Indiana University
PROFESSIONAL STUDENT
INSURANCE PLAN
Annual Waiver Form
2024-2025 Academic Year
If you have existing health insurance coverage, you may be eligible to waive enrollment in the Professional Student Plan. To be eligible, your existing health insurance must be in place at the beginning of the semester/term and meet all of the following requirements:
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provides coverage anywhere in the U.S.
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Provides emergency coverage internationally
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Provides coverage for pre-existing conditions
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Provides essential health benefit coverage:
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Ambulatory patient services;
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Emergency services;
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Hospitalization;
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Maternity and newborn care;
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Mental health and substance use disorder services;
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Prescription drugs;
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Rehabilitative and habilitative services and devices;
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Laboratory services;
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Preventive and wellness services and chronic disease management; and
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Pediatric services, including oral and vision care.
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Has an annual deductible of $9,100 (individual) / $18,200 (family) or less
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Has an Out-of-Pocket Maximum of $9,100 (individual) / $18,200 (family) or less
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Has at least a $1,000,000 maximum benefit per lifetime per condition
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Additionally, you must acknowledge that your health insurance coverage will remain in force for the entire academic year. If you involuntarily lose coverage prior to the end of the academic year, you agree to contact Student Insurance at studenhc@iu.edu within 30 days of the date your coverage ends to enroll in the Professional Student Plan.
The following types of plans do not qualify as eligible coverage:
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Out-of-state HMO plans
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Fixed Indemnity plans
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Short Term Insurance plans
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Emergency only coverage in Indiana plans
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Medical share plans
The Healthy Indiana Plan (HIP) and Medicaid coverage will qualify as eligible coverage. However, these plans do not meet the full requirements regarding coverage outside of the state of Indiana, and abroad. Therefore, you may need to supplement when traveling.
TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
