care visits are covered at 90% after an initial $300 copay. Therapy expenses are covered at 90% of the negotiated charge. Non-elective second surgery opinion expenses have only a $25 copay.
Diagnostic tests and imaging are subject to 10% coinsurance. This includes blood tests, x-rays, CT scans, PET scans, and MRIs. Vision care exams are subject to a $15 copay, while dental and vision exams are covered at 100%. Generic, preferred brand, and non-preferred brand drug copays are $15, $45, and $75. Specialty drugs are covered with the higher of a $250 copay or 20% coinsurance. Children's eye exams, glasses, and dental check-ups are covered at 100%. Expecting mothers do not have to pay a copay for their office visits. Some facility fees may apply to services.
The annual cost of the plan to VTU students is $3,173 ($6,346 for student and spouse or student and child). The cost for a student spouse, and child is $9,519. The policy can be billed in two installments. The first payment is due at the time of enrollment and the second bill is due on January 1. The policy runs from August 1 to July 31. Spring semester (only) rates are less. Policy ID cards can be printed online.
All students have access to the Schiffert Health Center, and most expenses are covered by the annual student health fee. The facility does not accept group or private insurance coverage and does not bill insurers for provided services. Thirteen physicians, nurse practitioners and physician assistants offer a wide range of services including emergency care.
Each student has different needs, budgets and benefit wish lists. To ensure you are receiving the benefits you must have (at the best price, of course), simply review the quotes you receive from this website to determine which policy is the best to apply for. We provide free assistance, or you can use our online information and apply directly for coverage. Generally, dependents under age 26 may remain on their parent's plan.
More than 200,000 Va residents may have to change their current plans effective January 1, since they do not comply with ACA guidelines. These policies were allowed to renew last year, despite lack of all of the 10 required "essential health benefits." Within the next eight weeks, consumers who fall into this category, will receive mail correspondence advising them their options.
Although some of the 10 mandated coverages (such as maternity), may not be needed, it is still a legal requirement to have these benefits. The federal subsidy will help lower premiums for persons losing "grandfathered" plans, since these older policies often have several limitations and exclusions.