dental plans
Delta Dental Premier PPO
The PPO plan gives you access to the largest network of dentists in the State of Illinois and the option of seeing a Delta Dental provider anywhere in the country. The plan features benefits for services both in and out-of-network. If you visit an in-network dentist, you will receive a larger annual maximum benefit.
Plan Cost
6 Month
12 Month
Student
$258.54
$384.04
Student + Spouse
$513.92
$763.44
Student + Children
$655.74
$974.15
Student + Family
$989.17
$1,469.47
A payment processing fee is included in the total plan cost.
Plan Details
Highlights of the PPO plan include:
- No waiting periods.
- Ability to select the dentist of your choice.
- Preventive and Diagnostic services covered at 100%.
- Annual maximum benefit of $1,500 per-person.
- Additional Preventative visits with the Enhanced Benefits Program.
6-month PPO Plan Summary ($750 max benefit)
12-month PPO Plan Summary ($1,500 max benefit)
DeltaCare DHMO Plan
The DHMO plan is a great option for students looking for a lower plan cost with fixed co-payments. During the enrollment process, you will select a general dentist in the DeltaCare network. Specialty care services require a referral from your primary care dentist.
Plan Cost
6 Month
12 Month
Student
$90.12
$176.41
Student + Spouse
$172.94
$338.80
Student + Children
$191.97
$376.12
Student + Family
$248.70
$487.34
A payment processing fee is included in the total plan cost.
Plan Details
Highlights of the DeltaCare DHMO include:
- No waiting periods
- Preventive and Diagnostic services covered at 100%.
- No deductibles or annual maximums.
- Coverage for orthodontic services.
- Easy to understand copayment schedule with fixed costs.
Please note: Your Primary Care Dentist must be located in Illinois.
DELTAVISION PLAN
The DeltaVision plan provides students with access to Eyemed’s national network of vision providers. In-network benefits can be used at local providers and popular retail chains. Students can take advantage of online ordering options through Contacts Direct and Glasses.com.
Plan Cost
6 Month
12 Month
Student
$46.65
$86.37
Student + Spouse
$85.92
$163.36
Student + Children
$95.56
$182.27
Student + Family
$135.56
$260.87
A payment processing fee is included in the total plan cost.
Plan Details
Highlights of the plan include:
- No waiting periods.
- $10 copay for a routine eye exam
- Contact lenses for a $0 copay
- Standard prescription lenses for a $25 copay
- $100 frame allowance
- Discounts on LASIK and PRK
- Up to 40% off additional vision care purchases
- DeltaVision Plan Summary
- Out of Network Vision Claim Form
- DeltaVision ID Card
Please note: An ID card is not required to use your benefits.
NU-SUPPLEMENT
Students may enroll in an Accident and Sickness Hospital Indemnity Insurance plan called the NU-Supplement. You will receive cash benefits to help cover out-of-pocket expenses that you might incur. The cash payments are paid directly to you and you are not required to use them to pay the provider. Your coverage will become effective the first of the month, following the date of enrollment.
Plan Cost
6 Month
12 Month
Student
$160.50
$315.00
Student + Spouse
$284.09
$557.55
Student + Children
$296.93
$582.75
Student + Family
$404.46
$793.80
A payment processing fee is included in the total plan cost.
Plan Details
Here are the key features:
- No deductible
- Cash benefits paid directly to you, even if you have other insurance
- Hospital admission benefit $1,000
- In-hospital benefit $250 per day
- Intensive Care Unit benefit $500 per day
- Emergency Room $250 per visit
- Surgical benefit $1,000 to $2,500
- Fracture benefit up to $1,000
- Ambulance transportation benefit $500 – $2,000
- NU-Supplement Plan Summary
- NU-Supplement Claim Form
- Certificate of Coverage
How to Submit a Claim
You may submit a claim form by mail, email, or fax.
- Answer each item on page 1 and sign the form where indicated. Your Member ID is your Student ID number.
- Include itemized medical bills.
- A claim form should be submitted within 20 days of the occurrence.
TELEMEDICINE
MD Live allows students to avoid waiting rooms and the inconvenience of going to the doctor’s office. Doctors are available at your convenience by phone, secure, video or MD Live App.
Plan Cost
6 Month
12 Month
Student
$258.54
Available in the Fall only.
Student + Spouse
$513.92
Available in the Fall only.
Student + Children
$655.74
Available in the Fall only.
Student + Family
$989.17
Available in the Fall only.
A payment processing fee is included in the total plan cost.
Plan Details
Here are the key features:
- $0 Copay per visit
- U.S. board-certified doctors with an average of 15 years of experience
- Consultations are convenient, private and secure
- Prescriptions can be sent to the nearest pharmacy, if necessary
- Treatment covers over 50 routine medical conditions including allergies, cold/flu, sore throats, and rashes
- Behavioral Healthcare with the ability to diagnose, treat and provide medication management
- Dermatology care for to diagnose and treat over 3,000 skin, hair and nail conditions