University of Utah
- University of Utah Insurance Information for F1 & J1 Students
- After your purchase, please log in to your PSI account for instructions on how to complete the Online Waiver.
- If you need specific coverage dates, please email Info@psiservice.com.
- For Plans that we offer to Recent Grads, OPT Participants, and H1B visa holder, click HERE.
- If I purchase health insurance from my university, how much would it cost?
World Elite 250
$1,740
$250 deductible
View Brochure
SBC ACA Compliant Benefits
World Elite Plan
Prescription Drug Formulary
$143
$250 deductible
View Brochure
SBC ACA Compliant Benefits
World Elite Plan
Prescription Drug Formulary
- ACA Approved Plan through CMS
- Unlimited Maximum Benefits
- Coinsurance: 100% SHC; 80% In-Network
- No Copays / Deductible at SHC
- Wellness & Preventive - 100% In-Network
- Urgent Care - $65 copay
- Out-of-pocket Maximum - $5,500
- Prescription Drugs $5/$50/$75/$90 copay
- ER $200 Copay (waived if admitted)
- Diagnostic Services and Laboratory Tests
- Mental Health Benefits
- Medical Evacuation $120,000 per year
- Medical Repatriation $50,000
Platinum Plan
- Unlimited Maximum & Lifetime Benefit
- Coinsurance: 80% In-Network
- Hospitalization, In/Outpatient Benefits
- Preventive Care, GYN exams, Vaccines
- Prescription Drugs $20 copay/$40 copay/ 60%
- No Limits on Pre-Ex Conditions for Students
- Mental Health Benefit
- Alcohol and Substance Abuse
- Maternity Care Benefits
- Out-of-Pocket Max $6,350/year
- Pediatric Dental & Vision
- No Copays/Deductible at SHC
- Medical Evacuation & Repatriation
PSI gathered this information as a resource for students, and this does not intend to imply a relationship between your school and our website, or company. Our plans simply offer an
alternative to the university's student health insurance plan.