2016-2017 Premium, Payment & Coverage Periods

No premium will be refunded for the time period purchased.

Full Coverage Period

Fall 2016

08/16/16-01/03/17

Spring 2017

01/04/17-08/15/17

Summer 2017

06/01/17-08/15/17
Individaual Coverage: Full Premuim* $797.88 $1,267.55 $430.06
30 Days of Coverage is $169.80
*If not needing the full coverage period, call 520-621-5002 or email chs-insurance@distribution.arizona.edu for prorated premium amount.

Payment of Premium:

Self-Payment:

  • Money Order or Cashier’s Check made payable to UA Campus Health Service
  • Wire Transfer– Once your bank initiates the wire transfer, it can take up to five business days for the UA to receive the funds– Call 520-621-5002 or email chs-insurance@distribution.arizona.edu for wire transfer information

UA Departmental Payment:

UAccess Financials – Submit a Distribution of Income/Expense (DI)

      • Campus Health Service Credit Account 1680001 and Credit Object Code 9190 (Both Credit and Debit need to be entered under the To section)
      • Provide in note field the following information:
        • Status: Post Doc, J1 Visiting Scholar or J1 Student Intern
        • Name of individual
        • Health insurance coverage period
        • Department contact name and phone number
        • Once submitted, provide the UA Campus Health Insurance office with the document number. Call 520-621-5002 or email chs-insurance@distribution.arizona.edu

Payment for Services:

Payment for services rendered at Campus Health Service will be required at the time of service.  A credit card will be requested to secure payment. Campus Health Service accepts cash, check, Visa, Mastercard or American Express.