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Specialist visits

A referral from Medical Services is required before obtaining off-campus medical care. Please contact Health and Wellness Services at 303-492-5107 before scheduling an appointment off site. Mental health visits do not require a referral. This plan also includes international coverage.

In-network providers

• $20 copay per mental health visit*
• $40 copay per other health visit*
• $500 deductible per policy year
• Coinsurance applies once the deductible is met; patient pays 20% up to a $5,000 out-of-pocket maximum per policy year

*Copays do not apply to the deductible

Out-of-network providers

• $1,000 deductible per policy year
• Coinsurance applies once the deductible is met; patient pays 50% up to a $10,000 out-of-pocket maximum per policy year

• $75 copay per urgent care visit
  • Coinsurance will apply
• $150 copay per emergency room visit
  • Deductible and coinsurance will apply
• $200 copay per hospitalization admission
  • Deductible and coinsurance will apply

Vision

Annual eye exam

Gold SHIP students are entitled to one routine eye exam per policy year at no additional cost through . This includes visual fields testing, glaucoma screening, refraction and a dilated exam if needed.Ìý

Contact lens fittings and medical eye care services are available at an additional fee to the patient. Eyeglass frame and lenses are offered at a discount to students with the Gold SHIP.Ìý

College Optical: 303-444-3092  |  

Aetna Vision Discount Program

Gold SHIP students are enrolled in the Aetna Vision Discount Program which provides discounts on glasses, contacts and LASIK with participating providers.Ìý

Dental

Annual dental exam, cleaning and X-ray

Gold SHIP students are entitled to one dental exam, cleaning* and x-ray per policy year at no additional cost through PERFECT TEETHâ„¢.Ìý

PERFECT TEETHâ„¢ Locations:

*Cleaning will be done in the absence of periodontal disease.

PERFECT TEETHâ„¢ discount plan

Gold SHIP students are entitled to receive additional dental services at the same discounted rates available through the PERFECT TEETH Dental Plan. These expenses are the patient’s responsibility.Ìý 

For more information visit the 

Accidental injury to sound natural teeth and removal of impacted wisdom teeth 

Limited benefits for these services are covered by the Gold SHIP. Please provide your insurance card to the dental provider for billing purposes.

Contact Student Health Insurance and Referrals at 303-492-5107 for questions relating to benefit limits and patient financial responsibility.

• $25 copay for generic prescriptions
• $45 copay for formulary prescriptions
• $75 copay for non-formulary prescriptions

Certain medication can be dispensed in a 90-day supply through the pharmacy at Wardenburg Health Center.Ìý Please be aware that a 90-day supply is not allowed at outside pharmacies without an over-ride.

Mail order information and instructions:

Save time and skip the line with the Aetna Rx Home Delivery pharmacy. Gold SHIP members can request their prescriptions to be mailed. Make a request online or print and send in an order form.Ìý

If you have been using the specialty pharmacy to fill your prescriptions, this service will change.Ìý Please contact Ameriben directly at 855-480-4161 for instructions on how to obtain these specialty medications.

The CU Gold SHIP includes:

• Hormone therapy available through Dr. Ann Mattson located in the Sexual and Reproductive Health Clinic. This benefit is also available through in-network providers outside of Wardenburg, for which a referral may be necessary.Ìý
• Mental health counseling and pre-approval letters available through Counseling and Psychiatric Services. This benefit is also available through in-network providers outside of Wardenburg, for which a referral may be necessary.
• Gender Confirmation Surgery Benefit Information. For an explanation of this benefit, contact Student Health Insurance and Referrals.Ìý
• Gender Confirmation Procedural Benefit Codes.ÌýFor an explanation of this benefit, contact Student Health Insurance and Referrals.Ìý

Gender Confirmation Surgery and Related Therapy Eligible Expenses include:

1. mental health counseling;
2. hormone replacement therapy;
3. sexual reassignment surgery:
   1. for female to male: mastectomy, hysterectomy, salpingo-oophorectomy, vaginectomy, metoidioplasty, scrotoplasty, urethroplasty, placement of testicular prosthesis, phalloplasty; or
   2. male to female: orchiectomy, penectomy, vaginoplasty, clitoroplasty, labiaplasty, breast augmentation.

Students who would like to learn more about accessing their gender confirmation benefits can contact our Ameriben representative, Jennifer Barr, at 1-208-947-9519 or jbarr@ameriben.com.Ìý

The Student Health Insurance and Referrals department is also available to answer questions at 303-492-5107.

For more information, see transgender and gender affirming care at Medical Services.