UF Trail Blazer Elite (2016-2017)

 

  • Meets 2016-2017 Insurance Requirements for UF Students and Scholars
    Rates Starting at $65 per month
    $600,000 Medical Maximum per Accident or Sickness
    No Copay at Student Health Center
    Physicals and Immunizations

Rates (per month)

$65
Benefits Coverage
Annual/Lifetime Maximum Unlimited
Maximum per Covered Accident or Sickness $600,000
Deductible $500 per policy period
In Network Coinsurance Single:  80% of Preferred Provider Charges up to $25,000; 100% of Preferred Provider Charges thereafter
Family:  80% of Preferred Provider Charges up to $50,000; 100% of Preferred Provider Charges thereafter
Out of Network Coinsurance 70% of Usual & Customary
Maximum Out of Pocket- In Network Only $5,000 Single/ $10,000 Family
Copays:  
Dr's Office Visit $25 (Waived at Student Health Center)
Emergency Room $200
Hospital room and Board $200
MRI/CAT Scans $100
Prescription Drugs $25 Generic $50 All Other $0 Oral Contraceptives
Physicals and Immunizations 100% up to $750 In Network and at Student Health Center
AD&D $10,000
Emergency Evacuation/Repatriation of Remains 100% of Actual Cost
Emergency Reunion $3,500
Family Reunion $3,500

 University of Florida Trail Blazer Brochure