The National Assoc. of Graduate - Professional Students (NAGPS) is an advocacy group for graduate students. They endorse a health insurance plan offered to graduate students in most states (Massachusetts included). The NAGPS plan is beneficial in that it can cover for a period after leaving school and can cover domestic partners. On the down side, this plan may exclude certain pre-existing conditions.
IMPORTANT NOTE: The state currently requires student insurance plans to cover up to $25,000/year. Thus, the "Basic Plan" option below that covers up to $20,000 is not an option for students who are required to have a student insurance plan. Also, none of the plan options qualify for certain international students (such as J1 visa holders). Check with BU's Student Accounting Services if you have any questions about whether insurance you choose qualifies.
For additional cost, the plan covers dependents (children), a spouse or a domestic partner.
Here are costs for a student (under 35):
Basic Plan ($200 deductible) |
With Major Medical ($200 deductible) |
Basic Plan ($1,000 deductible) |
With Major Medical ($1,000 deductible) |
|
---|---|---|---|---|
Student | $564 | $670 | $364 | $470 |
Student and Spouse/Domestic Partner | $1,875 | $2,087 | $1,385 | $1,597 |
Student and Children* | $1,601 | $1,918 | $1,092 | $1,409 |
Student, Spouse and Children* | $2,912 | $3,335 | $2,113 | $2,536 |
*Children refers to unmarried children under 19 years of age who are not self-supporting. |
Here are costs for a student (35 or older):
Basic Plan ($200 deductible) |
With Major Medical ($200 deductible) |
Basic Plan ($1,000 deductible) |
With Major Medical ($1,000 deductible) |
|
---|---|---|---|---|
Student | $866 | $972 | $528 | $634 |
Student and Spouse/Domestic Partner | $2,835 | $3,047 | $2,049 | $2,261 |
Student and Children* | $1,903 | $2,220 | $1,256 | $1,573 |
Student, Spouse and Children* | $3,872 | $4,295 | $2,777 | $3,200 |
*Children refers to unmarried children under 19 years of age who are not self-supporting. |
These premiums have not increased since the 97/98 year, when these rates were established.
The premium may be paid in installments. There are also options to purchase coverage on a semi-annual or quarterly basis. In addition, those who have been under the insurance for at least 6 months may extend coverage for 6 months after graduation.
The deductible is waived when services are provided at your school's Student Health Services. There are no claim form, instead the students just must send medical bills to the insurance company in a timely manner.
The Basic Plan pays (after the deductible) 80% of usual and costumary charges for most common services up to a maximum of $20,000 for each injury or sickness. With the additional Major Medical coverage, costs beyond the $20,000 are paid 100% (up to a maximum lifetime limit of $250,000).
The following lists the main coverage of the insurance plan (it is not intended to be a complete list):
Service | Coverage |
---|---|
Physician's Visit | 80% |
Diagnostic X-ray, Test and Lab Services | 80%/$600 maximum (per policy year) |
Prescription Drugs ($200 deductible plans only) | 80%/$100 maximum |
Surgeon's Fees | 80% |
Day Surgery Misc. (e.g., operating room, x-rays, etc.) | 80%/$700 maximum |
Assistant Surgeon | 20% of Surgery Allowance |
Anesthetist | 25% of Surgery Allowance |
Psychotherapy ($200 deductible plans only) |
$75 deductible per policy year 50%/$30 per day/$1,000 maximum per policy year |
Physiotherapy | 80% |
Emergency Room | 80% |
Radiation Therapy and Chemotherapy | 80% |
Service | Coverage |
---|---|
Room and Board/Hospital Misc. Expenses (e.g., medication, x-rays, etc.) | 100%/$900 aggregate maximum per day |
Intensive Care | 100%/$1,300 aggregate maximum per day |
Surgeon's Fees | 80% |
Assistant Surgeon | 20% of Surgery Allowance |
Anesthetist | 25% of Surgery Allowance |
Pre-Admission Testing | 80% |
Physician's Visits | 80% |
Registered Nurse's Services | 80%/$12 per hour/90 days maximum |
Pre-notification must be provided for hospital admission 5 working days prior to admission (for emergency conditions, it must be done within 2 business day after admission).
Service | Coverage |
---|---|
Consultant Physician Fees | 80% |
Ambulance | 80%/$150 per trip |
Dental Treatment (only due to injury to sound, natural teeth or fractured jaw) | 80% |
Braces and Appliances | 80% |
Alcoholism/Drug Abuse | Paid as Psychotherapy |
Elective Abortion | 80%/$150 maximum |
Maternity and Complications of Pregnancy | Paid as any other Sickness |
You may inquire about the health plan by calling "Grad Services" at 1-800-767-0700. They may ask you for the policy numbers: #2000-485-01 for the $200 deductible plan (called the High Option) and #2000-485-02 for the $1,000 deductible plan (called the Low Option).