Tools for making your decision
Below are tools for helping you make your decision. Already know you want to waive? Check back in May when the Fall 2014 waiver period opens.
|Am I Eligible to Waive SHIP Enrollment?
||You must have comparable
health insurance coverage in order to waive SHIP.
See what SHIP covers.
|I Have Insurance - Why Do I Need SHIP?
- While all Berkeley students have access to services at UHS-Tang
Center, students with SHIP pay 10% of any fees at the time of
service and UHS bills SHIP for the remaining 90%.
- UHS will file claims only for SHIP members. If you have another plan,
you must pay UHS fees for services, file a claim with your plan,
and wait for reimbursement.
- Many HMO and PPO insurance plans will not cover fees for services
provided at UHS. For example, a student without SHIP has a sports
injury and comes to UHS. There will be an office visit copay,
plus possible additional fees for an x-ray and any supplies, such
as a splint or sling. Many HMO and PPO plans will not pay for
the x-ray and supply charges because UHS is a non-network provider for all HMO and PPO plans.
- Many HMO and PPO plans require you to use a service provider
within their network. Check to see if your plan's network includes
providers in the Berkeley area, and that those providers are
accepting new patients (many may not). The nearest Kaiser facility
is 7 miles from campus, in downtown Oakland.
- Many HMO and PPO plans provide worldwide coverage only for
emergencies. When students move to Berkeley from outside the
Bay Area, travel to visit family or friends, or study abroad,
routine care may not be covered.
- SHIP is a group plan, comparable in benefit levels to group
plans provided to employees by employers. Individual plans,
purchased directly from an insurance company by people who do
not have access to a group plan, often cost more and provide
|Why Have Dual Coverage?
||For the reasons listed above, we recommend students keep SHIP,
even if they have another plan. Because SHIP coordinates benefits with your primary plan, dual coverage results in lower
out-of-pocket costs during the school year. Students also appreciate
the convenience of on-campus care. Students who waive SHIP their
first year at Cal sometimes struggle to coordinate care on their own.
|How to Compare
SHIP to Other Plans
||Compare carefully the cost, benefits, and limitations of your
plan to SHIP. In general, we recommend you compare the following:
- Cost of the plan
- Deductibles, co-pay amounts and co-insurance amounts
- Annual and lifetime maximum amounts for covered services
- Scope of services covered as well as any limitations
- Service area (will your plan cover care provided in the Berkeley
Our Health Plan Comparison Worksheet can help you compare the medical, mental health, dental and vision benefits
of SHIP to your plan. You may also find the Glossary
of Insurance Terms helpful.
||The Spring 2014 waiver periodis now closed. Fall 2014 waiver period begins in the beginning of May and are due July 15, 2014. Please check back in mid-April for more details.
|To Continue, Choose an Option
||Please check back in May for when the Fall 2014 waiver period opens.
|| Have a question? See Frequently
Asked Questions About Waivers or call the Student Health Insurance
Office at (510) 642-5700.
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