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Tufts University

 

 

2018-2019

 

Private Health Insurance

 

 

Health Insurance Waiver


  If you are covered by a separate policy, please complete the Health Insurance Waiver on your SIS account on the Bills & Balances tab. This waiver process is required every year and is available June 1st - July 31st. Please note, this waiver does not exempt undergraduate students from the mandatory Health Service Fee.

Please note: If you are doing a Fall Study Abroad program, you will billed for student insurance in November for the Spring semester. If you have comparable insurance and do not need student insurance you should waive online starting in November until December 31st

For more information about health insurance, contact:
•Susan Keating, Insurance Coordinator, 617-627-5176 susan.keating@tufts.edu
•Mary Daley, Business Office Manager, 617-627-3349 mary.daley@tufts.edu
•UnitedHealthcare StudentResources, underwritten by Harvard Pilgrim Health Care
•Enrolling or waiving the insurance must be done every academic year.
•Your private insurance must be comparable in order to waive the insurance charge
 

Coverage comparable to the Tufts University Student Health Insurance Plan means:
All students registered at least full time/50% of a full-time course load and all students certified as full-time are required to be enrolled in the Tufts University Student Medical Insurance Plan unless the student is enrolled in a comparable health insurance plan and files a Medical Insurance Waiver by the Waiver deadline.  (This is an annual requirement).
All students registered at least full time/50% of a full-time course load and all students certified as full-time are required to be enrolled in the Tufts University Student Medical Insurance Plan unless the student is enrolled in a comparable health insurance plan and files a Medical Insurance Waiver by the Waiver deadline.  (This is an annual requirement).​

 

1. The medical insurance plan must be provided by a U.S.-based carrier company or U.S.-based subsidiary. Foreign insurance plans (including foreign-based Embassy-sponsored plans except as noted above) are NOT acceptable. Neither a U.S.-based Third Party Administrator (TPA), nor a U.S. Satellite office of foreign company meets this requirement. The insurance carrier, itself, must be U.S.-based (unless the student is studying outside the United States).
• Travel Insurance Policies for use outside the United States may not be used in lieu of a comprehensive medical insurance plan,
• I understand that a health insurance plan provides coverage through a closed network of providers, not reasonably accessible to me in the area where I attend school, for all buy emergency services does not qualify for a waiver.
• Examples of closed networks include students enrolled in MassHealth Limited or the Children¡¯s Medical Security Program or the Health Safety Net, Kaiser Permanente Insurance and out of state Medicaid programs.
3. Any plan may not impose an annual or lifetime limit on the dollar amount of required essential health benefit for any covered individual.
4. Mental health and substance abuse must be covered as any other illness or injury within the local Boston area or the area in which the student is studying (this means that both inpatient and outpatient treatment must be covered).
5. There must be no limitations for the coverage of pre-existing medical conditions.
6. Prescription drug coverage must be as high as the plan maximum – as per ACA health reform mandates. 
7. If you will be studying outside your home country, emergency medical evacuation-repatriation coverage must be included.
• Travel Insurance Policies for use outside the United States may not be used in lieu of a comprehensive medical insurance plan, ​

 

Students attending universities in Massachusetts must have health insurance. National health care reform in the U.S. has some specific insurance benefit levels that impact requirements for students who want to waive the student health insurance plan with comparable coverage.

 

The minimum requirements for acceptable health insurance coverage are:


•The plan must be administeed in the U.S. International policies cannot be accepted, according to state requirements.
•Plan provides and maintains coverage for the full academic year, as well as evacuation and repatriation benefits.
•Plan must provide reasonably comprehensive coverage of health services, including primary care, emergency services, surgical services, hospitalization benefits, ambulatory patient services, and mental health services. These services must be reasonably accessible to the student in the area where the student is attending school.
•Plan provides unlimited coverage for prescriptions.
•Plan does not limit coverage for a pre-existing condition.
•Plan does not impose an annual lifetime limit for essential health benefits.
•A health insurance plan that provides coverage through a closed network of providers, not reasonably accecssible to the student in the area where the student attends school, for all but emergency services does not qualify for a waiver. Examples of closed networks include plans such as MassHealth Limited or the Children's Medical Security Program or the Health Safety Net, Kaiser Permanente Insurance and out-of-state Medicaid programs (i.e Husky Health).

 

 

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https://sis.uit.tufts.edu/psp/paprod/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST#

 

 

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Health Insurance Waiver
 If you are covered by a separate policy, please complete the Health Insurance Waiver on your SIS account on the Bills & Balances tab. This waiver process is required every year and is available June 1st - July 31st. Please note, this waiver does not exempt undergraduate students from the mandatory Health Service Fee

 

 

 

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https://docs.uhcsr.com/uhcsrbrochures/Public/BenefitSummaryFlyers/2018-202764-1%20Summary%20Brochure.pdf

 

 

 

 

 

 

 

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