All full-time SUNY Oneonta students are required to have health insurance coverage. The Student Health Insurance Plan is automatically included on your semester's bill if you are a full time student. If you have your own health insurance you have the option of waiving out of the Student Health Insurance Plan by completing the insurance waiver on your student bill. Please consider the following when making your decision:
Your current insurance may not cover the types of expenses most frequently incurred by college age individuals such as outpatient (laboratory and radiology) services and specialist referrals. Local systems include Fox Hospital, Bassett Hospital, and United Health Services. Depending on your current coverage services locally may be limited or may be charged to you at a higher, non-preferred rate. We encourage you to contact your health insurance company to investigate your coverage in the Oneonta area.
The Student Health Insurance is also available for part-time students.
Who is eligible?
All registered full-time students are required to carry health insurance. Students who are currently insured under family or private medical insurance may waive the student health insurance plan. Waivers must be processed prior to the deadline of:
Annual waiver deadline: September 29, 2021
New students beginning in the spring 2022 will have a waiver deadline: February 16, 2022
August 10, 2021-August 9, 2022 $2,616.00
January 4, 2022-August 9, 2022 $1,583.00
Part-time students coverage is also available to all eligible students. Visit our website below for complete details. For more details regarding the SUNY Oneonta Student Health Insurance Program please visit: www.haylor.com/oneonta 866-535-0456 firstname.lastname@example.org
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 www.haylor.com/sunyoneonta. Please see the chart below for a summary of benefits.
What does the plan feature?
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, www.uhcsr.com
|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, then 20% coinsurance|
|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||$20 copayment, then 20% coinsurance|
|Inpatient Substance Use Services (for a continuous confinement when in a hospital)||20% coinsurance per admission|
|Outpatient Substance Use Services||$20 copayment, then 20% coinsurance|
|Allergy Testing and Treatment- Performed in PCP & Specialist Office||$20 copayment, then 20% coinsurance|
|Imaging Services||20% coinsurance|
|Diabetic Equipment and Supplies||20% coinsurance|
|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||$20 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||$20 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.
The Health Fee is mandatory. It cannot be removed from your bill
The fee allows access to physical and mental health services
The mandatory fee is $196.50 per semester
Student Health Insurance
This is automatically added to your student bill at beginning of each school year
If you have your own health insurance, you have the option of waving the Student Health Insurance by completing the waiver on your student bill
You will need to complete the insurance waiver annually
If you have an insurance question, please contact the College insurance account manager.
PLEASE NOTE: Voluntary enrollment begins August 1, 2021
For more details regarding the SUNY Oneonta Student Health Insurance Program please visit:
If you have insurance questions, please feel free to contact the College Insurance Account Manager:
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.