Student Health Center

Insurance

RIT expects all students to carry medical insurance. Insurance may be obtained through the Institute, or through family or personal policies. This coverage is essential for health care services provided outside the Student Health Center.

Before your student enters RIT, we strongly urge you to check the details of your insurance policy to make sure it provides coverage in the Rochester area. Not all insurance policies cover students outside their home "network". For example, state based Medicaid does not cover students outside their home state. If your policy does not cover services provided in the Rochester area, we strongly urge you to consider purchasing the RIT Aetna plan, a Student Accident and Sickness Insurance program underwritten by the Aetna Insurance Company.

The Plan provides coverage for a full calendar year and is not limited to services in the Rochester area. It provides coverage (within the limits specified by the policy) for:

  • Hospitalization due to sickness or injury
  • Emergency care
  • Psychiatric care
  • Out-patient services such as laboratory and X-ray procedures
  • Referral to specialty providers
  • Prescription medicines (with a 2 tiered co-pay)
  • Some preventative services including immunizations

Questions about the policy, coverage or claims may be directed to:

University Health Plans, Inc.
1 Batterymarch Park
Quincy, MA. 02169
(800) 437-6448

The Claims Administrator:

Aetna Student Health
P.O. Box 15708
Boston, MA. 02215
(800) 466-3185 (V)
(800) 466-5996 (TTY)

Claim forms are available at the Student Health Center or may be downloaded from the broker's web site listed above. Insurance claims can not be processed on-line.

An insurance representative is available in the SHC during specific times to answer questions and assist with problems. Please call 585-475-2255, or stop by the SHC to make an appointment.


What is the difference between the student health fee and insurance? Why do I have to pay for both?

The Student Health Fee and insurance are separate and cover different parts of the student’s health care while at RIT. The Student Health Fee covers services provided within the RIT Student Health Center (SHC) --which does not accept insurance as direct payment, and insurance is necessary to cover services outside the SHC.

What does the Student Health Fee cover?

All registered, full time undergraduates pay a mandatory student health fee each semester. Part time undergraduate, graduate and co-op students are not automatically billed for the health fee. They are welcome to access SHC services either by paying the semester health fee (for unlimited visits within the semester) or by paying a "fee for service" charge at each visit.

The Student Health Fee covers most of the services offered within the SHC, such as:

  • Primary care appointments with a clinician (physician, nurse practitioner or physician assistant)
  • Women's health care services
  • Psychiatric services (and the Counseling Center)
  • Most in-office laboratory tests done within the SHC
  • Health education counseling and programming

Note:

  • Some in-office lab tests, immunizations and medications purchased within the SHC are not covered by the health fee.
  • The SHC does not accept insurance for direct payment of these charges. Cash, check, TigerBucks and VISA/MasterCard are the accepted methods of payment within the SHC.
  • If requested, you will be given a receipt which you may then submit to your insurance company for reimbursement.

What does insurance cover?

All RIT students are expected to carry insurance coverage to cover services provided outside the SHC, such as:

  • Referrals to speciality providers (orthopedics, dermatology, etc.)
  • Lab tests sent to a commercial laboratory
  • X-rays and other imaging tests
  • Prescription medications purchased outside the SHC
  • Urgent care and emergency room visits
  • Hospitalization

For students with insurance coverage provided by a spouse, parent or guardian whose home is outside the Rochester area, it is very important to check the policy thoroughly for coverage of health care services while “out of network”. If it does not, please consider purchasing the RIT plan.

NOTE: State based insurance plans such as Medicaid do not provide coverage outside the home state.

What can I do to make sure my student is prepared?

Make sure your student:

  • Knows the name of his/her insurance company
  • Has his/her own insurance card (or a copy) and brings it to every SHC appointment (we need the information if we send lab tests out or make a specialty referral)Knows the basics of the plan, especially regarding out of network coverage
  • Knows how to obtain claim forms if needed

My student has always been healthy -- why should I pay for insurance he/she may not need?

Fortunately, most college age young adults are healthy and we sincerely hope that is the case for your student while he/she is at RIT. However, the clinicians in the SHC see normally healthy students every day who have sustained an injury or developed an illness that requires prescription medication, a referral to a specialist or even hospitalization—and are stymied by their lack of insurance coverage. Selecting an effective insurance plan is one of the most important ways you can support your student’s well-being.

Student Dental Plan RIT Global Risk Management Services

In addition to accident and sickness insurance, RIT Global Risk Management Services offers a student dental plan. All dental services provided by the University Dental Faculty Practice Group and Eastman Dental Center are covered at 100%, subject to the following limits:

  • $500 Annual Maximum benefit per member per calendar year
  • No deductibles

Coverage is underwritten by Blue Cross and Blue Shield of the Rochester Area.
Enrollment forms are available at the RIT Global Risk Management Services website.
Out-of-Network Benefits (at non-participating treatment locations)
All Out-of-Network services are covered at 50% of the fee schedule allowance up to the $500 Annual Maximum benefit.

STUDENT DENTAL PLAN PARTICIPANTS - Coverage at 100%:

University Dental Faculty Practice Group

Department of Dentistry
4th floor Ambulatory Center
601 Elmwood Avenue
Rochester, NY 14642
(585) 275-5000
Clinton Crossing – Building H
2400 S. Clinton Avenue
Rochester, NY 14618
(585) 341-7177

Eastman Dental Center

625 Elmwood Avenue
Rochester, NY 14620
(585) 275-5051 - information
(585) 275-6006 – appointments

Hours of Service:

Monday-Friday 9:00AM-5:00PM
Tuesday & Thursday 9:00AM-9:00PM
Saturday 9:00AM-2:00PM


Important note for Student Dental Plan participants: Services provided by other providers are covered at 50% of the fee schedule.
 


One Lomb Memorial Drive, Rochester, NY 14623-5603
Questions or comments? Send us feedback. Telephone: 585-475-2411