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Campus Location

Student Status

Choose Coverage Dates

Student Information

Gender:

Instructions on printing your insurance ID card will be emailed to this address.

Spouse and Dependents

Are you adding a spouse to your insurance plan?

Are you adding dependents to your insurance plan?

Relationship Gender Social Security Number Last Name First Name Middle Initial Date of Birth
Spouse
Child 1
Child 2
Child 3
Child 4

Premium Selection

A brief summary of the coverage and services offered are:

  • Unlimited Maximum Benefit for Covered Expenses
  • Coverage available for eligible Dependents
  • $500 Deductible for Preferred Providers per Insured Person, per Policy Year 
  • Covered Medical Expenses for Preferred Providers are payable at 80%
  • $25 In-Network Physician Visit Copay
  • $20/$50/$80 Prescription Drug Benefit Copays
  • For more details, click here.

Payment is due in full at the time of enrollment. Optional Dental Coverage is available ONLY until the enrollment deadline of September 20th of each plan year and must be purchased on an annual basis. It is the student’s responsibility for timely renewal payments whether or not a renewal notice is received.

SELECTED COVERAGE PERIOD: Annual Coverage, 8/1/2017-7/31/2018

To change your coverage period go back to the previous page.

What is a premium?

Basically, an insurance premium (sometimes referred to as the rate) is the amount of money you are charged for active coverage.

What is a deductible?

A deductible is the amount you pay before the insurance carrier will cover any remaining eligible expenses.

What is a copay?

A copay is a set portion of a total bill you are required to pay. This often refers to a physician office visit where the copay is your responsibility.

Learn More

Optional Dental Coverage - Annual

Selection of the optional Dental Coverage provides a $500 benefit per Person per Plan Year for covered dental services. Please refer to the Dental Coverage Summary here.

Dental Summary

Dental insurance is available for University of Tennessee students and their dependents. This insurance will cover a maximum of $500 of eligible dental services per person per year. Eligible dental services include things such as cleanings, x-rays, and fluoride treatments.

Learn More

Premium Selection

A brief summary of the coverage and services offered are:

  • Unlimited Maximum Benefit for Covered Expenses
  • Coverage available for eligible Dependents
  • $500 Deductible for Preferred Providers per Insured Person, per Policy Year 
  • Covered Medical Expenses for Preferred Providers are payable at 80%
  • $25 In-Network Physician Visit Copay
  • $20/$50/$80 Prescription Drug Benefit Copays
  • For more details, click here.

Payment is due in full at the time of enrollment. Optional Dental Coverage is available ONLY until the enrollment deadline of September 20th of each plan year and must be purchased on an annual basis. It is the student’s responsibility for timely renewal payments whether or not a renewal notice is received.

SELECTED COVERAGE PERIOD: Fall Coverage, 8/1/2017-12/31/2017

To change your coverage period go back to the previous page.

What is a premium?

Basically, an insurance premium (sometimes referred to as the rate) is the amount of money you are charged for active coverage.

What is a deductible?

A deductible is the amount you pay before the insurance carrier will cover any remaining eligible expenses.

What is a copay?

A copay is a set portion of a total bill you are required to pay. This often refers to a physician office visit where the copay is your responsibility.

Learn More

Optional Dental Coverage - Annual

Selection of the optional Dental Coverage provides a $500 benefit per Person per Plan Year for covered dental services. Please refer to the Dental Coverage Summary here.

Dental Summary

Dental insurance is available for University of Tennessee students and their dependents. This insurance will cover a maximum of $500 of eligible dental services per person per year. Eligible dental services include things such as cleanings, x-rays, and fluoride treatments.

Learn More

Premium Selection

A brief summary of the coverage and services offered are:

  • Unlimited Maximum Benefit for Covered Expenses
  • Coverage available for eligible Dependents
  • $500 Deductible for Preferred Providers per Insured Person, per Policy Year 
  • Covered Medical Expenses for Preferred Providers are payable at 80%
  • $25 In-Network Physician Visit Copay
  • $20/$50/$80 Prescription Drug Benefit Copays
  • For more details, click here.

Payment is due in full at the time of enrollment. Optional Dental Coverage is available ONLY until the enrollment deadline of September 20th of each plan year and must be purchased on an annual basis. It is the student’s responsibility for timely renewal payments whether or not a renewal notice is received.

SELECTED COVERAGE PERIOD: Spring/Summer Coverage, 1/1/2018-7/31/2018

To change your coverage period go back to the previous page.

What is a premium?

Basically, an insurance premium (sometimes referred to as the rate) is the amount of money you are charged for active coverage.

What is a deductible?

A deductible is the amount you pay before the insurance carrier will cover any remaining eligible expenses.

What is a copay?

A copay is a set portion of a total bill you are required to pay. This often refers to a physician office visit where the copay is your responsibility.

Learn More

Premium Selection

A brief summary of the coverage and services offered are:

  • Unlimited Maximum Benefit for Covered Expenses
  • Coverage available for eligible Dependents
  • $500 Deductible for Preferred Providers per Insured Person, per Policy Year 
  • Covered Medical Expenses for Preferred Providers are payable at 80%
  • $25 In-Network Physician Visit Copay
  • $20/$50/$80 Prescription Drug Benefit Copays
  • For more details, click here.

Payment is due in full at the time of enrollment. Optional Dental Coverage is available ONLY until the enrollment deadline of September 20th of each plan year and must be purchased on an annual basis. It is the student’s responsibility for timely renewal payments whether or not a renewal notice is received.

SELECTED COVERAGE PERIOD: Summer Coverage, 5/1/2018-7/31/2018

To change your coverage period go back to the previous page.

What is a premium?

Basically, an insurance premium (sometimes referred to as the rate) is the amount of money you are charged for active coverage.

What is a deductible?

A deductible is the amount you pay before the insurance carrier will cover any remaining eligible expenses.

What is a copay?

A copay is a set portion of a total bill you are required to pay. This often refers to a physician office visit where the copay is your responsibility.

Learn More

Selected Premium Total

Subtotal: REQUIRES JAVASCRIPT

Payment Information

Premium total includes a 2.5% processing fee.

Visa / Mastercard / Discover Cards Accepted Only

*CID code is the last, 3-digit number printed on the signature strip on the back of your card

Surcharge: REQUIRES JAVASCRIPT

Total Charge: REQUIRES JAVASCRIPT

Your card will not be charged until you click submit.

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