Important Notice: Effective with the 2023-24 academic year, SUNY Oneonta will no longer offer a health insurance plan to our students. We regret the inconvenience this will cause.
Health Insurance Coverage
Because you may need to be referred by the Student Health or Counseling Center to off-campus providers for services beyond what is available on campus, we strongly encourage students to ensure they have adequate health insurance. Be sure to check with your current carrier to verify you are covered by your family's plan while you are out of your normal area. Be sure you have coverage at SUNY Oneonta and the surrounding localities such as Oneonta, Albany, Syracuse, and Binghamton for major hospital and medical specialists.
Know what the restrictions and limits of your coverage are. In particular, students whose coverage is through an HMO (health maintenance organization) should check their policies (or verify with their plan administrators) and determine where they can and cannot obtain coverage in the local area. If the HMO operates a providing network in the area, inquire about the availability and rules for "guest" coverage while at school.
Those who are covered by PPO's (participating provider organizations) will want to make sure they have participating providers in the area. We are not a participating provider with any insurance company, and your insurance company may not reimburse you for services provided on campus. Remember, that even if you have emergency room coverage in the area, that ER coverage should not be used as a replacement for non-emergency care.
All students are charged the Student Health Fee. This fee is not an insurance charge but instead covers only services that are provided at the Student Health Services, whereas a health insurance plan might cover services that are provided outside of Student Health Services, such as laboratory and radiology tests, physical therapy, and visits to physicians, hospitals, and other providers.
All students are strongly encouraged to have health insurance coverage. Please note, requirements for mandatory student health insurance remain in effect for International and Student Athletes:
- In accordance with NCAA regulations, SUNY Oneonta team members must provide proof of adequate health insurance coverage at or before their initial team practice. Students wishing to purchase coverage in order to participate in sports are responsible for securing their own coverage through a private carrier or health exchange. More information is available on the Athletics page found here.
- International students can obtain more information about the required students health insurance plan on the Office of Global Education webpage found here.
Why Health Insurance Is So Important
Many students think that health insurance isn't something they really need to worry about. Most college-aged people are relatively healthy and have never had the experience of undergoing extensive treatment or a hospitalization. It's easy to think that health insurance is something you will worry about later.
Unfortunately, those people who wait to get insurance until they actually need it are in danger of finding that it may be very expensive or unavailable after they really need it. Also, in the event of an emergency - which by its nature is very unlikely to be planned or anticipated - first trying to determine how to cover necessary treatment is unrealistic or impossible.
The best way to avoid problems like these, and to make sure you're able to get any medical or mental health services you need, is to make sure you have insurance in place before you leave home. Under the Health Care Reform Act, full-time students under the age of 26 may retain coverage under a parent's policy. Be sure to check whether coverage extends to you while in the Oneonta, Albany, Syracuse, and Binghamton area.
Obtaining Health Insurance
Students requiring coverage in order to participate in intercollegiate, intramural or club sports, or students looking to obtain new or supplement existing coverage, will be responsible for securing their own coverage through a private carrier or health insurance exchange.
For those seeking assistance with obtaining private health insurance, NY State of Health, The Official Plan Marketplace, is where New Yorkers can shop for, compare and enroll in health insurance coverage. It's the only place to get financial assistance to reduce the cost of coverage. To learn more, visit nystateofhealth.ny.gov or call 1-855-355-5777.
If you need additional assistance with the NY State Marketplace, Health Insurance Navigators are an excellent resource. Students residing in New York can make a phone appointment with a Navigator through EASE (Enrollment Assistance Services and Education) at 1-800-872-3740. A local community Health Insurance Navigator, Michelle Colson, is available through Bassett Healthcare and can be reached at 607-437-3019.
SUNY Oneonta Student Health Insurance Plan
Effective with the 2023-24 academic year, SUNY Oneonta will no longer offer a health insurance plan to our students. We regret the inconvenience this will cause.
Existing coverage for students under the 2022-2023 annual or 2023 spring semester plans ends on August 9, 2023.
The Student Health Insurance Plan offers you:
- Affordable, comprehensive insurance benefits
- This plan is ACA Compliant (Affordable Care Act)
- Access to a nationwide network of healthcare professionals, including primary care, specialists and mental health services.
For further details of the coverage including cost, benefits, exclusions, and reductions or limitations and the terms under which the policy may be continued in force, please refer to the Certificate, available at Haylor, Freyer & Coon. Please see the chart below for a summary of benefits.
|Out-of-Pocket Maximum- Individual||$8,150|
|Office Visits- Primary Care & Specialists||$30 copayment, then 20% coinsurance|
|Preventive Care Services||Covered in full|
|Emergency Ambulance Transportation (not SUA)||20% coinsurance|
|Medical Emergency (Emergency Room)||$50 copayment|
|Urgent Care Services||$30 copayment, then 20% coinsurance|
|Inpatient/Outpatient Hospital Surgery||20% coinsurance|
|Anesthesia Services||0% coinsurance|
|Mental Health Care Services- Inpatient (for a continuous confinement when in a hospital)||20% coinsurance per admission|
|Mental Health Care Services- Outpatient||$30 copayment, then 20% coinsurance|
|Inpatient Substance Use Services (for a continuous confinement when in a hospital)||20% coinsurance per admission|
|Outpatient Substance Use Services||$30 copayment, then 20% coinsurance|
|Allergy Testing and Treatment- Performed in PCP & Specialist Office||$30 copayment, then 20% coinsurance|
|Imaging Services||20% coinsurance|
|Diabetic Equipment and Supplies||$20 copayment|
|Laboratory Procedures- Performed in a PCP Office, Specialist Office, & Performed as Outpatient Hospital Services||20% coinsurance|
|Rehabilitation Services (Physical Therapy, Occupational Therapy or Speech Therapy)||$20 copayment, then 20% coinsurance|
|Chiropractic Services||$30 copayment, then 20% coinsurance|
|Maternity Prenatal Care (Prenatal Care provided in accordance with the comprehensive supported by USPSTF and HRSA)||Covered in full|
|Maternity Care – Inpatient Hospital Services and Birthing Center||20% coinsurance per admission|
|Maternity Care- Physician and Nurse Midwife Services for Delivery||20% coinsurance per admission|
|Postnatal Care||$30 copayment, then 20% coinsurance|
|Prescription Drugs (& Insulin)||Copayment: $20 generic, $50 brand name, & $80 non-formulary brands|
The benefits listed above are a brief summary of the Student Health Insurance Plan design. Additional Schedule of Medical Expense Benefits/Limitations are specified in the full master policy document.
For more details regarding the SUNY Oneonta Student Health Insurance Program please visit:
Student Health Insurance Program Key Links:
If you have insurance questions about your existing coverage, please feel free to contact the university Insurance Account Manager:
- Angelica Tomasello
All student information held at the Health Center is strictly confidential and will not be released without written or phone consent by the student and/or as required by law. Students under 18 years of age, must have parental permission to be seen and treated at the Health Center except for emergency situations, emancipated minors, or reproductive health issues.