Students
Icahn School of Medicine at Mount Sinai

Welcome to Icahn School of Medicine at Mount Sinai student health insurance plan website.

Aetna Student Health gives you access to care by working closely with your school and with a network of doctors, hospitals, pharmacies and specialists throughout the country.

Please read the important pre-enrollment disclosures.

Medical insurance is required for all Mount Sinai students. Enrollments, terminations, or changes must be made through the Office of Student Services in Annenberg 12-70. If an incoming student has outside coverage, proof of that coverage must be submitted to Lee Dasu in the Office of Student Services.

Incoming students that want to initiate enrollment for medical insurance coverage through Mount Sinai, must also contact Lee Dasu in the Office of Student Services.

http://icahn.mssm.edu/education/student-resources/resources-for-current-students/student-health-and-insurance/student-benefits

Below are the 15/16 Plan Design changes and rates. Aside from the changes below, please see the 14/15 documents for the other plan information. Full 15/16 plan documents will be posted in the coming weeks.

15/16 Plan Design Changes

  • $6,350 Out of Pocket max for Preferred Care/$12,700 Out of Pocket max for Non-Preferred Care
  • $500 Annual Deductible for Non-Preferred Care
  • Step Therapy and Mandatory Generics will apply to Prescription through Aetna Pharmacy Management

  Annual Annual Early Arrival
06/15/15 - 06/30/16
Fall 1
07/01/15 - 12/31/15
Fall 2
08/15/15 - 12/31/15
Spring
01/01/16 - 06/30/16
Student $7,091 $7,401 $3,565 $2,693 $3,526
Spouse $7,091 $7,401 $3,565 $2,693 $3,526
One Child $7,091 $7,401 $3,565 $2,693 $3,526
Two Or More Children $14,182 $14,802 $7,130 $5,386 $7,052

2015 - 2016 Highlight Sheet

Enroll
You can enroll in the medical plan by using the link below.

Enroll: Continuation Plan

For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card or click on one of the links below.

If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact customer service at 855-821-9713 or click on one of the links below.

2015 - 2016 Plan documents and benefits

Effective August 1, 2015, Aetna Student Health is changing its reimbursement payment rates for services provided by out-of-network non-preferred providers. In most cases, this will result in a reduction in the portion of the cost of care paid for by Aetna Student Health. Please consult your Master Policy and/or Plan Design & Benefits Summary for details on the Aetna Student Health reimbursement payment rates applicable to services provided by out-of-network non-preferred providers.

2015 - 2016 Icahn School of Medicine at Mount Sinai Basic Summary of Benefits and Coverage

Plan documents and benefits

2014 - 2015 Pediatric Dental Care Schedule

2014 - 2015 Icahn School of Medicine at Mount Sinai Basic Summary of Benefits and Coverage

2014 - 2015 Plan Design and Benefits Summary - Plan-specific information on services the plan covers, deductibles, premium rates, enrollment and waiver deadline dates, plan limitations and more.

2014 - 2015 Accidental Death and Dismemberment Policy Information

2014 - 2015 Accidental Death and Dismemberment Claim Form

2014 - 2015 Plan Guide - Helpful information on dependent coverage and eligibility (if applicable), discounts and services available to you as a member of the Plan, and other helpful information of how your plan works.

2014 - 2015 Certificate of Coverage

  Early Start
6/15/14 - 6/30/15
Student $5,124
Student + One $9,896
Student + More than One $15,511

 

  Annual
7/01/14 - 6/30/15
Student $4,909
Student + One $9,480
Student + More than One $14,860

 

  Late Start
8/15/14 - 6/30/15
Student $4,303
Student + One $8,311
Student + More than One $13,028

 

  Continuation Plan
3 Month Plan
Continuation Plan
6 Month Plan
Student $2,945 $4,909
Student + One $5,688 $9,480
Student + More than One $8,916 $14,860

15.36.480.1