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University of California, Irvine
http://www.shc.uci.edu/health_insurance_privacy/insurance.aspx#Waiving
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On-Line Waiver Information for Undergraduate and Graduate Students
Waiver Criteria Change Statement 2015_2016 Oct 29 2014
The UC SHIP waiver criteria are listed below. They were revised in October, 2014 and are applicable to the 2015-2016 academic year.
To satisfy UC¡¯s health insurance requirement for enrolled students, the plan held by the student must:
1.) Be a Medi-Cal, Medicare or Tricare/military insurance policy or a Covered California plan
OR
2.) Be an employer-sponsored group health plan or individual plan that meets the following criteria:
a.) Has unlimited lifetime benefits
b.) Has an annual out-of-pocket maximum of up to $6,600 for an individual but no more than $13,200 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)
c.) Covers the following services (ACA Essential Health Benefits):
i.) Preventive health care services, including an annual physical exam, preventative immunizations and laboratory/diagnostic tests to help determine your state of health
ii.) Chronic disease management for such conditions as asthma, diabetes or other chronic medical conditions
iii.) Hospital stays for medical and surgical care
iv.) Hospital stays for mental health and alcohol/drug abuse conditions, covered the same as any other medical condition
v.) Doctor office visits for medical, mental health, and alcohol/drug abuse conditions
vi.) Emergency room services
vii.) Diagnostic services including laboratory tests
viii.) Medications prescribed by a doctor (including contraceptives)
ix.) Pre-natal and maternity care, with no pre-existing condition limitation
3.) For international students, the following additional criteria apply. The plan must:
a.) Have no pre-existing condition exclusion; if the plan has a pre-existing condition waiting period, that period has expired
b.) Have no per-injury or per-illness maximum benefit limits
c.) Cover medical services for injury from participation in all types of recreational activities or amateur sports
d.) Not be a health care reimbursement arrangement with the student¡¯s home country or another party.
e.) Have policy written in standard English with benefits expressed in U.S. dollars
f.) Have a claims payment office with an address in the United States
g.) Pay at least $50,000 annually for medical evacuation
h.) Pay at least $25,000 for repatriation of remains
4.) For all students, all plans must provide unrestricted access to an in-network hospital or doctor providing full, non-emergency medical and behavioral health care within 50 miles of the UC Irvine campus or the student¡¯s place of residence while attending school. NOTE: this criterion applies to all plan types, including Covered California plans.
5.) Travel plans are not allowed to be used to waive participation in SHIP.
If you have any questions regarding the SHIP Waiver criteria, please call or email the SHC Insurance Office at 949-824-2388; shc-insurance@uci.edu; or stop by the Insurance Office at the Student Health Center between the hours of 9:00 AM and 4:00 PM, Monday through Friday.
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SHIP Fees for 2015-2016 Academic Year
Includes: Medical, Behavioral Health, Pharmacy, Vision & Dental
|
|
Per Term |
|
Annual |
|
|
|
|
|
Undergraduates |
|
|
|
$1,497.00 |
Fall |
|
$499.00 |
|
|
Winter |
|
$499.00 |
|
|
Spring/Summer |
|
$499.00 |
|
|
|
|
|
|
|
Graduates |
|
|
|
$3,484.00 |
Fall |
|
$1,162.00 |
|
|
Winter |
|
$1,161.00 |
|
|
Spring/Summer | $1,161.00 | |||
Medical - First Year, Transfer, | ||||
Returning | $3,942.00 | |||
Fall | $1,620.00 | |||
Winter | $1,161.00 | |||
Spring/Summer | $1,161.00 | |||
Medical - Continuing | $3,484.00 | |||
Fall |
$1,162.00 |
|||
Winter |
$1,161.00 |
|||
Spring/Summer | $1,161.00 | |||
Law - First Year, Transfer, Returning | $3,856.00 | |||
Fall | $2,114.00 | |||
Spring/Summer | $1,742.00 | |||
Law - Continuing | $3,484.00 | |||
Fall | $1,742.00 | |||
Spring/Summer | $1,742.00 |
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https://studentinsurance.wellsfargo.com/waivers/OnlineWaiver.aspx?pagetype=AUTH&waivername=uci
Waiver Schedules for 2015-2016
Quarter |
Begin |
End |
Fall |
06/22/2015 |
09/11/2015 |
Winter |
11/02/2015 |
12/11/2015 |
Spring/Summer |
02/01/2016 |
03/11/2016 |
Semester |
Begin |
End |
Fall |
06/22/2015 |
09/11/2015 |
Spring |
11/02/2015 |
12/11/2015 |
´ÙÀ½±Û | University of California San Diego | ||
---|---|---|---|
ÀÌÀü±Û | University of Kansas |