2020-2021 CU Boulder Gold Health Insurance Plan
Plan Highlights
Here are highlights of your Anthem Student Advantage plan benefits, plus important dates and costs of coverage.
How to Use Your plan:
- You can first seek services at University of Colorado Boulder Health Services, or;
- Access an Anthem in-network provider at www.anthem.com, or;
- For life-threatening or emergency situation, call 911 or go to your local hospital emergency center.
Who is Eligible
- Degree-seeking undergraduate students enrolled in six or more credit hours.
- Degree-seeking graduate students enrolled in one or more graduate credit hours.
- Non-degree seeking Continuing Education students, Study Abroad (including Semester at Sea) students, and Evening MBA students enrolled in six or more credit hours and paying the base student and health fees, may be eligible to enroll in the University of Boulder Colorado Gold SHIP and can do so by contacting the Student Insurance Office at 303-492-5107 or studentinsurance@colorado.edu for additional details.
- Students approved for the Leave of Absence Program are eligible to enroll in the University of Boulder Colorado Gold SHIP for one semester that they are not registered for classes and can do so by contacting the Student Insurance Office at 303-492-5107 or studentinsurance@ colorado.edu for additional details.
Coverage Dates and Cost*
| Session | Cost |
|---|---|
| Fall (8/1/2020 - 12/31/2020) | $1,948 |
| Spring/Summer (1/1/1- 7/31/2021) | $1,948 |
| Summer (5/1/2022 - 7/31/2022) | $994 |
* Premium rates are pending Department of Insurance (DOI) review and approval and are subject to change. Rates include consulting fee and Health Center fee
What's Covered
| Covered Services | Your cost if you use an in-network provider | Your cost if you use an out-of-network provider |
|---|---|---|
| Deductible | $500 | $1,000 |
| Coinsurance | 20% | 50% |
| Out-of-pocket maximum | $5,000 | $10,000 |
| Primary care doctor and specialist care visits | $40 copay Deductible does not apply | $40 copay + 50% coinsurance Deductible does not apply |
| Preventitve care screenings & immunizations | No charge | 50% coinsurance |
| LiveHealth Online telemedicine consultations | $40 copay Deductible does not apply | $40 copay + 50% coinsurance Deductible does not apply |
| Urgent care | $75 copay + 20% coinsurance Deductible does not apply | $75 copay + 50% coinsurance Deductible does not apply |
| Emergency services: Facilities, doctor, and other services | $150 copay + 20% coinsurance | Covered as in-network |
| Prescription drugs: Retail Deductible does not apply | Tier 1: $25 copay Tier 2: $45 copay Tier 3: $75 copay Deductible does not apply | Covered as in-network |