Student Health Insurance

The Student Accident and Sickness Insurance Plan is endorsed by the University of Houston-Downtown for Domestic and International Students.

Students enrolled in the English Language Institute are not covered by this plan. learn more

General Information

Eligibility Requirements

International Students: Requirements & Waiver Information

Plan Information and Forms

UHD 2009-2010 Student Health Insurance Booklet

 

General Information: 

STEP 1:

• Take the time to read and understand the policy prior to enrollment including exclusions, pre-existing condition clause and coverage limitations.
• The student must first use the resources of Student Health Services where treatment will be administered or an outside medical referral will be issued.
• Be responsible for your healthcare.  Know what to do in the event of a medical emergency or urgent care when Student Health Services is closed.
• Eligible fees for Student Health Services are billed directly to the insurance company for students who are enrolled in the Plan.  Office visit fees, co-pays, and non-eligible expenses will be transferred to a student's account.

Examples of non-eligible services:  See plan for list of exclusions

• Routine Pap Smear
• Routine STD Screening
• Routine Lab Screening (cholesterol, glucose, etc.)
• Non-Oral Contraceptives
• Routine Immunizations
• HPV Vaccine is covered on this policy

STEP 2:

Students enrolled in the Student Health Insurance Plan for the first time are required to complete a Patient Information and Authorization forms with Student Health Services no later than the 30th day of the current semester (12th day in Summer semester).

Students not submitting the required forms by the posted deadline will have a hold placed on their student records.

OPTION 1: Stop by Student Health Services during regular business hours to complete required paperwork.

OPTION 2: Students enrolled in Distance Education or Saturday only classes should contact our office for alternative arrangements.

Eligibility:

All domestic students attending the University of Houston-Downtown who are enrolled for 6 or more credit hours (3 hours for summer session) are eligible for coverage (see brochure for complete eligibility requirements).

Health insurance is mandatory for all International students.

If you do not meet the eligibility requirements of this Plan, or desire dependent coverage, please call Macori, Inc. at (281) 651-8787 for information on alternate insurance plans.

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Premiums   •   Benefits Coverage   •   Claims

 

Policy Information and Forms

Please read brochure prior to enrollment, including eligibility requirements, exclusions and pre-existing condition limitations.

• Download policy brochure
• Download insurance card
• On-Line Enrollment
• Locate an in-network provider
• Dental
• 24-Hour Nurseline
• Frequently Asked Questions

 

Premium Office: MACORI, INC. P.O. Box 2478 Spring, TX 77383-2478 (281) 651-8787 www.macori.com

Claims Office: MACORI ADMINISTRATION DBA Makin Management Corp. 19609 Wied Spring, TX 77388 Inside Houston:  (281) 651-8787 Outside Houston:  (800) 285-8133

 

Prescription Medications:

Prescription coverage is limited to medications available from the Student Health Services Pharmacy (Antibiotics and Oral Contraceptives), In-Hospital medications and Mandated Benefits covered medication.

 

Medical Emergencies:

Student Health Services is an ambulatory facility and not equipped as an emergency facility.

On-Campus Medical Emergencies:

• Come to Student Health Services or contact the UH-Downtown Police Department by using a Emergency Call Box or calling 713-221-8911.

Off-Campus Medical Emergencies:

• Call 9-1-1 or go to a local emergency room.  St. Luke's Hospital is recommended by the Student Health Insurance Plan.
• Read and understand the plan's provisions for medical emergencies, your responsibilities and required notification procedures.
• Know the emergency room or urgent care center in your area that is covered under the insurance plan.

 

CAREington Dental

Save 20%-60% on most dental procedures including routine oral exams, unlimited cleanings, and major work such as dentures, root canals and crowns.

 

OPTUM Nurseline 24 Hours-a-Day/365 Days a Year

Services provided by CAREington International Corporation     1-866-796-1857:  Pin #526

• Access to an audio information library

• Information about self-care techniques for common symptoms

• Help from a registered nurse specially trained to offer prompt, confidential medical counseling regarding:

  • Diagnostic and surgical procedures

  • A recently diagnosed medical condition

  • Prescription and over-the-counter medication information

• Nurses do not diagnose or provide treatment

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Page maintained by SSEM

Last updated or reviewed on 6/15/09