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How To Use SHIP

When You Need Health Care

For students enrolled in UC SHIP, your health care starts at Student Health Center (SHC) as we are your primary care provider. If you need specialty medical care, special imaging modalities (e.g., MRI, CT, Ultrasound, PET) or other services not offered at SHC, you will be referred to an in-network community provider. Non-SHIP students are also eligible for all services at SHC. However, non-SHIP students must pay for services as SHC does not bill 3rd party insurance plans other than the USHIP or GSHIP plans.

Referrals to Non-SHC Providers for Medical Care

If necessary, your SHC provider will refer you for specialty care treatment, special imaging modalities or other services that are not offered at SHC. Appointments with non-SHC providers must be pre-authorized by the SHC Insurance Services Department. Care outside of SHC is coordinated by your SHC provider and the Insurance Services staff will provide referral authorizations for covered services to ensure that your claims are processed and paid accurately.

The Insurance Services Department will assist you in selecting providers in the community that are in the USHIP or GSHIP preferred provider networks. If you choose to utilize providers or facilities that are not "in-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 UC SHIP 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.

UC SHIP Referral Guidelines and Requirements

All non-emergency services provided outside of SHC must receive a "referral authorization" from SHC or your claim will be denied. The following medical services DO NOT require a referral authorization from Student Health Center:

USHIP

  • Services provided in a hospital emergency department or urgent care center for treatment of a sudden, serious or acute medical or psychiatric 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
  • Optometric (Vision) services

GSHIP

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

Dual Health Insurance 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 without a referral authorization, UC SHIP becomes secondary payor to all other insurance plans with the exception of government programs (e.g., Medi-Cal, TriCare, MRMIP, Medicare, etc…). In short, this means that your other health plan must pay for services first. In this case, UC SHIP will cover any charges, within the plan's benefit limits, that are 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.

Managing your plan

It is very important that you keep your address updated with the Office of the University Registrar as this is the same address that UC SHIP utilizes. When you move or go away for the summer, please remember to update your address with the University Registrar.