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Duke Student Health Insurance


100 Rx deductible $1000 Rx out-of-pocket max (new) Dental savings program by ... Taken from the American College Health Association, 'Standards for Student ... – PowerPoint PPT presentation

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Title: Duke Student Health Insurance

Duke Student Health Insurance
  • Eric Vance
  • David Kahler
  • GPSC Retreat
  • September 15, 2007

How it works
  • Insurance company (BCBS) predicts total 2007-2008
    claims 8mil
  • Duke students pay BCBS 10mil in premiums plus
    additional 2.4 for customer service
  • The extra 25 (2mil) pays for BCBS staff,
    billing, profit, etc.

This is in addition to the 546 (171 summer)
fee each student pays for the Student Health
History of Premiums
2007-2008 Plan
  • BCBS Blue Options Plan
  • 150 deductible
  • Insurance pays 80 of bill, you pay 20
  • 1500 out-of-pocket max
  • 100 Rx deductible
  • 1000 Rx out-of-pocket max (new)
  • Dental savings program by Basix (new)

2007-2008 Plan
  • A 500 annual benefit for preventative vaccines
    (as defined by the CDC) including the HPV
  • Unlimited medical evacuation and repatriation
  • No pre-existing condition exclusion (enjoy full
    benefits for the full policy term)
  • A new 1,000 annual out-of-pocket maximum for
    prescription drugs
  • In-network mental health benefits in the Durham

GPSC HI Committee 2007-2008
  • Vision Statement
  • The committee envisions all Duke students, their
    families, and their dependents with access to the
    health care needed in a timely fashion at the
    lowest possible cost.

Mission Statement
  • It is the goal of the committee to be transparent
    in its efforts to ensure that
  • No student is without quality health insurance
  • Desired benefits are provided at the least
    possible cost
  • Students have access to a strong, effective
    network of providers
  • The insurance plan takes advantage of Dukes
    resources while also enabling students to be
    autonomous in their health care decisions
  • As much of the premium or fund contributions as
    possible will be returned to the covered
    individuals in the form of benefits
  • Taken from the American College Health
    Association, Standards for Student Health
    Insurance/Benefits Programs, available at

Mission Statement
  • It is the goal of the committee to be transparent
    in its efforts to ensure that
  • The total health of the student will be provided
    for, including mental health
  • Resources available to assist students in making
    good health care decisions will be continually
  • The administration of the student health
    insurance plan will be done in a culturally
    competent manner that is sensitive to students
    national, religious, and ethnic preferences with
    regards to health care and to respond to the
    unique health needs of students
  • Both the student health insurance administration
    and the student health center will try whenever
    possible to offer preventative care before normal
    treatment would be required
  • Those we work with to provide these services
    offer the same level of transparency to the
    student body (the student body is consulted in
    decisions where possible).

  • Student Health Insurance Advisory Committee
    consists of GnP students and administrators
  • Led by Dr. Bill Purdy and advised by an
    independent consultant, Stephen Beckley
    (www.slba.com), SHIAC determines the HI plan
  • Resports to Larry Moneta, Director of Students

Issues for 2007-2008
  • Evaluating bids for 2008-2009
  • Restrictive waiver?
  • Partial self-insurance?
  • Better Mental Health network
  • Family subsidy
  • Fair age-based pricing
  • Copays?

Partial Self-funding
6 mil
Health Care
7.5 mil
Discussion and Questions
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