Student Insurance Plan United Healthcare VA Gold Care 1

United Healthcare Student Resources Insurance Plan Benefit Highlights

  • Gold level plan designation
  • No Overall Maximum Dollar Limit for Covered Medical Expenses
  • No exclusion or limitations for pre-existing conditions
  • Dependents, including domestic partners, may also be enrolled in this plan on a voluntary basis after the eligible student has enrolled in the plan
  • In network, out of pocket maximum of $6,850 per insured/$12,700 per family with all per service deductibles/copays, coinsurance and policy deductibles applicable toward the out of pocket maximum
  • $150 Deductible per Insured Person, Per Policy Year for Preferred Providers, $400 Deductible per Insured Person, Per Policy Year for Out of Network Providers
  • Covered Medical Expenses for Preferred Providers are payable at 80% of Preferred Allowance and Out of Network benefits are payable at 60% of Usual and Customary charges (all benefits are subject to satisfaction of the deductible, specific benefit limitations, maximums and copays as described in the policy)
  • Prescription Drug Benefits: Prescription drugs are paid at $20/$45/$70 copay up to a 31-day supply per prescription
  • The Preferred Provider Network for this plan is United Healthcare Choice Plus PPO. Preferred Providers can be found at: www.firststudent.com
  • MyAccount, available through www.firststudent.com, allows insured students access 24/7 to check their claim status, search for network providers, print ID cards, enter accident details, view EOBs and enter additional insurance information online

2021-22 United Healthcare Student Resources Insurance Plan Annual Premium Cost1

Annual Rates for VA - Gold Care 1
Coverage ForAnnual Undergraduate RateAnnual Graduate Rate
Student $2,286 $3,867
Spouse $2,286 $3,867
One Child $2,286 $3,867
All Children $4,572 $7,734
All Dependents $6,858 $11,601

Enrollment Deadlines

  • Annual Enrollment Deadline Date - July 31
  • You may enroll in the Student Health Insurance Plan at other times during the year if you experience a qualifying life event

For further information please contact our insurance administrator: RCM&D, Paige Fritze at 800.346.4075 ext. 1607 or email Washington.Lee@RCMD.com.

1Pending final approval by Virginia State Corporation Commission