Insurance

WELCOME TO THE UNIVERSITY OF CALIFORNIA, IRVINE STUDENT HEALTH INSURANCE PLAN

The University of California requires all students to have major medical health insurance as a non-academic condition of enrollment. All full and part-time undergraduate and graduate students with a USHIP/GSHIP fee assessed are automatically enrolled in, and charged for, the Student Health Insurance Plan (SHIP). Students who demonstrate comparable health insurance coverage may submit an online request to waive out of SHIP.

A separate waiver schedule and a separate online waiver website has been established for Returning Summer Medical Students ("Summer Med") and incoming "Prime LC" medical students. Please refer to the section entitled "Waiving Student Health Insurance Plan (SHIP)" below.

Note: Once granted, the waiver is in effect for the current term and the remainder of the academic year. A new waiver request must be submitted at the beginning of each academic year..

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Contents:

Insurance Plan
- For Undergraduates
- For Graduates

- UC SHIP & Healthcare Reform
- How to use SHIP

- Cost of SHIP

- Coverage Period

- SHIP Enrollment

 

For Graduates
- Voluntary Enrollment for Graduates
- HEMBA/FEMBA

- MPAC

- First Summer GSHIP

- Filing Fee
- Leave of Absence

-Continuation(Graduated)

- Dependent Enrollment

- After Graduation

Waiving SHIP
- On-line Waiver Info
- Waiver FAQ

Avoid the Bills

Unless it is for a Medical Emergency Care, you always need to obtain a referral issued by a Student Health Center Provider prior to seeking  outside services or your claim will be denied.

 

 

Student Health Insurance Office Contact Information:

Phone: (949) 824-2388
Fax: (949) 824-5062

E-mail:shc-insurance@uci.edu

Address:
UC Irvine Student Health Center

Insurance Office
501 Student Health
Irvine, CA 92697-5200

 Regular Office Hours
Monday-Friday: 8:00 am – 5:00pm

 

Go Mobile! Register for the New Student Health Mobile App Now!

 

Winter Quarter 2016-2017 SHIP Waiver Period opens on November 7, 2016. The last day to waive out of SHIP for Winter Quarter 2016-2017 is December 9, 2016.


Check-Out/Cashiering Procedure Has Changed!

 

Student Health Insurance Plan

 

As voted in by students and passed by the UC Regents, the University requires all students to have major medical insurance, and provides the UC Student Health Insurance Plan (UC SHIP) to meet this requirement. UC SHIP offers a comprehensive package of medical, behavioral health, dental, vision and pharmacy benefits that is convenient, affordable and covers the student for 12 months anywhere in the world. Students are automatically enrolled in the plan through their campus billing account ("ZOT" account). Students can choose to keep UC SHIP, or waive enrollment if they have coverage that meets the benefit standards established by the University.

 

UC Systemwide Guidelines for Reciprocity of Care at Student Health Centers

 

Undergraduate Student Health Insurance Plan (USHIP)

 

For the 2016-2017 academic year: The Undergraduate SHIP (fully-insured) medical/behavioral health plan for 2016-2017 will switch from Nationwide/First Health Network to Anthem effective 9-19-2016. The dental plan carrier/network (Delta Dental) and the vision plan carrier/network (Anthem Blue View Vision) will remain the same.

 

Please note that students covered under USHIP must first obtain a referral authorization from a Student Health Center primary care provider BEFORE seeking treatment from a non-SHC specialist. If a referral authorization is not obtained in advance, the claim(s) will not be payable and the student will be responsible for all charges. Exceptions to the referral requirement can be found in the "How to use SHIP" section and on the Plan Summary of Benefits below.

 

"Transition of Care" ("TOC")

 

The USHIP plan is changing its PPO network from First Health Network to Anthem Prudent Buyer Network for the 2016-17 plan year that becomes effective on 9-19-2016. Students who are currently undergoing treatment may be affected by the plan's transition to a new network. At the time of the switch to Anthem on 9-19-2016, if the student is receiving medical care or treatment from a provider who is considered "in-network" under the First Health Network PPO, then it is possible that the student may find that their provider is no longer considered "in-network" under the Anthem Prudent Buyer PPO Network. The services rendered by an out-of-network provider are subject to benefits payable at the "non-network" level resulting in higher out-of-pocket expenses for the student. If the treatment is ongoing, then it may not be within the control of the student to change providers during this transition. Anthem follows internal guidelines granting the student authorization to continue the course of treatment with the same provider thereby allowing services to be paid at the "in-network" coinsurance level, subject to reasonable and customary limits (if applicable), for a duration specified by Anthem. For Anthem to approve continuing care payable at the in-network level, the student must request approval in writing. Anthem's "TOC" approval guidelines, FAQ's and "Transition of Care Request" form will be posted on this website as soon as they are available and prior to the start of the Fall Quarter.

 

 

USHIP 2016-2017 Plan Benefits


PPO Networks available for USHIP in 2016-17 (Undergraduates):

Medical Anthem Prudent Buyer Network
Vision Anthem Blue Cross "Blue View Vision"
Dental Delta Dental
Pharmacy Anthem Blue Cross Pharmacy Services

Medical Benefits

Summary of Benefits

Plan Snapshot

 

The medical and behavioral health benefits of the plan are provided through Anthem Blue Cross. For questions regarding benefits, eligibility, claims status or to locate a network provider, contact:

(Anthem's customer service # below is dedicated to the 2016-17 UCI USHIP plan and will not be activated until 9-18-2016)

 

Anthem Blue Cross www.anthem.com/ca

(844) 437-0493

Claims Submission:

PO Box 60007

Los Angeles, CA 90067-0007

 

Insurance ID Card

Download your insurance ID using Anthem's mobile app or visit www.anthem.com/ca. Please note, a physical ID card will not be mailed to you. From your mobile device or tablet go to the App Store or Google Play and search for the StudentHealth app. Instructions for registering on the student health mobile app are available on this website at Mobile Health App Instructions or at www.anthem.com/ca.

 

Pre-Certification for Hospitalization

Pre-certification is required for all inpatient hospitalizations. Prior to a scheduled hospital admission or following an emergency admission, please call (800) 274-7767.

 

Vision Benefits (Plan Booklet) (Plan "Snapshot")

Your Vision benefits are provided through Anthem Blue Cross Blue View Vision. Vision care is not available at SHC. However, vision care is available on the UCI Health Sciences campus at the Gavin Herbert Eye Institute and, in addition, there are many other vision care providers available in the community. Find a provider.

 

Customer Service: (866) 940-8306

UC SHIP Website

 

Dental Benefits (Plan Booklet) (Plan "Snapshot")

Delta Dental is the dental insurance preferred provider network for UC SHIP students. The Student Health Center Dental Clinic and its dentists are in the Delta Dental PPO network and it is conveniently located on campus in SHC II across from the main SHC (building 6 on the campus map). UC SHIP members can also select from a wide choice of local dentists, listed on the Delta Dental website.

 

Customer Service: (800) 765-6003

UC SHIP Website

 

Pharmacy Benefits

To locate a network pharmacy other than the SHC Pharmacy and/or to manage your medications (including refills and home delivery):

 

Anthem Pharmacy Services

Customer Service: (800) 700-2541

www.anthem.com/ca

 

After-Hours Nurse Advice Line

If quick, sound medical advice is necessary when the Student Health Center is closed, simply call Anthem's 24/7 Nurseline.

 

(800) 977-0027

 

Travel Assistance Services

When you are traveling away from home and you need assistance with transfer of medical records, legal referrals, transfer of funds, information on travel conditions and other matters, you may contact:

 

Blue Card World Wide (800) 810-2583 (BLUE)

 

Dependents of Undergraduates

Covered undergraduate students may also enroll their eligible Dependents. For more information on the Dependent plan including enrollment, please contact Wells Fargo Insurance Services customer service at (800) 853-5899. Please note that dependent enrollment in the 2016-17 USHIP plan will not be available until mid-to-late August, 2016 at the earliest. This website will be updated as more current information regarding dependent enrollment becomes available.

 

 

 

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Graduate Student Health Insurance Plan (GSHIP)

 

UC SHIP Granted MEC Certification

 

 

University of California Student Health Insurance Plan (UC SHIP) is the University sponsored health insurance program for graduate students. Eligible students are automatically enrolled in UC SHIP, and the premium for this insurance is assessed each term on the graduate student's registration fee statement. You may request to waive out of this plan if you can demonstrate comparable and verifiable health coverage that meets the campus' minimum standards for insurance.

 

UC SHIP is a comprehensive health plan that provides medical, mental health, pharmacy, vision and dental coverage. It features year-round, world-wide coverage using the Anthem Blue Cross PPO network. UC SHIP provides optimal coverage for services on campus and in the UC Irvine community and peace of mind for both parents and students.

 

For UC SHIP members, the Student Health Center (SHC) is their primary care provider. Primary care providers and specialists at the Student Health Center will administer treatment and/or, if necessary, they will generate a referral for the student to receive additional services in the community or be seen by a specialist in the community if those services are not offered at SHC. Please note that, under the terms of the UC SHIP plan, students must first obtain a referral authorization from a Student Health Center primary care provider BEFORE seeking treatment from a non-SHC provider in the community. If a referral authorization is not obtained in advance, then the claim will be denied. Exceptions to the referral requirement are listed below in the section entitled "How To Use SHIP".

 

GSHIP 2016-2017 Plan Benefits

The University of California Student Health Insurance Plan (UC SHIP) includes the following:


Summary of PPO Networks available for GSHIP (Graduates):

Medical Anthem Blue Cross Prudent Buyer
Vision Anthem Blue Cross “Blue View Vision”
Dental Delta Dental
Pharmacy OptumRx

Medical Benefits (Summary of Benefits) (Plan Booklet) (Plan "Snapshot")

The medical and mental health benefits of the plan are provided through Anthem Blue Cross. For more information please visit the UC SHIP Website.

 

Customer Service: (866) 940-8306

New Anthem Live Chat option for GSHIP members

 

Vision Benefits (Plan Booklet) (Plan "Snapshot")

Your Vision benefits are provided through Anthem Blue Cross Blue View Vision. Vision care is not available at SHC. However, vision care is available on the UCI Health Sciences campus at the Gavin Herbert Eye Institute and, in addition, there are many other vision care providers available in the community. Find a provider.

 

Customer Service: (866) 940-8306

UC SHIP Website

 

Dental Benefits (Plan Booklet) (Plan "Snapshot")

Delta Dental is the dental insurance preferred provider network for UC SHIP students. The Student Health Center Dental Clinic and its dentists are in the Delta Dental PPO network and it is conveniently located on campus in SHC II across from the main SHC (building 6 on the campus map). UC SHIP members can also select from a wide choice of local dentists, listed on the Delta Dental website.

 

Customer Service: (800) 765-6003

UC SHIP Website

 

Pharmacy Benefits (Plan Booklet)

Welcome to OPTUMRx - your new Pharmacy Benefits Manager

Customer Service: (844) 265-1879

 

GSHIP UC Family Provider Directory (PDF)

 

Anthem Blue Cross After-Hours Nurse Advice Line

(877) 351-3457

The Advice Line is a great source of reliable and caring health information, education and support if quick, sound medical advice is necessary when the UCI Student Health Center is closed.

 

GSHIP UC Family Provider Directory (PDF)

 

Anthem Blue Cross After-Hours Nurse Advice Line

(877) 351-3457

 

UC SHIP & Healthcare Reform

 

  • How Does UC SHIP Compare to Covered CA Health Plans? (PDF)
  • Five things you need to know about the Affordable Care Act and UC SHIP (PDF)
  • What does the Affordable Care Act (ACA) mean for me and my family? (PDF)
  • Glossary of ACA and Insurance Terms (PDF)

SHIP Coverage Periods for Academic Years 2015-2016 through 2018-2019

 

 

 

 

 

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How to use SHIP

(The information presented in this section applies to the 2016-17 SHIP plans and related benefits.)

Here are the basics to get you started:

When you need health care:

With SHIP, all care must begin at Student Health Center (SHC). When you need medical care, there are three ways to make an appointment:

  • By telephone at (949) 824-5304
  • In person at the SHC Front Office
  • Online at Student Health Portal (coming soon!)

There are no claims to file for SHC visits.

Referrals from SHC clinicians

If necessary, your SHC physician will provide you with a referral for specialty care treatment, special imaging modalities or other services that are not offered at the SHC. You must have outside appointments pre-authorized by the SHC Insurance Office. Off-campus care (care outside of UCI SHC) is coordinated by SHC clinicians, and the Insurance Office staff will provide referral authorizations for covered services to ensure that your claims are paid and handled accurately.

The Insurance Services Department at SHC will assist you in selecting outside providers who are contracted with the GSHIP or USHIP carrier (i.e., "in-network"). For 2016-17, both GSHIP and USHIP will utilize the Anthem Blue Cross Prudent Buyer PPO Network. Anthem offers an extensive network of hospitals and providers to provide medical and mental health services. If providers or facilities are used that are not part of the Anthem Blue Cross Prudent Buyer Preferred Provider Network, then your claims will be paid at the "out-of-network" amount and your out-of-pocket costs will be greater. To find an Anthem Blue Cross Prudent Buyer preferred provider, you can visit Anthem’s website https://www.anthem.com/ca/ or call their customer service number at:

  • (844) 437-0493 (USHIP – Undergraduate Student Plan)
  • (866) 940-8306 (GSHIP – Graduate Student Plan)

or use your Student Health Mobile App to access Anthem’s website, your health insurance ID card, SHC and other Wellness, Health and Counseling Services websites and other useful health related information.
Student Health Mobile App

Emergency care

No referral/authorization from the Student Health Center Insurance Office is required for visits to a hospital emergency department or to any urgent care center. Please provide the facility with your insurance card. Students must return to the SHC for all follow-up treatment.

Pre-existing conditions

SHIP does not exclude pre-existing conditions nor is there a waiting period for coverage for pre-existing conditions.

Authorization for Services

All non-emergency services provided outside of SHC must receive a "referral authorization" from SHC or your claim will be denied.

Services outside SHC that do not require a referral authorization include:

GSHIP (Graduate Student Plan):

  • Services provided in a hospital emergency department or urgent care center for treatment of a sudden, serious or acute injury, illness or condition. (The student must return to the SHC for necessary follow-up care);
  • Prescriptions filled outside of SHC;
  • Dental services;
  • Optometric (vision) services;

USHIP (Undergraduate Student Plan):

  • Services provided in a hospital emergency department or urgent care center for treatment of a sudden, serious or acute injury, illness or condition. (The student must return to the SHC for necessary follow-up care);
  • When the SHC is closed;
  • When service is rendered at another facility during break or vacation periods;
  • Medical care received when the student is more than 50 miles from campus;
  • Medical care received when a student is no longer able to use the SHC due to a change in student status;
  • Pharmacy services;
  • Obstetrical or gynecological care;
  • Treatment of Mental Conditions;
  • Dental services; or
  • Optometric (Vision) services
Billing for services at SHC

For students covered by SHIP:

SHC will file a claim with Anthem Blue Cross for the services that you received at SHC. Once payment is received from Anthem (typically 3-4 weeks following the date of service), the portion for which you are responsible (e.g., co-pay or coinsurance) will be transferred to your campus billing account.

For students with health insurance other than SHIP:

SHC does not bill any health insurance plan other than SHIP. SHC will transfer the charges for any services that you received and for which you are responsible to your campus billing account. You may submit a claim to your insurance carrier to seek reimbursement of these expenses and include an itemized statement of charges from SHC which you can view/print via the Student Health Portal.

Billing for services outside SHC

When students receive care outside of Student Health Center, the health care provider may require the co-payment and/or coinsurance at the time of service, or they may send you a bill after the insurance company has paid the covered amount. Most providers will submit bills directly to the insurance company. If a student receives a bill for the full cost of services, the student should contact Anthem Blue Cross for assistance.

For questions about claims or the Explanation of Benefits:

  • Graduate students: 866-940-8306
  • Undergraduate students: 844-437-0493

For out of state claims: When you are outside of California and receive health care services, you should request that your provider bill the local Blue Cross - Blue Shield company in that state to ensure that your services are covered according to your UC SHIP benefits.

For out of country claims: Be sure to obtain a bill that contains all of the information listed below. You can print and use an "international claim form" from Anthem BlueCard Worldwide. To ensure proper payment or reimbursement of your claim, make sure that you receive an itemized bill from the provider. An itemized bill includes:

  • Provider's name, address, and tax identification number. Individual providers must also include their professional license number.
  • Patient's name, address, date of birth, and your insurance number.
  • Dates of service.
  • Procedure codes for service rendered.
  • Charges for each service.
  • Date of injury and description of how the injury occurred, if the claim is for treatment of an injury. This is especially important on claims for dental injury.

If any of this information is not included on a claim, the insurance payment may be delayed or denied. Most providers are aware of what is required for processing an insurance claim and will be happy to exchange an incomplete bill with one containing all of the required information.

Deductibles

Undergraduate Students:
There is a $200 in-network plan year deductible ($600/family) and a $300 out-of-network plan year deductible ($900/family) for most services provided outside SHC. PPO and non-PPO charges cross-apply. Once the deductible has been satisfied, SHIP benefits begin. Amounts over the "limited fee schedule" as determined by SHIP do not accumulate toward the deductible. If services are received at SHC, then the deductible is waived.

Graduate Students:
There is a $300/person ($600/family) in-network plan year deductible for most services provided outside SHC. SHIP members are responsible for the first $300 of charges each plan year. Once the deductible has been satisfied, SHIP benefits begin. Amounts over the "limited fee schedule" as determined by SHIP do not accumulate toward the deductible. If services are received at SHC, a UC Medical Center, or other “UC Family” provider, then the deductible is waived. The out-of-network deductible is $500.00/person or $1,000.00/family.

Dual coverage

Services provided at SHC will be billed exclusively to Anthem Blue Cross regardless of whether you have dual coverage through another plan in addition to SHIP. For services provided outside of SHC, SHIP is secondary to all other insurance plans, (except Medi-Cal, TriCare, and MRMIP) meaning the other plan must pay for services first. In this case, SHIP will cover any charges, within the plan's benefit limits, not covered by your other plan. In order to coordinate coverage and payment, Anthem Blue Cross may ask you for information about your other plan.

Annual out-of-pocket maximum

Undergraduate Students:
Students are responsible for no more than $1,600 of out-of-pocket in-network expenses each plan year ($12,700/family). The maximum out-of-pocket expenses for out-of-network is $6,000 each plan year ($18,000/family). In-network and out-of-network maximums cross-apply.

Graduate Students:
Students are responsible for no more than $3,000 of out-of-pocket in-network expenses each plan year ($6,000/family). If you have paid $3,000 in co-insurance (excluding deductible and copayments), you will no longer be required to pay co-insurance for the remainder of the plan year, but you remain responsible for co-payments and costs in excess of covered expenses. The out-of-pocket maximum for out-of-network expenses is $6,000/person ($12,000/family). The out-of-pocket maximum expense is limited to $2,000.00/person ($4,000/family) if the student utilizes a UC Family provider or facility (e.g., UC Medical Center; SHC).

Lifetime maximum

UC SHIP plans (both GSHIP and USHIP) have no lifetime maximum.

Managing your plan

Updated address: It is very important that you keep your address updated with the Office of the Registrar as this is the same address that SHIP utilizes. When you move or go away for the summer, please remember to update your address with the Office of the Registrar at http://www.reg.uci.edu/request/changeaddress.html.

 

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Cost of SHIP

 

SHIP Fees for 2016-2017 Academic Year

Includes: Medical, Behavioral Health, Pharmacy, Vision, Dental

and SHIP Administration Fees


Per Term

Annual

Undergraduates

$1,675.00

Fall

$559.00

Winter

$558.00

Spring/Summer

$558.00

Graduates  

$3,921.00

Fall

$1,307.00

Winter

$1,307.00

Summer   $1,307.00    
         
Medical - First Year, Returning        
Returning       $4,426.001
Fall   $1,812.00    
Winter   $1,307.00    
Spring/Summer   $1,307.00    
         
Medical - Continuing       $3,921.00
Fall  

$1,307.00

   
Winter  

$1,307.00

   
Spring/Summer   $1,307.00    
         
Law - First Year, Transfer, Returning       $4,276.002
Fall   $2,316.00    
Spring/Summer   $1,960.00    
         
Law - Continuing       $3,921.00
Fall   $1,961.00    
Spring/Summer   $1,960.00    

 

 

1First year Medical students (matriculating prior to September 2016), and any returning medical students not enrolled in the previous Spring quarter pay a prorated GSHIP premium of $505.00 in addition to the Fall premium of $1,307.00.

Additionally, medical students returning from a leave of absence (LOA) and who will be re-enrolling in May 2017 will pay a prorated 2016-17 GSHIP premium that will be determined once the actual program start and end dates are announced by the School of Medicine. First-year PRIME LC students who will be enrolling in June 2017 will also pay a prorated 2016-17 GSHIP premium that will be determined once the program start and end dates are announced by the School of Medicine.


2First year and transfer Law students (matriculating prior to September 2016), and any returning law students not enrolled in the previous Spring quarter pay a prorated GSHIP premium of $355.00 in addition to the Fall premium of $1,961.00.

 

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SHIP Enrollment

 

Who May Enroll

 

Students are automatically enrolled in the Student Health Insurance Plan (SHIP), if charged a health insurance fee on their registration bill.

 

 

Eligibility for SHIP includes:

  • All registered undergraduate and graduate students of the Irvine campus at the University of California, including registered international students that are assessed the USHIP/GSHIP fee.
  • All graduate students who are registered-in-absentia.

 

How to Enroll

 

Eligible registered students are automatically enrolled in SHIP. The health insurance fee is billed as part of students' registration fees. Note: Students can request to waive enrollment with proof of comparable insurance and receive a refund for the SHIP fee. Waivers must be filed by the deadline dates shown in the section entitled “Waiving Student Health Insurance Plan (SHIP)”.

 

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Voluntary Enrollment for Undergraduate Students

 

Voluntary enrollment in USHIP for undergraduate students is managed by Wells Fargo Insurance Services (WFIS) for the medical, dental and vision plans. The cost of insurance premiums for voluntary coverage is paid directly to WFIS. For continuation coverage following graduation, please refer to the section entitled "Health Insurance After Graduation".

 

To enroll in the Medical, Dental and Vision Plans:

Voluntary Enrollment for Graduate Students

 

Voluntary enrollment for Graduate Students in UC SHIP is managed by Wells Fargo Insurance Services (on behalf of Anthem Blue Cross). In addition, the cost of insurance premiums for voluntary enrollment is paid directly to Wells Fargo Insurance Services.

 

The following groups may purchase plan coverage through Wells Fargo Insurance Services at 800-853-5899.

 

EMBA | HCEMBA | FEMBA (PDF)

MPAC (PDF)

First Summer GSHIP (PDF)

 

Approved Filing Fee Status

 

  • All non-registered students on approved “Filing Fee Status” who are completing work under the auspices of the University of California, but are not attending classes. Filing Fee students are allowed to purchase UC SHIP for a maximum of one semester/quarter. The student must have been covered by the plan in the term immediately preceding the term the student wants to purchase, or, if the student waived enrollment in the prior coverage period, show proof of the plan used to waive. (PDF)

 

Approved Leave of Absence

  • All non-registered students on approved “Leave of Absence”. These students are allowed to purchase UC SHIP for a maximum of one semester or two quarters. The student must have been covered by the plan in the term immediately preceding the term the student wants to purchase, or, if the student waived enrollment in the prior coverage period, show proof of the plan used to waive. (PDF)

 

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Dependent Enrollment

 

Coverage of eligible dependents will not be effective prior to that of the insured student or extended beyond that of the insured student. Dependent enrollment or re-enrollment in the plan is not automatic. Eligible dependents must be re-enrolled in each subsequent term in order to continue coverage under the dependent plan. If a student decides to disenroll their dependent(s) during an academic term, then the premiums are non-refundable..

 

Graduate Students

 

All graduate students who are enrolled in UC SHIP have the option to enroll eligible dependents in a voluntary plan. The plan provides medical insurance and the option to add dental and vision benefits. NOTE: If both student parents are covered by SHIP, their children may be covered as the dependents of either student, but not both.

 

Enrollment in the dependent plan is managed by Wells Fargo Insurance Services (on behalf of Anthem Blue Cross) and the cost of the dependent premiums is payable directly to Wells Fargo. For dependent plan enrollment questions, please call Wells Fargo Insurance Services customer services at 800-853-5899.

 

Links to Dependent Plan Benefits: Coming Soon

 

Documentation

 

Students are required to provide proof of dependent status when enrolling their dependents in the plan. The following documents are acceptable:

  • Spouse - marriage certificate
  • Same-Sex Domestic Partner - a Declaration of Domestic partnership issued by the State of California, or of same-sex legal union other than marriage formed in another jurisdiction, or a completed declaration of Domestic Partnership Form issued by the University
  • Natural Child - a birth certificate showing the student is the parent of the child
  • Stepchild - a birth certificate and a marriage certificate showing that one of the parents listed in the birth certificate is married to the student
  • Adopted or Foster Child - documentation from the placement agency showing that the student has the legal right to control the child's health care

 

Enrollment Forms

 

 

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Health Insurance After Graduation (Graduate and Undergraduate)

 

If you are a SHIP member who will be graduating this term, you may purchase "continuation coverage" once your SHIP coverage expires:

 

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Waiving Student Health Insurance Plan (SHIP)

All eligible graduate and undergraduate students at UC Irvine are automatically enrolled in SHIP and charged a health insurance fee as part of registration at UC Irvine. If you are currently covered by major medical health insurance that is comparable to SHIP, you may request to waive out of the plan.


To waive out of the UC Irvine sponsored health insurance plan for 2016-2017, you must submit a request on-line during the open waiver period as shown in the pdf document below entitled "SHIP Waiver Schedules". If approved, the waiver is in effect for the current term and the remainder of the academic year. A new waiver request must be submitted at the beginning of each academic year.

 

The waiver process is managed by Wells Fargo Insurance Services on behalf of UCI. There are four separate online waiver websites depending upon the group to which you belong as noted below. Please note that the Wells Fargo waiver sites are, on occasion, unavailable for several hours due to routine system maintenance. During these periods, the waiver sites will display a "Site in Maintenance" message.


  1. Wells Fargo Online Waiver (for 1st year, transfer and continuing students) INACTIVE. This site will return to “active” status effective at 12:01 AM on 11-7-2016 as that is the start of the Winter Quarter waiver period.

  2. Wells Fargo Online Waiver (for Returning Summer Medical Students and Summer Prime-LC Medical Students) INACTIVE

  3. Wells Fargo Online Waiver (for 1st year "early start" medical students - August start date) INACTIVE

  4. Wells Fargo Online Waiver (for 1st year "early start" law students - August start date) INACTIVE

 

Important Notice to UC Irvine undergraduate students studying abroad through the Education Abroad Program (EAP):

 

Effective with the 2015-2016 academic year, EAP students must maintain their domestic health insurance coverage in order to be compliant with the Minimum Essential Coverage (MEC) requirements mandated by the Affordable Care Act. The travel insurance policy administered through EAP does not qualify as an MEC-compliant plan. Therefore, EAP students, as with all registered students, will be automatically enrolled in SHIP and are responsible for paying the SHIP insurance premium to UCI by the UCI Fee Payment Deadline for each quarter unless they waive out of SHIP successfully by the waiver application deadline. EAP students, as with all registered students, will not be able to waive out of SHIP successfully unless they are covered under another domestic MEC-compliant health insurance plan that also meets the SHIP waiver criteria. Students should contact their EAP Advisor at 949-824-6343 for questions specific to EAP or SHC's Insurance Services Department at 949-824-2388 for questions pertaining to SHIP coverage, benefits and/or the waiver application process.

 

SHIP Waiver Schedules for Academic Years 2015-2016 through 2018-2019

 

 

On-Line Waiver Information for Undergraduate and Graduate Students

Please follow the link below to view the 2016-2017 SHIP waiver criteria. To satisfy UC's health insurance requirement for enrolled students, the plan under which the student is covered must meet all of these criteria.


SHIP Waiver Criteria for 2016-2017


1.) For all students, all plans must provide unrestricted access to an in-network hospital or doctor providing full, non-emergency medical and behavioral health care within 50 miles of the UC Irvine campus or the student’s place of residence while attending school. NOTE: this criterion applies to all plan types, including Covered California plans.

 

2.) Travel plans are not allowed to be used to waive participation in SHIP.

 

If you have any questions regarding the SHIP Waiver criteria, please call or email the SHC Insurance Office at 949-824-2388; shc-insurance@uci.edu; or stop by the Insurance Office at the Student Health Center between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday.

 

 

IMPORTANT! You can submit the waiver request ONE TIME ONLY. Once the waiver has been submitted you will receive a “Waiver Accepted” or “Waiver Denied” response based on the answers provided on the waiver form. You will NOT be able to access the waiver system again to make any corrections, so it is important that you have all of the correct information in advance of submitting the waiver.

 

Please use the waiver worksheet to help gather your plan information and other requested information BEFORE you begin your online waiver application to complete all the questions quickly and accurately.

 

If you don't know the answers to the questions, please call the Member or Customer Service number on your insurance card for assistance. Most plan information can be found in your plan benefit booklet, benefits summary, contract, or policy, or check the carrier’s website the health information to find the details of your plan. Incorrect answers could result in delay or denial of your waiver application. When you are ready to go on-line to waive, please remember to print a page of the waiver acceptance/denial page. The Insurance Office will not accept waiver requests past the posted deadlines and does not accept waiver requests in paper format.

 

Please submit your waiver application as soon as possible. If you wait until the last minute, you risk running into an overloaded computer system.

 

Your insurance coverage will be compared to SHIP guidelines and a waiver will be granted or denied based upon the comparison.

 

If you submit a waiver request online, you will receive an instantaneous response. The last screen of the on-line waiver application process will provide you with approval or denial information. You should print this screen for your records. If your waiver has been approved, fees will be reversed and reflected on the student’s account within ten (10) business days.

 

You may also check your SHIP waiver status on Zot Account Online. (If you pay your fees before you have been notified that you have been granted a waiver, be sure you pay the entire fee amount. If you deduct the health insurance amount from the amount of fees you pay and your waiver request is denied, you risk having your classes dropped unless you pay the remainder of the fee before the registration fee deadline.)

 

 

SHIP Appeal of Waiver Denial Form

 

If your waiver application has been denied due to inaccurate or incomplete information or because your existing health insurance does not meet all of the waiver criteria, you may complete and submit the Waiver Appeal Form, including supporting documents, to the SHC Insurance Office. The “Appeal of Waiver Denial” must be received within 10 business days of your waiver denial. AS SUPPORTING DOCUMENTATION, DO NOT SEND YOUR ENTIRE PLAN BOOKLET! PLEASE SEND A SUMMARY OF BENEFITS ONLY AND A COPY OF THE FRONT AND BACK OF YOUR HEALTH INSURANCE ID CARD.

 

SHIP Waiver Reversal Form

 

If you have waived SHIP enrollment and wish to reverse your waiver, you can fill out a Waiver Reversal Form and submit the completed form to SHC Insurance Office during the enrollment period.

 

Also, if you lose your private insurance between terms, you can purchase SHIP at the full cost of the term. An official Letter of Termination/Loss of Coverage from your previous health insurance carrier must be submitted to the SHC Insurance Office to initiate the enrollment process. Your effective date of coverage will be the day following completion of the waiver reversal form and documentation of your loss of coverage.  Please note: UC SHIP policy states that students who waive UC SHIP must notify the Student Health Center no later than 30 days following the date that the student lost the coverage that they used to waive out of UC SHIP.  If the student has no other coverage, then they will be enrolled in UC SHIP at that time and pay the premium for the entire term.  Maintaining health care insurance at all times that meets UC's minimum requirements is a condition of enrollment at UC.

 

Student Health Center Insurance Office Contact Information:

 

Phone: (949) 824-2388
Fax: (949) 824-5062

E-mail: shc-insurance@uci.edu

Address:
UC Irvine Student Health Insurance Office
501 Student Health
Irvine, CA 92697-5200

 

Regular Office Hours
Monday-Friday: 8:00 a.m. – 5:00 p.m.

 

 

Waiver FAQ

If you want to waive participation in the 2016-2017 Student Health Insurance Plan, then you must complete and submit an Online Waiver Application no later than 11:59 p.m. on September 9, 2016 for the FALL term, or no later than 11:59 p.m. on December 9, 2016 for the WINTER term, or no later than 11:59 p.m. on March 10, 2017 for the SPRING term.

 

Yes. Your approved waiver is effective for the current academic term only. If you want to waive participation for the next academic year, you must file another waiver application.

 

Students who demonstrate comparable health insurance coverage may submit an online request to waive out of SHIP.

 

You will need information about your health insurance plan, including the company name and phone number, group number, the student’s policy identification number, the policy holder’s relationship to the student, and the summary of benefits.  Please use the waiver worksheet (PDF) to gather this information in advance of using the online waiver application.

 

You have several useful sources of information to help you complete your waiver application. First, you can refer to the Evidence of Coverage booklet. The booklet is provided by your insurance company and describes all of your benefits and the limitations of those benefits. If you cannot find your booklet, you may find it on the insurance company’s website or call the customer service number on your insurance card and ask for assistance.

 

If you submitted a waiver application online, then you will receive an instantaneous response. The last screen of the online waiver application process will provide you with approval or denial information. You should print this screen for your records.

 

If your waiver application is denied because your private insurance benefits are not sufficient, you may appeal the denial by submitting an “Appeal of Waiver Denial” form, which you can download here and which is also available at the Student Health Center Web Site at www.shc.uci.edu. Completed appeal applications must be received within ten (10) calendar days from the date of denial. Appeals for denied waiver applications are accepted only for the current term. Retroactive appeals are not accepted. Incomplete appeal applications will not be considered for review.

 

You are required to maintain comparable health insurance at all times during your approved waiver period. If your health insurance coverage is terminated during the waiver period, you are required to enroll in the Student Health Plan. To enroll in the plan you must submit a Waiver Reversal Form to the UC Irvine Insurance Office immediately. UC Irvine Student Health Plan coverage will be effective in the term specified on the form. Your student account will be billed.

 

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