Student Health Insurance Overview

IMPORTANT: Before receiving any medical care with a Tier II or Tier III provider, you must obtain a referral from your Tier I provider, including for follow-up visits. You are also required to follow up with your Tier I provider to obtain a referral if you are referred to a different Tier II or Tier III provider for the same condition.

• If you are a student in the Ft. Lauderdale/Davie Campus you must visit the Student Medical Center before receiving any medical care with a Tier II or Tier III provider.
• If you do not obtain the necessary referral Aetna Student Health Insurance will not pay for any medical expenses, and you will be held responsible for payment.  

 

Referral is not required for the following exceptions:

• Treatment for an emergency medical condition (A referral from the NSU Health Center may be necessary for follow-up care.)
• Obstetric and gynecological treatment
• Pediatric care
• Preventative/routine services (services considered preventive according to Health Care Reform and/or services rendered not to diagnose or treat an accident or sickness)
• Treatment when the you are more than 25 miles away from the Student Medical Center
• Treatment when the NSU Student Health Center is closed
• Treatment administered from any Tier I provider

Tier I - Nova Southeastern University Student Medical Center

• Medical services rendered through a Tier I provider will be covered at 100% of the negotiated charge (plan deductible and copayments waived), subject to benefit limitations and exclusions as they relate to health care services. View your Aetna's Benefit Summary and Coverage Plan to locate a Tier I provider near you.
• If you are a student in the Ft. Lauderdale/Davie Campus you must visit the Student Medical Center before receiving any medical care with a Tier II or Tier III provider.
  

• The NSU Student Medical Center is staffed by board-certified physicians and physician assistants who provide primary care services including:

  • Physical exams
  • Preventive care
  • General medical care
  • Minor surgical procedures
  • One annual eye exam
  • Health and wellness
  • Women's health care
  • Immunizations
  • Pharmacy  (prescriptions and free screening services)
  • Student counseling, including treatment for anxiety, panic, depression, anger management, financial stress, social struggles, chronic illnesses, abuse, suicidal thoughts, break-ups and divorce, assault, and many other areas affecting a students' quality of life.

   

• Sub-specialty care performed by a non-NSU Medical Clinic provider will be subject to the benefit period deductible, coinsurance, and co-payments. 
• If you do not obtain the necessary referral Aetna Student Health Insurance will not pay for any medical expenses, and you will be held responsible for payment.  

Tier II - Aetna In-Network PPO Providers

If you are a student in the Ft. Lauderdale/Davie Campus you must visit the Student Medical Center before receiving any medical care with a Tier II or Tier III provider.

Tier II or Tier III Providers within the Preferred Provider network have agreed to accept negotiated rates which reduce students' out-of-pocket expenses. To find a doctor, hospital, or pharmacy. 

Tier III - Out-of-Network Providers

Out-of-network providers may not accept payment of students' cost share (deductible and payment percentage) as payment in full and may therefore bill students for the difference between the amount billed and the amount paid by the plan. If an emergency room facility or physician bills you for an amount above your cost share, you are not responsible for paying that amount. Please send the bill to the address listed on your member ID card and Aetna will resolve any payment dispute with the provider over that amount. Make sure your member ID number is on the bill

Current students who are part of the mandatory population, will be graduating or otherwise leaving school, and whose student health insurance coverage will be terminating may elect to purchase the three month continuation option. The three month continuation option will provide an additional three months of coverage based on your current benefit policy after your student health insurance coverage end date.

Please note, your insurance coverage will remain active until the end of your program’s academic year. This means your coverage period may extend past your graduation date and/or class end date; you will be eligible for the three month continuation option then. 

(Example: If you graduated in May, your plan will continue to cover you until the end of your academic program year in July or August. You will be eligible for the three month continuation option then.)

Please read the following important information prior to electing to enroll:

• Only students who are part of the mandatory population with active student health insurance are eligible for the three month continuation option.
• The three month continuation option costs $570.00.  
• It is recommended to purchase the three month continuation option one month prior to your student insurance coverage end date.
• You will not be able to purchase the three month continuation option after 31 days of your student insurance coverage end date.
• The maximum length of coverage under the continuation option is three consecutive months.
• The three month continuation option is not renewable, nor can the policy be canceled once an application has been received. No refunds will be issued.

APPLY FOR THE THREE-MONTH CONTINUATION OPTION