Is emergency care covered?
Student Blue℠ provides benefits for the treatment of an emergency. If you go to an emergency room (ER) for treatment of an emergency, your benefits will be the same regardless if you use an in-network or out-of-network provider. Please see your plan’s Summary of Benefits for ER benefits.
If you're admitted to the hospital from the emergency room or held for observation, your initial hospital admission is eligible for in-network benefits and any applicable ER copayment will be waived.
If you're held for observation, outpatient benefits will apply and any applicable ER copayment will be waived.
Once you're admitted as a hospital inpatient, your benefits will be paid like any other inpatient facility or professional charges. However, you may need to transfer to a participating hospital once your condition has been stabilized to continue receiving in-network benefits.