Welcome
New York University Washington Square
Discover your benefits
- Patient Protections Against Surprise Billing (PDF:207KB)
- Log in to access my ID card, view claims, and more
- Log in to my pharmacy benefits account
- View my 2024-25 benefits at a glance (PDF:2MB)
- View my 2024-25 Basic summary of benefits and coverage (PDF:717KB)
- View my 2024-25 Comp summary of benefits and coverage (PDF:738KB)
- View my 2024-25 Basic certificate of coverage (PDF:717KB)
- View my 2024-25 Comp certificate of coverage (PDF:2MB)
- View my 2023-24 benefits at a glance (PDF:1MB)
- Travel Expenses Benefit Rider (PDF:106KB)
- Carrier Name Change Endorsement (PDF:106KB)
Forms and Resources expand_less
- Early Arrival Law Basic Dependent Enrollment Form (PDF:313KB)
- Early Arrival Law Comp Dependent Enrollment Form (PDF:313KB)
- Early Arrival Dental Basic Dependent Enrollment Form (PDF:311KB)
- Early Arrival Dental Comp Dependent Enrollment Form (PDF:313KB)
- Basic Dependent Enrollment Form (PDF:260KB)
- Comp Dependent Enrollment Form (PDF:336KB)
- UAW CompQ Dependent Enrollment (PDF:335KB)
- Domestic Partner Affidavit (PDF:189KB)
- How do I find an in-network provider? (PDF:558KB)
- How do I find an in-network behavioral health provider? (PDF:432KB)
- How to access your account (PDF:230KB)
- How do I submit a claim? (PDF:66KB)
- Pharmacy Reimbursement (PDF:145KB)
- Additional Forms & Resources
- Colorectal Cancer Screenings (PDF:74KB)
- Guide on Gender-Affirming Services for Transgender and Non-Binary Members
- NY Standard Form to Designate a Representative
- Travel Override FAQ (PDF:204KB)
- Coronavirus updates
- Student Waiver Form (PDF: 248KB) Please submit this form to NYU Health Insurance Office via email at health.insurance@nyu.edu
- Student Health 101 Educational Resources