Purdue Domestic Student

Insurance Plan Overview

Table of contents:

• Introduction

• The Plan

• Prescription Benefit Update

• Enrollment Information

• Graduate Staff

*Introduction:

The Purdue Student Insurance Plan is a comprehensive program designed for the Domestic student population at the Purdue University West Lafayette, Calumet and North Central campuses. Student Resources, underwritten by The MEGA Life and Health Insurance Company, will continue to provide the services for Purdue students.

*The Plan:

Student Resources offers one plan designed specifically to meet the needs of the Domestic student population. The plan provides extensive coverage and includes a $350 per policy year deductible per insured for Preferred Provider and $700 for Out-of-Network Provider. To find out if there are hospitals or health care providers in your area who are part of the network, visit PHCS.

*Prescription Drug Benefit Processing:

A $15 co-payment applies to each covered prescription filled. When the Purdue pharmacy is used, this plan will pay 100% above the co-payment. Prescriptions must be filled at a CAREMARK participating pharmacy. Co-pay: greater of $15.00 or 30% coinsurance up to a $1,000.00 out-of-pocket maximum then co-pay greater of $15.00 or 10% coinsurance.

Prescriptions for the treatment of allergy or acne will only be covered when filled at the Purdue University Pharmacy.

*Enrollment/ Payment Information:

To enroll for the year, please review the enclosed materials that include the Domestic Student Enrollment form. Premium may be sent directly to the Student Resources office in Dallas, Texas (as outlined in the brochure) or may be delivered to the Student Insurance representative located in PUSH Rm. 340 on the West Lafayette campus. Do not send the premium to the Bursar's office. Each enrollment form outlines two payment options:

1. Check or Money Order: Premium paid by check or money order should be made payable to "Student Insurance".
2. Visa/Master Card: Complete the VISA/MasterCard authorization form and send directly to Student Insurance.

*For Graduate Students who are employed half time or more as a Teaching or Research Assistant on the West Lafayette Campus only:

The University offers a Graduate Staff Health Insurance Program for those students who are classified as Graduate Teaching or Research Assistants who have appointments of .50 FTE or greater for a semester or longer. Dependent spouses and children are also eligible for the plan, however, the University does not subsidize the cost of health insurance for spouses and dependent children. Additional information may be obtained from Departmental Business Offices.

 For Information on Domestic Premiums click here.