Got questions? We've got answers!
- SHIP -- What is it and why is it provided by the University?
- How does SHIP work?
- When does SHIP coverage begin and end?
- Can I waive SHIP coverage?
- If I waive SHIP, can I still use University Health Services at the Tang Center?
- If I am enrolled in SHIP can I go to any doctor I want?
- Can I use SHIP at other UCs?
- Are there deductibles with SHIP?
- Is there an annual limit to my out-of-pocket payments?
- What do I do if I have to go to the emergency room?
- If I am outside of California how do I obtain medical care?
- What do I do if I receive a bill for a medical visit?
- How do I obtain an Aetna insurance card?
- Can my dependents enroll in SHIP?
- Still have questions?
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
2. The UC Student
Health Insurance Plan (SHIP)
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. Visit our Go Tang! website to find out more about how to get started at Tang. SHIP members pay $15 for a Primary Care office visit and $30 for an Urgent Care clinic visit. For most other services, SHIP members pay 10% of UHS fees. 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. Don't get stuck with the bill! 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 or else the claim will be denied. For off-campus care, SHIP contracts with Aetna to provide medical and mental health services through their extensive network of hospitals and providers.
See How to Use SHIP resource page.
|When does SHIP coverage begin and end?||
Registered Berkeley 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 students can be seen at University Health Services. All students pay $15 for a Primary Care office visit and $30 for an Urgent Care clinic visit.|
|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 country 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
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 Aetna Student Health Network. Use of the Aetna network insures the least out-of-pocket costs to SHIP members.
Gentle reminder: Don't get stuck with the bill! 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 or else the claim will be denied.
|Can I use my SHIP at other UCs?||The Student Health Center (SHC) at each University of California campus gladly offers reciprocal access to its student health services to currently registered students from all other UC campuses under the same conditions that apply to its own students who are not enrolled in its campus Student Health Insurance Plan (SHIP).
|Are there deductibles with SHIP?
||There is a $200 plan year deductible for some services provided outside UHS. SHIP members are responsible for the first $200 of qualified charges outside of UHS each plan year. Once the deductible has been satisfied, SHIP benefits begin. Medical and mental health office visits, emergency room visits, urgent care center visits and prescriptions are not subject to the annual deductible.|
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) to in-network providers, 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 out of network providers or to services not covered by the plan.|
|What do I do if I have to go to the emergency room?||No authorization from the Student Health Insurance Office is required for visits to an emergency room or urgent care center. Please provide the facility with your Aetna Student Health Card. Claims provided to Aetna will be processed according to the SHIP benefits.
All follow-up care must be authorized in advance by the Student Health Insurance Office.
SHIP pays 100% after $100 co-pay (co-pay waived if admitted) of Aetna Student Health Network rates for treatment provided within 72 hours for injuries or sudden and serious illness, as determined by Aetna. SHIP pays 90% of Aetna Network rates, or 60% of non-Network rates, for all other conditions.
Pays 100% of Aetna Network rate for attending physician charges or 60% of non-Network rate. 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 through the Aetna On Call International program. SHIP pays 100% after $100 co-pay (co-pay waived if admitted) of Aetna Network rates for treatment provided within 72 hours for injuries or sudden and serious illness, as determined by Aetna. Includes facility and professional services (see Glossary for more about Customary and Reasonable rates). When requiring medical care in the United States, outside California, the provider of care should bill the Aetna affiliate in that state (pre-authorization is required on non-emergency medical visits). Traveling out of the country? Aetna's On Call International program helps you with your insurance needs abroad, including translating international bills/services and converting foreign currency.|
|What do I do if I receive a bill for a medical visit?||If you receive a medical bill and the provider has not billed Aetna for services, please call the number on the bill and give them your Aetna Student Health and ask them to re-bill the claim directly to Aetna. If you don’t have your Aetna ID card or number, call Student Health Insurance Office at (510)642-5700 to obtain your number.
SHIP members do not file a claim for services at UHS that have fees. At the time of service, patients will pay only the fees for which they are responsible, usually 10% of the total charges. UHS will then file a claim with SHIP for payment of the remainder of the charges.
|How do I obtain an Aetna insurance card?||Insurance cards generally arrive a few weeks after the semester has begun. You can download your card online from the Aetna Student Health website. Note: you'll need your student ID and date of birth.
|Can my dependents enroll in SHIP?||Yes, we have a dependent plan option for children and spouses/domestic partners of students enrolled in SHIP. Also, see Insurance
for Dependents for additional information and resources.
Dependents 17 years or older of registered UC Berkeley students may be seen at UHS on a fee for service basis.
|Still have questions?||Please contact the Student Health Insurance office at 510-642-5700 or e-mail us at firstname.lastname@example.org.|