MGH Institute of Health Professions | University Health Plans, Inc.

Deductible: $250 in-network | $500 out-of-network
Co-Insurance: 20% in-network | 40% out-of-network
Out-of-Pocket Maximum: $9,200 in-network | $18,400 out-of-network
Physician Office Visit: $25 copay in-network (deductible does not apply) | 40% coinsurance out-of-network
Urgent Care Visit: $25 copay in- and out-of-network (deductible does not apply)
ER Visit: $50 copay in- and out-of-network (deductible does not apply)
Prescription Drugs: Tier 1: No change Tier 2 &amp; 3: 20% co-insurance (deductible does not apply)

MGH INSTITUTE OF HEALTH PROFESSIONS
Student Health Insurance Plan

This enrollment form is for coverage from January 1, 2026, through April 30, 2026, provided you remain eligible for the Spring Semester

Please Note: The Enrollment DEADLINE for Spring Semester is January 1, 2026

Your student ID is 7 digits, including any leading zero