SHIP --
What is it and why is it provided by the University? |
To understand how SHIP works, it is important to understand that your health
plan at UC Berkeley consists of two parts: 1. University Health Services
(UHS) University Health Services is a complete outpatient health center
for students, providing medical, mental health and preventive care. Our clinicians
serve as your "family doctor" while you're at Cal. All registered students
may use the services of UHS, regardless of what type of major medical insurance
they have. Services are supported by registration fees and are provided at no
extra cost or for moderate fees covered by SHIP. See Student
Services A-Z for a list of programs and services at UHS. 2. The Student
Health Insurance Plan (SHIP) As voted in by students and passed by the
UC Regents, the University requires all students to have major medical insurance,
and provides the Student Health Insurance Plan (SHIP) to meet this requirement.
While UHS (above) provides primary care to students, SHIP covers care outside
of UHS, including hospitalization, off-campus or out-of-area care while traveling,
and some specialty services not available at UHS. SHIP also provides dental coverage.
Students automatically are enrolled in SHIP, and there is a charge on the CARS
bill. Students can choose to keep SHIP, or they can waive enrollment if they have
comparable coverage. Most students keep their SHIP enrollment because it
is a solid, comprehensive plan; it is convenient, it covers them 12 months a year
anywhere in the world, offers excellent benefits, and is affordable. Also, SHIP
and UHS work hand-in-hand, as discussed in the next question below. |
| How does SHIP work? |
As a student, most of the health care services you will need are available
at University Health Services. When you need medical care, call or visit the Tang
Center to make an appointment. SHIP members pay only 20% of most UHS fees, and
there are no claims to file for UHS visits. If you need services at another
health care facility, SHIP and UHS work together to provide a comprehensive health
care plan, coordinating the care you need both on and off campus. UHS Clinicians
will coordinate your medical services, and Student Health Insurance Office staff
will provide authorizations for covered services and ensure that your claims are
handled accurately. Please note that with the exception of Emergency Room care
all referrals for off-campus care must be authorized by the Student Health Insurance
Office prior to receiving services. For off-campus care, SHIP contracts with
Anthem Blue Cross to provide medical and mental health services through their
extensive network of hospitals and providers. (See SHIP
and Anthem Blue Cross -- What's the Connection?) |
| When does SHIP coverage begin and end? |
- Fall semester coverage begins August 15 and ends January 14 each year.
- Spring semester coverage begins January 15 and ends August 14 each year.
Registered Berkeley and Mills students who enroll in SHIP for the
Fall and Spring semesters have year-round health insurance coverage. |
| Can I waive SHIP coverage? | Yes,
if you have coverage through a major medical insurance plan comparable to SHIP.
For waiver qualifications, instructions, forms, and FAQs, please see Waivers.
|
| If I waive
SHIP, can I still use University Health Services at the Tang Center? | Yes,
all registered UC Berkeley and Mills students can be seen at University Health
Services. There is no charge to see a doctor or nurse practitioner. |
| If I am enrolled in SHIP
can I go to any doctor I want? | University Health
Services is the primary care provider for students enrolled in SHIP. This means
that unless you are out of the area or need urgent care when the Tang Center is
closed, you should see a UHS clinician when you need medical attention. We encourage
students to see the same doctor or nurse practitioner for each visit, if possible.
Knowing your clinician makes visits more comfortable and contributes to the most
healthful outcome. Should you need a service not offered at UHS, your clinician
will refer you to an off-campus health care provider. Your UHS clinician may suggest
a specific provider, or you can choose a provider. However, we strongly recommend
that SHIP students see providers who belong to the Anthem Blue Cross Preferred
Provider Network (PPO). Use of the Anthem Blue Cross PPO network insures the least
out-of-pocket costs to SHIP members (see SHIP and Anthem
Blue Cross - What's the Connection?). |
|
Are there deductibles with SHIP? | Yes,
there is a $200 per plan year deductible for medical services provided outside
of UHS. The deductible does not apply to services with fees at UHS or to pharmacy
claims. |
| Is
there an annual limit to my out-of-pocket payments? | Students
are responsible for no more than $3,000 of out-of-pocket expenses each plan year.
If you have paid $3,000 in co-insurance and deductibles (excluding Pharmacy co-payments),
you will no longer be required to pay co-insurance for the remainder of the plan
year. The out-of-pocket maximum does not apply to amounts exceeding stated benefit
limits (for example, Pharmacy or Physical Therapy limits) or to services not covered
by the plan. |
| What
do I do if I have to go to the emergency room? | In
the event of an emergency, go immediately to the nearest medical facility for
treatment. Retroactive authorization is required for visits to an emergency
room or urgent care center prior to November 1, 2007. You must contact the Student
Health Insurance Office at (510) 642-5700 to ensure that your services will be
covered appropriately. No authorization from the Student Health Insurance
Office is required for visits to an emergency room or urgent care center on or
after November 1, 2007. Please provide the facility with your Anthem Blue Cross
card. Claims submitted to Anthem Blue Cross will be processed according to the
SHIP benefits. All follow-up care must be authorized in advance by the Student
Health Insurance Office. SHIP provides 100% coverage of emergency hospital
charges and 80% coverage of professional fees (the emergency room doctors' fees).
If Anthem Blue Cross determines that the reason for the visit was not an emergency,
the coverage of hospital charges is reduced to 80%. If you are admitted to the
hospital, SHIP covers 90% of inpatient charges. |
| If I am outside of California,
how do I obtain medical care? | SHIP provides worldwide
coverage. SHIP covers 100% of Customary and Reasonable (C&R) hospital charges
for severe and life-threatening emergency room visits and 80% of C&R professional
emergency fees (see Glossary for more about Customary
and Reasonable rates). When requiring medical care in a United State, outside
California, the provider of care should bill Anthem Blue Cross of that state.
|
| What
do I do if I receive a bill for a medical visit? | All
bills for services received outside of UHS need to be directed to the Student
Health Insurance Office at the Tang Center, 2222 Bancroft Way, Rm. 3200, Berkeley,
CA 94720-4300. |
| How
do I obtain an Anthem Blue Cross insurance card? | As
a member of SHIP, you can expect to receive a white ID card from Anthem Blue Cross
as proof of coverage. The card will be mailed to you at the local address held
by the UCB Office of the Registrar within six weeks of enrolling in SHIP. Please
take this card with you whenever you seek medical attention outside of UHS. (Note
that this card is different from the gold Medical Record card issued by UHS. The
gold card is the student's ID for Tang Center services - not insurance.) Before
your permanent ID card arrives, you can print a temporary card online. Also, if
your permanent card does not arrive within six weeks or if you should lose it,
you can request a replacement permanent card. Here's how to print a temporary
card and/or request a new permanent card: - Go to the Anthem
Blue Cross website. (The preceding link will open in a new window so you
can refer back to these instructions.)
- You will need to register and log
in:
- Click the Register button on the left.
- Complete the registration
process. (Note that you can use your Social Security Number in place of your Member
ID when registering.)
- Once you are logged in, you will be directed to
a menu screen. Click the Request ID Card link.
- Follow the on-screen
instructions to complete the process of printing the temporary card and/or requesting
a new permanent card.
Please direct questions to the Student Health
Insurance Office at (510) 642-5700. |
| Can
my dependents enroll in SHIP? | The Student Health
Insurance Plan is available for registered UC Berkeley and Mills students only.
However, several plans are available for spouses and children of Berkeley students.
See Insurance for Dependents. Dependents 17
years or older of registered UC Berkeley students may be seen at UHS on a fee
for service basis. |
| Can
I obtain a brochure describing SHIP coverage? | Click
here for a printable brochure that provides
an overview of SHIP coverage. Note that this brochure is updated semi-annually,
most recently in March 2008. Check the Important SHIP
Changes page for any changes since the last update. |
Can I track how much of my annual pharmacy
benefit I have used? | Yes. See SHIP
Pharmacy Benefits - Tracking How Much You've Used. |
| Still have questions? | Please
contact the Student Health Insurance office at 510-642-5700 or e-mail us at |