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.
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| 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 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 Blue Cross of California
to provide medical and mental health services through their extensive
network of hospitals and providers. (See SHIP
and Blue Cross -- What's the Connection?)
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| 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 students who enroll in SHIP for the Fall
and Spring semesters have year-round health insurance coverage.
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| 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.
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|
If I waive SHIP, can I still use University
Health Services at the Tang Center?
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Yes, all registered UCB students can be seen at University
Health Services. There is no charge to see a doctor or nurse practitioner.
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| 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 Blue Cross of California Preferred
Provider Network (PPO). Use of the Blue Cross of California PPO
network insures the least out-of-pocket costs to SHIP members
(see SHIP and Blue Cross - What's the
Connection?).
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Are there deductibles with SHIP?
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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. |
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Is there an annual limit to my out-of-pocket
payments?
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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. |
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What do I do if I have to go to the emergency
room?
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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 Blue Cross card. Claims submitted to 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 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.
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|
If I am outside of California, how do I obtain
medical care?
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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). |
| 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 a Blue Cross insurance
card? |
As a member of SHIP, you can expect to receive a white ID card
from Blue Cross of California 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 Blue
Cross of California 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.
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| Can my dependents enroll in SHIP?
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The Student Health Insurance Plan is available for registered
UC Berkeley 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.
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| 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 Januarry 2007. Check the Important
SHIP Changes page for any changes since the last update.
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Can I track how much of my annual
pharmacy benefit I have used?
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Yes. See SHIP Pharmacy Benefits
- Tracking How Much You've Used.
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| Still have questions? |
Please contact the Student Health Insurance office
at 510-642-5700 or e-mail us at
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