2021-22 Summary Brochures
A summary of policy benefits and exclusions for the 2021-22 plan effective August 1, 2021.
- Chattanooga Summary Brochure
- Knoxville Summary Brochure
- Martin Summary Brochure
- Southern Summary Brochure
- Tullahoma Summary Brochure
Application for student health, dental, and/or vision insurance enrollment for students and dependents. Premium information and enrollment deadlines are included on the form. Please reference the bottom of page 2 for submission instructions.
2021-22 Plan Certificates
A detailed description of policy benefits and exclusions for the 2021-22 plan effective August 1, 2021.
- Chattanooga Plan Certificate
- Knoxville Plan Certificate
- Martin Plan Certificate
- Southern Plan Certificate
- Tullahoma Plan Certificate
The student health insurance plan uses the UnitedHealthcare Choice Plus medical and United Behavioral Health mental health network. Click here to browse the provider directories.
A detailed listing of benefits and exclusions for the optional dental insurance. Pricing is listed on our Enrollment Form. To search for an in-network dentist visit www.myuhcdental.com and select the network: National Options PPO 30 or call 888-679-8925 and reference the UT Plan.
A list of commonly prescribed medications divided into copay cost levels. Call 1-855-828-7716, or log in to My Account for complete and up-to-date information.
This claim form can be submitted with a pharmacy receipt for reimbursement of covered prescriptions purchased when/if your ID card is not available.
Contains details on the UT Knoxville Health Clinic referral requirements. You may also contact UT Student Health Service at 865-974-2337.
This form will allow UHC Student Resources to speak with family members or other parties who may be assisting with claims or benefit questions.
Information on setting up a mobile account for access to your ID card, claims status and help with locating a doctor or pharmacy.
Information on services provided to traveling students. Worldwide emergency assistance is available when traveling more than 100 miles away from home.