WWU Student Medical Health Insurance Plan

An optional plan available to WWU students and their dependents

2016-17 Plan Year

https://studentinsurance.wellsfargo.com (click to enroll online)

PDF icon2016-17 WWU Plan: Undergraduate Student Brochure

PDF icon2016-17 WWU Plan: Graduate Student Brochure

  • Underwriter: Nationwide Life Insurance Company
  • Preferred Provider Network: CIGNA
  • Pharmacy Network: CIGNA
  • Travel Assist: Frontier MEDEX
  • Annual Benefit Maximum: Unlimited
  • Coinsurance Undergraduate Program: In-Network 80%, Out of Network 60%
  • Coinsurance Graduate Program: In-Network 80%, Out of Network 50%
  • Annual Deductible Undergraduate Program: In-Network $250, Out-of-Network $500
  • Annual Deductible Graduate Program: $300
  • Out-of-Pocket Maximum Undergraduate Program: In-Network $4,500, Out-of-Network $9,000
  • Out-of-Pocket Maximum Graduate Program: $6,600
  • Preventative Care Undergraduate Program: In-Network no deductible & covered at 100%, Out-of-Network 60% of R&C
  • Preventative Care Graduate Program: In-Network no deductible & covered at 100%, Out-of-Network 50% of R&C
  • Tiered co-pay system for covered prescription drugs Undergraduate Program: $15 / $35 / $70
  • Tiered co-pay system for covered prescription drugs Graduate Program: $25 / $35 / $55
  • Office Visit Copay Undergraduate Program: None
  • Office Visit Copay Graduate Program: $30
  • ER Copay Undergraduate Program: $100
  • ER Copay Graduate Program: $200
  • Participation in Interollegiate Sports: Covered by both undergraduate and graduate plans

2016-17 Costs, Coverage Periods & Enrollment Deadlines

  ANNUAL
9/1/16 - 8/31/17
FALL
9/1/16 - 12/31/16
WINTER
1/1/17- 3/26/17
SPRING*
3/27/17- 6/18/17

SPRING AND
SUMMER*
 
3/27/17 - 8/31/17

SUMMER
6/19/17 - 8/31/17
Student, Undergraduate

$3,467

$1,159

$807

$798 $1,501

$703

Spouse of Undergraduate Student

$3,467

$1,159

$807 $798

$1,501

$703

Each Child of Undergraduate Student

$3,467

$1,159

$807

$798

$1,501

$703
Student, Graduate $3,188 $1,066 $742 $734 $1,380 $646

Spouse of Graduate Student

$3,188 $1,066 $742 $734 $1,380 $646
Each Child of Graduate Student $3,188 $1,066 $742 $734 $1,380 $646
Enrollment Deadlines 10/28/16 10/28/16 2/3/17 4/21/17 4/21/17 7/21/17

*Students may get coverage for summer quarter without taking any classes as long as they were covered the previous spring quarter. Students wishing to have coverage over the summer months who will not be taking the eligible credits summer quarter should enroll for the Spring/Summer option by calling WellsFargo Customer Service at 1-800-853-5899.

Search for a CIGNA in-network medical provider or facility Cigna PPO Network of Participating Providers

Search for a CIGNA in-network therapist or psychiatrist Cigna PPO Network of Participating Providers

How to File a Claim

Plan underwriter: Nationwide Life Insurance Company

Servicing Agent (enrollment): Wells Fargo Insurance Services USA, Inc., Student Insurance Division, 1-800-853-5899

Claims Administrator (for questions regarding benefits and claims): Consolidated Health Plans, 1-800-633-7867 EST, CHP Student Health Plans

 

2015-16 Plan Year

https://studentinsurance.wellsfargo.com (click to enroll online)

2015-16 WWU Insurance Plan - Undergraduates

2015-16 WWU Insurance Plan - Graduate Students

1095B TAX FORM: Nationwide mailed out 1095B tax forms directly to students in mid-February. The IRS has confirmed that the form isn't necessary to be "in hand" when filing taxes. In order to receive a copy, the student will need to contact Nationwide directly at 614-677-3877.​

How to File a Claim