How do I enroll in the NIU Student Insurance Plan? Students registered
for 9 or more on-campus (DeKalb) hours and all International
Students are automatically charged for the NIU Student health insurance
plan. Any student registered for 6 or more credit hours, on or
off campus, may enroll in the NIU insurance plan by filling out the online
enrollment form by the 15th calendar day of the semester.
Is coverage available for my dependents? A
student can add a spouse or domestic partner to the plan as long as the student
is covered by the NIU plan. The online enrollment form must be submitted
every semester that coverage is needed.
If I cancel my NIU insurance and then lose my other insurance, can I sign up for the NIU plan? Yes
– when you are notified that you are going to lose your current coverage, just
fill out the Qualifying Event Form
and return to the student insurance office along with proof from the prior
insurance company that you are losing or lost coverage. Your NIU policy will be effective the day we
received both forms.
Is there a deadline to enroll in the NIU plan? Yes, you must sign up for the insurance within the first 15 days of classes, unless you lose coverage from your insurance company.
Is coverage available for over the summer? If
you are enrolled for the spring semester, you are covered for the summer for no
additional cost. If you do not have spring coverage, you may enroll for
summer only coverage as long as you are enrolled in at least 6 credit hours or
if you are a continuing student at NIU.
If I have other health insurance coverage, why should I keep this one? You
should consider keeping this as supplemental coverage. Very few group
plans cover all medical expenses. The NIU plan is designed to coordinate
benefits with your primary coverage to reduce or eliminate many out-of-pocket
expenses that you would be responsible for without additional coverage.
How do I waive enrollment in the NIU insurance plan? During
the waiver process period, you must go to our online
waiver request form to waive the insurance. Completing the waiver request
form, does not guarantee that the waiver will be accepted. We verify coverage and will let you know if
the waiver is approved.
If I waive the insurance, is that waiver good for the whole time I’m at NIU? No!
When you waive the insurance, a fall waiver is only good for 1 year. Each
fall you have to cancel the insurance for that school year. A spring
waiver is only good through August.
What happens if I miss the deadline to waive the insurance? If
you miss the deadline to cancel the insurance, you may file an Appeal. There is a deadline to
file an appeal. Please remember that
filing an appeal does not guarantee that the appeal will be approved. For more information on Appeals please go to
the Appeals page.
May I still use Health Services if I waive the NIU plan? Yes!
Health Services is NOT connected with Student Insurance. All NIU Students
who have at least one on campus credit hour can use Health Services.
What does the NIU plan cover? This
is a PPO plan. It covers preventive care, well-care, doctor’s visits,
hospitalization, diagnostic and lab services, physical therapy, maternity,
mental healthcare and birth control.
Are pre-existing conditions covered? Effective
8/17/12, we have a 6 month pre-existing condition clause for students and
dependents 19 years old and older. This
is waived if you have had at least 6 months of consecutive coverage or
May I go to any doctor or hospital I want? Yes,
you can. If the provider is part of the
UnitedHealthcare network, you will have lower out-of-pocket costs for covered
medical expenses. This simply means that
if you go to a doctor or hospital in the UnitedHealthcare network, it will cost
you less than if you go to a doctor or hospital not in the network. However, the NIU student health insurance
plan will cover you even if the doctor is not in the UnitedHealthcare network.
What happens if I get sick or hurt while I am traveling? Just
call Academic Emergency Services and
they will make all the arrangements to get you medical treatment or to get you
home. For more information please go to Academic Emergency Services.
Where do I get an ID card? You
can either call or stop by the student insurance office or you can print a
temporary ID card at United HealthCare StudentResource’s website –
What is a deductible? A deductible is the amount you pay before the
insurance company pays your claim. The plan has an annual deductible of
Does it cost extra to go to the emergency room? Yes
– you will have to pay the extra emergency room co-pay each time you go there
and then 20% of the remaining bill. Only go to the emergency room for
emergencies! If you are sick, go to Health Services – it won’t cost
you to see most doctors!
Will the NIU plan pay all my medical bills? No
– you will have to pay your deductible and co-insurance.
How do I file a claim? The
doctor’s office or hospital will usually file a claim directly with United
HealthCare StudentResouces. If they
haven’t, you can file a claim directly with United HealthCare StudentResources.
Claims must be submitted one year (52 weeks) from date of service to be
eligible for benefits.
How do I file a claim for birth control? If
you are getting your birth control at Health Services, you don’t have to do
anything except pick up the prescription!
There is no cost to you. We
submit the paperwork on your behalf.
If you are getting the prescription filled at an outside pharmacy, you will
have to pay for the prescription in full and then submit a claim to United
HealthCare StudentResources. You will be reimbursed for the entire cost of the
prescription. Submit the prescription receipt or computer printout from the pharmacy
which should include the name of the medication, the date it was dispensed and the
price with the name of the student, the student’s United HealthCare ID number
and their address to the address listed below.
Where do I submit claims? Claims should be mailed to: