Student Health Benefits Plan Comparison Chart
A great option with low out-of-pocket costs, robust provider choice and convenience. It can be used on campus, nationwide and abroad. The Student Health Benefits Plan includes medical, mental health, prescription, dental and vision all rolled into one. UnitedHealthcare StudentResources and Delta Dental of Ohio partner with Ohio State to offer the benefit.
| Medical, RX | Student Health Services (SHS) * | Tier 2 Providers | My Plan |
|---|---|---|---|
| Office | 100% | 100% after $20 copay | |
| Urgent Care Office Visit | Not available at this location | 100% after $25 copay | |
| Emergency Room | Not available at this location | 90% after $100 copay | |
| Physical Therapy | 100% | 90% | |
| Diagnostic Labs | 100% | 90% | |
| Prescription Drugs | Tier 1: 90% | Tier 2: 80% | Tier 3: 50% | Minimum $10 copay | ||
| Medical Deductible | No deductible at this location | $150 | |
| Medical Coinsurance | No coinsurance at this location | 10% | |
| Mental Health | Counseling and Consultation (CSS) | Tier 2 Providers | Your Plan |
|---|---|---|---|
| Outpatient Psychotherapy | 100% | 100% after $20 copay | |
| Outpatient Psychiatry | 100% | 100% after $20 copay | |
| Inpatient Services | Not available at this location | 90% |
| Adult Dental ** | SHS and Dental Clinic | Network Providers | Your Plan |
|---|---|---|---|
| Annual Dental Benefit Max | $750 | $750 | |
| Routine Dental Exam | 100% after $17 copay | 70% | |
| Dental Deductible | No deductible at this location | $50 |
| Vision | College of Optometry | Tier 2 Providers | My Plan |
|---|---|---|---|
| Vision Care (Student Only) | Exam: 100% after $15 copay. Eyewear: $100 allowance for eyewear or contact lenses; 20% discount on frames and eyeglass lenses. | Exam: 100% up to $50 after $20 copay | |
| Monthly Cost | See our rates at go.osu.edu/SHIRates | ||
| Out of Pocket Medical Maximum | $3,000 | ||
* Use this Tax ID Number (TIN) 31-6025986 to verify the network status of your current plan with the Student Health Services facility.
** Dental for members under 19 years of age is covered by a separate benefit and deductible.