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PSU Student Health Insurance Plan

PSU Insurance Overview

PSU requires all students taking 5 or more in-load, non-Restricted Differential Tuition credits (1 credit for international students) to have comprehensive medical insurance coverage. Listed below are important links to help address the health insurance policy, waiver process, and to help answer any questions.

If a student taking 5 credit hours or more does not waive the PSU Student Health Insurance Plan, the student will automatically be enrolled in the plan and charged $875 to their student account. 

Health Insurance Plan Benefits, Costs & Important Dates

If you have questions please contact the Insurance Team at 503.725.2495 or

2017 - 2018 PacificSource: Domestic Student Insurance Plan Highlight

2017-2018 PacificSource Benefit Highlights

  • Unlimited medical maximum
  • No pre-existing condition limitations
  • $300 in-network annual deductible
  • PacificSource Provider Network
  • $5,000 out of pocket max for In-Network/$10,000 out of pocket max for Out-of-Network
  • Emergency Room Copay $250
  • Hospital and Surgery coverage
  • Outpatient Physician benefits paid at 100% if In-Network with $25 copay
  • Outpatient Counseling visits paid at 100% if In-Network with $25 copay
  • 80% In-Network/50% Out-of-Network Coverage for most other services (may a have separate copay)
  • Diagnostic X-ray/Lab/MRI coverage
  • Physical Therapy and Chiropractic coverage
  • Prescription coverage (includes birth control)
  • Maternity expense
  • No referrals required to see a specialist
  • 80% coverage for Impacted Wisdom Teeth Removal

Dates of Coverage

  • Fall 9/20/17-1/7/18  WAIVER DEADLINE 10/8/17
  • Winter 1/8/18 - 4/1/18  WAIVER DEADLINE 1/21/18
  • Spring & Summer 4/2/18 - 9/19/18 WAIVER DEADLINE 4/15/18
  • Summer Only 6/25/18 - 9/19/18   WAIVER DEADLINE 7/8/18

2017 - 2018 Insurance Cost Per Term

The student health insurance plan for the 2017-2018 academic year is:
  • Fall Term $875
  • Winter Term $875
  • Spring/Summer $875
  • Summer Only $631
Additional Information 

Please note: This is a specifc FERPA Release Form that pertains only to the PSU Student Health Insurance Plan and does not include the release of other FERPA protected information or Protected Health Information (PHI). If you would like members of the SHAC Insurance Team to discuss the PSU Student Health Insurance Requirement or waiver process as it specifically pertains to you, a signed copy of this form is required. For more information about FERPA or the general PSU FERPA Release Form, click here.

    For more information on the PSU Student Health Insurance Plan, questions, or waiver information students can contact the PSU Student Insurance Coordinator.