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Benefits Comparison Tool


Compare on-campus and in-network coverage side by side, then fill in the My Plan column with your own plan’s details to see how it measures up.

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Out-of-state students: Please verify your existing plan’s out-of-state/out-of-area coverage prior to waiving Student Blue insurance, as higher costs and unexpected medical bills may occur with out-of-state providers.

Medical & Prescription Rx
Benefit Deacon HealthOn-campus care In-Network Providers My Plan
Preventative Care 100% covered 100% covered
Primary Care 100% covered $30 copay
Specialist Visit Not available on campus $45 copay
Urgent Care Office Visit Not available on campus $45 copay, plan pays 75% after deductible
Emergency Room Not available on campus $200 copay, plan pays 75% after deductible
Diagnostic Labs 100% covered Plan pays 75%
Prescription Drugs Tier 1: $10 • Tier 2: $35 • Tier 3: $50 • Tier 4: $100 • Tier 5: 25% coinsurance*** Tier 1: $10 • Tier 2: $35 • Tier 3: $50 • Tier 4: $100 • Tier 5: 25% coinsurance***

*** There is a $100 per-drug minimum for each 30-day supply of Tier 5 drugs, and a $500 per-drug maximum for each 30-day supply of Tier 5 drugs.

Mental Health
Benefit University Counseling CenterOn-campus care In-Network Providers My Plan
Outpatient Mental Health Therapy 100% covered $10 copay
Inpatient Services Not available at this location Plan pays 75% after deductible
Dental
Benefit On-Campus Care In-Network Providers My Plan
Routine Dental Exam Not available on campus 100% covered
Basic / Major Services Not available on campus Plan pays 75% after deductible
Vision
Benefit On-Campus Care In-Network Providers My Plan
Routine Eye Exam Not available on campus 100% covered
Lens and Frame Coverage Not available on campus Up to $200 reimbursable
Plan Costs
Cost My Plan
Annual Cost $3,210
Deductible $400
Out-of-Pocket Medical Maximum $7,500