Enrollment Forms and Policy Brochures
Enrollment Form 2025/26
Voluntary Enrollment Form for regional campus students, students taking reduced credit hours, and all dependents.
Please select only the current coverage period for Open Enrollment. Voluntary enrollment does not automatically continue.
SUBMIT ENROLLMENT FORM TO: studentinsurance@ohio.edu
OR
OHIO University
Attn: Student Health Insurance
82 South Green Drive
140D Ping Center
Athens, OH, 45701
Policy Flyer 2025/26
Provides a basic 2-page overview of premium rates, dates of effective coverage, and out of pocket expenses.
Policy Summary 2025/26
Provides information regarding annual deductible, coinsurance, copays, policy exclusions, coverage periods, and premium rates.
Policy Certificate 2025/26
A full comprehensive detailed document outlining the policy, payable benefits for covered services, and additional policy information.
Online Account Directions 2025/26
Instructions to create your online account with United Health Care Student Resources after they have processed your enrollment. Access health insurance ID cards, claims and explanation of benefits, personal information, member balances, coordination of benefits, provider locator tools, free resources, and more!
VSP Basic Vision Insurance Summary 2025/26
Summary of benefits for the basic vision insurance package that is included in the cost of the student health insurance premium.
Dependents under the age of 18 , J1 Visiting Scholars, and QLE enrollments do not include the VSP coverage.
TeleDoc Health and Wellbeing 2025/26
Talk to a doctor or therapist by phone or video. UnitedHealthcare Student Resources and HealthiestYou have partnered together to provide access to doctors and mental healthcare from anywhere you are. All services are free for students covered under the UHCSR insurance plan. Services are available for all other students for a fee.
NEW! Nutrition Services 2025/26
New for 2025/26! Directions to access Nutrition Services by phone or video to obtain a personalized diet plan.
NEW! Calm Ap 2025/26
Directions to access a full subscription to the Calm ap. Calm is designed to assist with managing stress, improving sleep, and enhancing your daily life.
Optional Dental Insurance 2025/26
Information for Dental insurance plans available for purchase directly from United HealthCare.
Optional Vision Insurance 2025/26
Information for Vision insurance plans available for purchase directly from United HealthCare.
2025/26 Policy Information
Detailed Coverage Information is Located in the Policy Summary and Policy Certificate.
| Copays | Price |
|---|---|
| Visit to Campus Care (for covered services) | $0.00 |
| Provider Appointment outside of Campus Care (Per Visit) | $25.00 |
| Office Visit/Appointment with a Network Provider | $25.00 |
| Urgent Care | $35.00 |
| Emergency Department at a Hospital (waived if admitted to hospital) | $250.00 |
| Annual Deductibles | Price |
|---|---|
| Individual In-Network (Reduced for 2024/25) | $250.00 |
| Family In-Network (Reduced for 2024/25) | $500.00 |
| Individual Out-of-Network | $5,000.00 |
| Family Out-of-Network | $10,000.00 |
| Out of Pocket Maximums | Price |
|---|---|
| Individual In-Network | $5,000.00 |
| Family In-Network | $10,000.00 |
| Individual Out-of-Network | $10,000.00 |
| Family Out-of-Network | $15,000.00 |