International Student &
Visiting Scholar health insurance

I. All plans must provide unrestricted access to an in-network primary care provider, in-network hospital and full non-emergency medical and behavioral health care within 50 miles of campus or the student’s place of residence while attending school.

NOTE: This criterion applies to all plan types without exception, including Medi-Cal or Medicaid, Medicare, TRICARE/military, HMOs (including Kaiser, WHA and others), Covered California, ministry sharing plans or other U.S. federal or state exchange plans, all employee-sponsored and individual plans. Plans with an assigned PCP must have one assigned within 50 miles of campus or the student’s place of residence prior to the start of the semester – August 15, 2018.

III. To satisfy UC’s health insurance requirement for enrolled students, the plan held by the student must meet all of the following criteria (this applies to all students regardless of gender):

1) Be a Medi-Cal/Medicaid, Medicare, TRICARE/Military, Covered California or other U.S. federal or state exchange plan, or a UC Employee Health Plan, OR
2) Be an employer-sponsored group health plan or individual plan that covers the following benefits:

a) Has an annual out-of-pocket maximum of $7,350 or less for an individual or $14,700 or less for a family. Deductibles, copayments, and coinsurance paid by the member accrue toward meeting the out-of-pocket maximum. A higher out-of-pocket maximum is allowed if the subscriber has a Health Savings Account (HSA) or a Health Reimbursement Account (HRA).
b) Inpatient (hospital) and outpatient care for mental health and substance abuse disorder conditions the same as any other medical condition.
c) Doctor office visits for medical, including mental health, and alcohol/drug abuse conditions.
d) Provides coverage for all Minimum Essential Health Benefits. For the criteria, please see: https://www.cms.gov/cciio/resources/data-resources/ehb.html (link is external)
e) May not be health care or pharmacy reimbursement plan (A reimbursement plan means the student must pay for services, then file a claim with the insurance provider for reimbursement).
f) Have no per medical or mental health/substance abuse dollar maximum limits.