A Student Health Insurance Plan Customized for You!

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1 A Student Health Insurance Plan Customized for You! Brought to you by Emory University and Aetna Student Health School Policy Information A

2 Dear Student: Dear New or Returning Emory Undergraduate, Graduate or Professional Student: Welcome to Emory University. I hope that your time here will be happy, healthy and always intellectually stimulating. As you know, Emory University requires all degree-seeking and international students to either have health insurance or purchase the University-sponsored plan. In order to waive enrollment in the Emory-sponsored plan, a student must show evidence by August 24, 2011 of enrollment in a United States domiciled health insurance plan that meets waiver criteria. The waiver web site opened on April 27, In order to meet this requirement, you must either enroll in the Emory Student Health Insurance Plan (offered by Aetna Student Health, with a annual premium of $2,360) or successfully complete the waiver process on-line at If you do not waive out of the Emory Student Health Insurance Plan by July 1st, you will be automatically enrolled in the Emory/Aetna plan for and billed by Emory Student Financial Services. However you will still have until August 24th to complete a waiver and have the insurance enrollment and charge reversed. For more information about the Emory/Aetna student plan, including enrollment options for spouses, qualified domestic partners and children, go to and click on the Fees/Insurance button. Please note that the Aetna Student Plan includes 100% payment of all covered expenses (after $25 specialist and $50 ER co-payments) at Emory Healthcare out-patient and in-patient facilities. If you have questions about the Emory student health insurance requirement or your individual situation relative to the requirement, please contact the Student Health Services Insurance Office at (404) or mandatoryinsurance@listserv.cc.emory.edu. Once again, welcome to Emory University. Sincerely, Michael J. Huey, MD Executive Director, Emory University Student Health and Counseling Services The Emory University Student Health Insurance Plan is underwritten by Aetna Life Insurance Company (Aetna) and administered by Chickering Claims Administrators, Inc. Aetna Student Health is the brand name for products and services provided by these companies and their applicable affiliated companies.

3 Aetna Student Health, a leader in student health, works with Emory University to offer a student health insurance plan. We have worked with universities and colleges across the country for 30 years to provide coverage to students like you. These customized plans include access to an expansive nationwide network of doctors, hospitals and specialists. These are some of the advantages you receive with an Aetna Student Health Insurance Plan: Coverage anywhere at school, home or traveling, plus you are covered in the summer. Access to savings on dental, vision, and pharmacy services when you need it. Easy payment included in your tuition billing. Access to the travel assistance services including emergency assistance available 24/7. Dental insurance a plan that makes it easy to keep your smile. Who IsAetna Student Health? Stay well, get fit and save money with access to discounts on massages, vitamins, oral health care products, and acupuncture to name a few. You will also have access to the following programs: Quit Tobacco Cessation program A one-year program with personal coaching, interactive web tools and motivational materials to create healthy habits. Aetna Weight Management discount program: Access to discounts on ediets diet plans and products, Jenny Craig weight loss programs and products, and Nutrisystem weight loss meal plans.

4 Benefits at a glance Here is a brief description of the Plan benefits. Lifetime Benefit Maximum Pharmacy Maximum Annual Deductible Physician s Office Visit Preferred: Non-Preferred: Inpatient Hospitalization Preferred: Non-Preferred Emergency Room Preferred: Non-Preferred: X-ray and Lab Preferred: Non-Preferred: Insurance pays the stated percentage for the first $50,000, 100% thereafter Co-payment per visit: Prescription Drug $250,000 per policy year $2,000 per policy year $0 Emory Core Provider $200 Non-Core Aetna Preferred Provider $400 Aetna Non Preferred Provider 100% Emory Core Provider 80% Non-Core Aetna Preferred Provider 60% Aetna Non Preferred Provider 100% Emory Core Provider 80% Non Core Aetna Provider 60% Aetna Non Preferred Provider 100% Emory Core Provider 80% Non Core Aetna Provider 60% Aetna Non Preferred Provider 100% Emory Core Provider 80% Non Core Aetna Preferred Provider 60% Aetna Non Preferred Provider $25 specialist, $50 emergency room unless admitted to hospital $15 copay for Generic Prescriptions up to a maximum of $2,000 per policy year. $25 copay for Brand Name Prescriptions up to a maximum of 2,000 per policy year New This Year: Reduction of the vision plan benefit from $500 to $200; Allergy shots covered only at EUSHS (please note that the preparation of allergy sera cannot be done at EUSHS and is not covered elsewhere under the plan); Coverage of transgender surgical procedures. The Plan will pay benefits in accordance with any applicable Georgia insurance law. The Emory University Student Health Plan may not cover all your health care expenses. The plan excludes coverage for certain services and contains limitations on the amounts it will pay. Please read the Emory University brochure carefully before deciding whether this plan is right for you. While this document and the Emory University brochure tell you about some of the important features of the plan, other features may be important to you and some further limit what the plan will pay. If you want to look at the full plan description, which is contained in the Master Policy issued to Emory University, you may view it at Emory University Student Health Insurance office or you may contact us at (877) This plan will never pay more than $250,000 in a coverage year and no more than $2,000 for prescription drugs. Additional plan maximums may also apply. Some illnesses may cost more to treat and health care providers may bill you for what the plan does not cover. Where Can I Go for Service? First Stop, Student Health Services. When you need care, consider Emory University Student Health Services (EUSHS) as your first stop. They can provide many of the routine health services you need. If you need care they can t provide, they ll refer you to a doctor or other health care provider who belongs to Aetna s Emory Core or Preferred Provider* networks (doctors, specialists and facilities). You also may visit any licensed health care provider directly for services as long as you receive a referral from EUSHS first, except for specific Plan restrictions on certain services. However, when you visit Student Health Services first, you ll generally pay less out of your own pocket for your care. To learn more about Emory Core and Preferred Providers, visit *Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services

5 How Much Does It Cost: School of Medicine Annual Spring/Summer Summer 7/15/11 7/14/12 01/08/12 07/14/12 5/18/12 7/14/12 Student $2,360 $1,216 $371 Spouse $5,542 $2,854 $881 Child(ren) $2,489 $1,282 $397 International Students Annual Spring/Summer Summer 08/01/11 7/31/12 01/08/12 07/31/12 5/18/12 7/31/12 Student $2,360 $1,325 $479 Spouse $5,542 $3,115 $1,143 Child(ren) $2,489 $1,399 $513 All Other Schools Annual Spring/Summer Summer 8/15/11 8/14/12 01/08/12 08/14/12 5/18/12 8/14/12 Student $2,360 $1,413 $568 Spouse $5,542 $3,325 $1,352 Child(ren) $2,489 $1,494 $607 The rate above includes both the premium for the student health plan underwritten by Aetna Life Insurance Company, as well as Emory University s $30 administrative charge. How And When Do I Enroll in the Plan? All degree-seeking and International Students who do not submit proof of comparable coverage through the Online Waiver system by the deadline date and who are automatically charged for the insurance, will have an effective date of coverage as indicated in Coverage Effective Dates. If you have other coverage and wish to waive enrollment in the Student Health Insurance Plan as listed above, please submit proof of comparable coverage through the Online Waiver system by the waiver deadline dates of August 24, 2011 for Fall Semester, January 19, 2012 for new students enrolling for the Spring Semester, and May 19, 2012 for new students enrolling for the Summer.

6 To Waive Online: Login to OPUS ( using your Network ID and password First time users should select Obtain Network id and Password and follow the prompt. A completed waiver must be submitted by the deadline date. Waiver Deadline Dates Fall August 24, 2011 Spring/Summer January 19, 2012 Summer May 19, 2012 Waiver submissions may be audited by Emory University, Aetna Student Health, and/or their contractors or representatives. You may be required to provide, upon request, any coverage documents and/or other records demonstrating that you meet the school s requirements for waiving the student health insurance plan. By submitting the waiver request, you agree that your current insurance plan may be contacted for confirmation that your coverage is in force for the applicable policy year and that it meets the school s waiver requirements. Please make sure you understand your school s credit hour and other requirements for enrolling in this plan. Aetna Student Health reserves the right to review, at any time, your eligibility to enroll in this plan. If it is determined that you did not meet the school s eligibility requirements for enrollment, your participation in the plan may be rescinded in accordance with its terms. And There s More As a member of the Plan, you can also take advantage of the following services, discounts, and programs. These are not underwritten by Aetna and are not insurance. Please note that these programs are subject to change. To learn more about these additional services and search for providers visit Aetna Book discount program: Access to discounts on books and other items from the American Cancer Society Bookstore, the MayoClinic.com Bookstore and Pranamaya. Aetna Fitness discount program: Access to preferred rates on gym memberships and discounts on at-home weight loss programs, home fitness options and one-on-one health coaching services through GlobalFit TM. Aetna Hearing discount program: Access to discounts on hearing aids and hearing tests from HearPO. Guaranteed lowest pricing* on over 1,000 models from seven leading manufacturers. *Competitor copy required for verification of price and model. Limited to manufacturers offered through the HearPO program. Local provider quotes only will be matched, no Internet quotes. Aetna Natural Products and Services discount program: Access to reduced rates on services from participating providers for acupuncture, chiropractic care, massage therapy and dietetic counseling. Also, access to discounts on over-the-counter vitamins, herbal and nutritional supplements and natural products. All products and services are provided through American Specialty Health Incorporated (ASH) and its subsidiaries. Aetna Vision discount program: Access to discounts on vision exams, lenses and frames when a member utilizes a provider participating in the EyeMed Select Network. Aetna Weight Management discount program: Access to discounts on ediets diet plans and products, Jenny Craig weight loss programs and products, and Nutrisystem weight loss meal plans. Oral Health Care discount program: Access to discounts on oral health care products. Save on xylitol mints, mouth rinses, gum, candies and toothpaste from Epic. Additionally, receive exclusive savings on Waterpik dental water jets and sonic toothbrushes. Zagat discounts: Discount off a one-year online membership to ZAGAT.com, with access to ratings and reviews of over 40,000 restaurants, hotels and more in hundreds of cities worldwide. At Home Products discount program: Access to discounts on health care products that members can use in the privacy and comfort of their home. Emergency Travel Assistance Services and Medical Evacuation: Access to travel assistance services including emergency assistance available 24/7. Aetna Specialty Pharmacy provides specialty medications and support to members living with chronic conditions and illnesses. These medications are usually injected or infused, or some may be taken by mouth. Custom compounded doses and forms are also available. For additional information please go to Quit Tobacco Cessation Program: Say goodbye 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. Beginning Right Maternity Program: Make healthy choices for you and your baby. Learn what decisions are good ones for you and your baby. Our Beginning Right maternity program helps prepare you for the exciting changes pregnancy brings.

7 Informed Health Line: Get health answers 24/7. Talk directly to a registered nurse. Our nurses can discuss a wide variety of health and wellness topics. While only your doctor can diagnose, prescribe or give medical advice, the Informed Health Line nurses can provide information on more than 5,000 health topics. Contact your doctor first with any questions or concerns regarding your health care needs. Discount programs and other programs above provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Discount programs may be offered by vendors who are independent contractors and not employees or agents of Aetna. Aetna may receive a percentage of the fee you pay to the discount vendor. These services, programs or benefits may be offered by vendors who are independent contractors and not employees or agents of Chickering Claims Administrators, Inc., Aetna Life Insurance Company or their affiliates. Vital Savings by Aetna on Dental* is a dental discount program helping you and your dependents save. In most instances, savings range from percent on services from general dentistry and cleanings to root canals, crowns, and orthodontia (braces). No claims to file. Enroll online at Student: $25 Student + 1 Dependent: $44 Student + 2 or more Dependents: $63 *Actual costs and savings vary by provider and geographic area. The Vital Savings by Aetna program (the Program ) is not insurance. The program does not meet the Minimum Creditable Coverage requirements in Massachusetts. It provides Members with access to discounted fees according to schedules negotiated by Aetna Life Insurance Company for the Vital Savings by Aetna discount program. The range of discounts provided under the Program will vary depending on the type of provider and type of service received. The Program does not make payments directly to the participating providers. Each Member must pay for all services or products but will receive a discount from the providers who have contracted with the Discount Medical Plan Organization to participate in the Program. Aetna Life Insurance Company, 151 Farmington Avenue, Hartford, CT 06156, BeVital, is the Discount Medical Plan Organization. Aetna Dental PPO Our Aetna Dental PPO insurance plan, provides coverage for both in and out of network covered services (member coinsurance levels may vary). Participating dentists have agreed to provide covered services at negotiated rates, so you will generally pay less out of pocket when you visit a network dentist. (Participating dentists may also offer discounted rates on additional services such as tooth whitening.*) Enroll and search dentists online at A referral is not required for routine dental care. Enrollment: Annual Deadline 9/1/11-8/31/12 10/1/11 Spring/Summer Deadline 1/1/12-8/31/12 2/1/12 Summer Deadline 5/1/12-8/31/12 6/1/12 Annual Spring Summer Dental Dental Rate 09/01/11 01/01/12 05/01/12 08/31/12 08/31/12 08/31/12 DENTAL Student Only $ $ $ Spouse Only $ $ $ Child(ren) Only $ $ $ *Discounts for non-covered services may not be available in all states. The Aetna Dental PPO insurance plan is underwritten by Aetna Life Insurance Company. Policy form numbers in Oklahoma include: GR-9 and/or GR-9N, GR-23, GR-29 and/or GR-29N.

8 Your Home Aetna Navigator Once you re a member of the Plan, you have access to Aetna Navigator, your secure member website. It s packed with personalized benefits and health information. When you register with Aetna Navigator, you ll have your own personal home page to: View your most recent claims Print a temporary ID card See who is covered under your Plan Use cost of care tool View your health history report which provides your health data in a portable and easy to read format And much more! Learn More! Go to to learn more or call (877) This material is for information only and is not an offer or invitation to contract. Health insurance plans contain exclusions, benefit maximums and limitations. The plan will pay benefits in accordance with any applicable Georgia insurance law. If any discrepancy exists between this pamphlet and the Master Policy, the Master Policy will govern and control the payment of benefits. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professionals. Preferred providers are independent contractors and are neither agents nor employees of Aetna Life Insurance Company, Chickering Claims Administrators, Inc., or their affiliates. Aetna does not provide healthcare or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is subject to change. Policy forms issued in OK include: GR NOTICE: Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim containing any materially false information or who conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties A 2011 Aetna, Inc.

9 Aetna Student Health c/o Communications Department 1 Charles Park Cambridge, MA Aetna, Inc.