Dear Trinity College Student,

There has been much in the news over the past two years regarding Health Care Reform and The Patient Protection and Affordable Care Act (PPACA). The Department of Health and Human Services (HHS) recently issued the final rule to establish requirements for student health insurance coverage under PPACA. Starting with the 2012-13 Policy Year, the ruling requires the Trinity College Student Accident and Sickness Insurance Plan to implement a variety of benefit changes/enhancements which are detailed below.

These benefit enhancements are great for the students covered under this plan, and are very much needed by some, but they will contribute to the escalation of our premium. The 2012-13 Annual Student Only Plan premium will be $1,400. We understand that the increased premium may cause a hardship for some of the Trinity College students, but we also believe the new benefits are important for the insured population.

BENEFIT CHANGES

• PLAN MAXIMUM: Increase benefit from $100,000 per condition per policy year to unlimited;
   
• PRESCRIPTIONS:
  • Increase maximum benefit from $500 per policy year to unlimited;
  • Increase Tier 1 copay from $15 to $20;
  • Eliminate copay for contraceptives (including those filled through the Health Center); and
  • Brand name prescription contraceptives are subject to copays when a generic alternative is available;
     
• DURABLE MEDICAL EQUIPMENT: Increase maximum benefit from $500 per policy year to unlimited;
   
• PHYSICAL & OCCUPATIONAL THERAPY, CHIROPRACTIC SERVICES: Change maximum from $750 per condition per policy year to 10 visits per condition per policy year;
   
• SURGICAL SECOND OPINION: Increase maximum from $200 per condition per policy year to unlimited;
   
• ANESTHESIA & ASST. SURGEON: Increase to maximum benefit from $1,500 per surgery to unlimited;
   
• HIGH COST PROCEDURE: Increase maximum benefit from $5,000 per condition per policy year to unlimited;
   
• SOCIAL SERVICES BENEFIT: Increase maximum benefit from $200 per policy year to unlimited;
   
• DVCS (OSTOMY SUPPLIES): Increase maximum benefit from $1,000 per policy year to unlimited;
   
• OUTPATIENT CARE: Increase maximum benefit from $5,000 per condition per policy year to unlimited;
   
• DENTAL INJURY:
  • Increase maximum benefit from $1,000 per injury to unlimited; and
  • Increase benefit level to 100%;
     
• WISDOM TEETH: Increase maximum benefit from $100 per tooth to unlimited; and
   
• INPATIENT CARE: Increase benefit level to 100%.

Please refer to the 2012-13 Student Accident and Sickness Plan brochure, when it becomes available, online at www.universityhealthplans.com for coverage details, provider search, eligibility, rates, and deadline dates.

Sincerely,

Trinity College Health Center