9:41 p.m.
Thank you!
From: Elizabeth Sandoval <elizabeth.sandoval(a)utsa.edu>
Sent: Thursday, April 2, 2026 1:00 PM
To: rowdy.research(a)lists.it.utsa.edu
Subject: [Rowdy.research] FW: 2026-2027 Annual Rates for UTSHIP
Good afternoon,
Academic Health Plan (AHP) has provided the annual rates for the UT Student Health
Insurance Plan (UTSHIP) for the 2026-2027 Academic year are as follows:
Student $3,707
Spouse $3,707
All Children $5,946
The 7.9% rate increase is a result of a variety of factors, including but not limited to:
1. Specialty medications account for 17% of total plan paid claims and 54% of pharmacy
paid claims with overall pharmacy claims increasing by 35% over prior year. Top specialty
conditions being treated are autoimmune, pulmonary, respiratory, digestive diseases, and
cancer;
2. Overall claims increased by 24%. The leading diagnostic categories being treated are
mental, behavioral and neurodevelopmental disorders, injury, musculoskeletal system, and
cancer;
3. Numerous high-cost claimants incurring claims from $505,000 to $2M;
4. Student enrollment decreased by 17% over the past 2 years;
The rates include the Academic Student Assistance Program
(ASAP)<https://myahpcare.com/wp-content/uploads/Student-Assistance-Prog...
as well as access to $0 out of pocket Virtual
Visits<https://secure-web.cisco.com/12D06QOCH-V7CQbl440naioZjx56lV0wqG...
through Academic Live Care. Also included is the Academic Emergency
Services<https://secure-web.cisco.com/1Fu4Q4Z88JE2u79Oj2uSAoz2ybGrFaUS...
(AES) global emergency package including repatriation, medical evaluation and a $25,000
accidental death benefit.
Plan Design Change for the 2026-2027 Policy Year:
1. New parents covered under the plan will have up to 60 days to enroll their newborn.
2. Rx Lists will change to include the mandatory use of biosimilars for certain brand
name drugs. The first two drugs affected will be Stelara and Humira. The name brand drugs
will no longer be covered starting 5/1/26.
3. GLP-1 drugs are currently only covered for diabetic students meeting certain
requirements. Starting on 5/1/26, GLP-1 drugs for those who have a qualified diagnosis
will be filled for a 30-day supply only.
4. Several Outpatient lab services will no longer be covered without medical necessity.
Please reach out to Sarah Pekar (spekar@utsystem.edu<mailto:spekar@utsystem.edu>)
should you have specific questions about this.
These rates will be for the full-time fully funded (FFDR) doctoral students for 2026-2027
academic year.
Kind Regards,
Ginger Hernandez, M. Ed.
Assistant Vice Provost for Graduate Fiscal and Business Operations
The University of Texas at San Antonio
The Graduate School
Tel: (210)456-6878