Creating the Extraordinary Student Experience

2017-18 SHI Benefits Plan Details

Quick links:

More about the 2017-18 SHI Benefits Plan

UnitedHealthcare StudentResources (UHCSR) and HealthSmart Benefit Solutions/HealthSmart RX partner with us to administer all but the adult dental portion of your benefits, including vision.

Delta Dental of Ohio is our partner for dental coverage for members 19 years and older.

1. Your provider choices can help you save money. Use our Find a Provider page.

When you’re seeking care, you’ll save the most at Ohio State Columbus-campus locations, which we call our Tier One providers:

If those aren’t available, try the next coverage level called Tier Two (“Preferred”) providers:

  • OSU Health Plan Network inside Franklin County
  • UnitedHealthcare Options PPO and United Behavioral Health networks outside Franklin County
  • Seeing providers who are not Tier One or Tier Two will likely result in much higher out-of-pocket costs.
  • For adult dental, your network locations are Delta Dental PPO/Delta Dental Premier Networks.

2. Your Member ID card is your proof of insurance. Show it to providers when you use services.

  • To access and print an ID card from online, go to uhcsr.com/osuclick “Login to My Account,” then click “Create Account” and then enter your name, date of birth, and Ohio State student ID number. Once inside your account, click “ID Card information” for printing instructions.
  • UHCSR will mail you a permanent ID card copy in late September.
  • For dental coverage for members 19 years and older, you won’t receive a permanent Delta Dental ID card. Instead, go to deltadentaloh.com and clicking “New User” under Toolkits & Resources to print one.

 3. Keep your address up to date so you can receive important mail.

  • Check your My Buckeye Link > Personal Information > Home/Current Address and edit as needed. You need to be able to receive mail at this address, because UHCSR, HealthSmart, and Delta Dental will mail you important communications about your benefits.

4. More about Pediatric Dental:

  • UHCSR provides primary coverage for members under 19 years of age, and Delta Dental of Ohio provides secondary coverage. Dental providers can seek reimbursement payments from both HealthSmart and Delta Dental, which can in turn reduce your financial responsibility. 

  • How it works if you're under 19:

    • You need to make sure you utilize a dental provider who is part of the Delta Dental Premier and PPO Networks, or at Student Health Services and College of Dentistry Student Clinic. 

    • At your appointment, show them both your UHCSR and Delta Dental Member ID cards. Ask the provider to submit claims first to HealthSmart (via the information on the back of your UHCSR card) and next to Delta Dental. 

 5. Your prescription benefit follows a formulary.

  • A formulary is a list of covered medications organized by how they’ll be paid (see link above).
  • To fill a prescription, you can use the Wilce Student Health Center Pharmacy and any retail pharmacy in the HealthSmart RX Network.
  • Specialty medications have a separate formulary and coverage and must be filled by Briova Specialty Pharmacy. Your doctor sends the prescription directly to Briova and then you call 1-800-850-9122 to coordinate shipping. Briova does not have storefront locations. 

 6. You can travel with confidence.

  • Your plan includes UnitedHealthcare Global coverage for travel and medical assistance, evacuation and repatriation when you are 100+ miles from home, as well as other benefits. Note for our international student members: this coverage is not active when you are in your home country.
  • UnitedHealthcare Global can help with:

    • Medical Assistance, Evacuation and  Repatriation
    • Travel Assistance services and worldwide destination intelligence

    CALL UnitedHealthcare Global to arrange services to ensure you receive these benefits. INSIDE THE U.S. CALL: +1-800-527-0218.  OUTSIDE THE U.S.  CALL COLLECT:  +1-410-453-6330. Email:  Assistance@uhcglobal.com 

7. HealthSmart contacts:

  • HealthSmart Benefit Solutions: 1-844-206-0374 | osushipclaims@healthsmart.com
  • HealthSmart Rx: 1-800-681-6912

 

For returning members: What’s changing in 2017-18

New name:

  • “SHI Benefits Plan” replaces “Comprehensive Plan."

Medical, mental health and vision:

  • The annual out-of-pocket maximum is $2,700 for single/$5,400 for family.
  • Covered services at Tier Two providers have a $20 copayand a $150 individual deductible/$350 family deductible.
  • Covered services no longer include massage therapy. 
  • Vision services provided at Tier Two, Three and Four providers have a $20 copay. At Tier One, a contact-lens-fitting-fee discount no longer applies.

Dental: 

  • For members age 19 and older, the annual benefit is $750.
  • For members age 18 and younger, UnitedHealthcare StudentResources administers your primary benefit through the Pediatric Dental Service Benefit. Delta Dental of Ohio provides your secondary coverage. Under UHCSR there is a $500 deductible specific to pediatric dental, and when you use services, you pay the cost up front and then seek reimbursement through HealthSmart. You can reduce this primary responsibility by using a Tier One or Delta Dental PPO/Premier dentist -- these dental providers can seek reimbursement payments from both HealthSmart and Delta Dental, which can in turn reduce your financial responsibility.