LASELL UNIVERSITY
STUDENT HEALTH INSURANCE PLAN

With the rising costs of healthcare and increase in utilization of the Lasell University student health insurance plan, the following plan changes have been imposed for the 2021-2022 academic year to help keep the insurance premium and the plan a viable option for students.

• The out-of-pocket maximum will be $5,000 combined for medical and prescriptions
• The prescription drug benefit will be:
  • $15 for Tier 1 medications
  • $30 for Tier 2 medications
  • $50 for Tier 3 medications
  • 30% for Tier 4 medications
  • 30% for Tier 5 medications

Before enrolling, we encourage students to compare all other insurance options. The Massachusetts Health Connector offers information for Massachusetts residents about their online marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low-or-no-cost insurance program for qualifying uninsured adults).

Before accessing the enrollment form, read the following and acknowledge the statements below.

• I understand the plan design changes for 2021-2022 can have a significant impact on my out of pocket costs, specifically for specialty drugs which now will require me to pay 30% of the prescription cost up to the $5,000 out-of-pocket maximum.
• I have compared all other insurance options and still choose to enroll in the Lasell University 2021-2022 student health insurance plan.

I have read and acknowledge the above statements.