Student Benefit Plans

plan details

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.

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)

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.

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.
 

DHMO Plan Co-payment Schedule 

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.

Highlights of the plan include:

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.

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.

  1. Answer each item on page 1 and sign the form where indicated. Your Member ID is your Student ID number.
  2. Include itemized medical bills.
  3. 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.

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