The following changes have been made to the 2022-2023 policy:

• Out of Pocket Maximum will increase to $2,500 in-network and $5,000 out-of-network for combined medical and prescription expenses.
• The prescription drug copayments will change to a 5-Tier Plan:
  • Tier 1: $15 copay
  • Tier 2: $30 copay
  • Tier 3: $50 copay
  • Tier 4: 30% coinsurance
  • Tier 5: 30% coinsurance

The SHIP changes can have an impact on your out-of-pocket costs if you need prescriptions that will require you to pay 30% of the medication's cost up to the out-of-pocket maximum. We encourage students impacted by the change to compare all other insurance options to the Emerson SHIP.

I have read and acknowledge the above statements