Insurance 2012-2013
$1,377/yr. undergraduates
$2,541/yr. graduate students
UC SHIP Benefits Plan 2012-2013
Summary of Student Benefits
Medical
Dental
Vision
Pharmacy
Summary of Dependent Benefits
Medical
Dental
Vision
Pharmacy
The Student Health Insurance Plan (UC SHIP) is a comprehensive major medical insurance plan, providing medical, nutrition counseling, prescription, vision and dental services. Learn about How To Use UC SHIP here (including claims and billing).
Important -
A few helpful reminders
- All (non-emergency) care must begin at Student Health.
- There is a $200 per plan year deductible for some medical services provided outside of SH.
- If providers or facilities are used that are not part of the UC SHIP Network, claims will be paid at 60% of the non-Network rate (limited fee schedule), which is often significantly lower than the Network rate. For example, 90% coverage of the Network rate is going to be less costly to the patient than 60% coverage of the non-Network rate.
- Students are responsible for no more than $3,000 of out-of-pocket expenses each plan year.
- UC SHIP has a $400,000 lifetime maximum.
Inpatient Hospital Services
Including:
Medical Services
Mental Health
Maternity Services |
| Semi-Private Room |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
| Lab Tests, X-rays & Imaging |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
| General supplies |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
| Nursing services |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
| Medication |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
| Physicians & Specialists |
Pays 90% of UC SHIP Network rates,
60% of non-Network rates |
|
Urgent Care
|
No Visit Charge at SH. Pays 100% after $50 co-pay for UC SHIP providers.
|
| Emergency Room Service |
Pays 100% of UC SHIP Network rates with $100 co-pay; waived if admitted.
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| Outpatient Services |
| Physician office visits |
No charge at SH. Pays 100% of UC SHIP Network rates after $15 co-pay, not subject to deductible, 60% non-Network rates.
|
| Lab Tests, X-rays, Imaging, Mammograms |
No charge at SH. Pays 90% of UC SHIP Network rates,
60% non-Network rates. |
| Mental Health |
No charge at SH (limited visits). Pays 100% of UC SHIP Network rates after $15 co-pay, not subject to deductible, 60% non-Network rates, subject to deductible. |
Acupuncture, Chiropractic, Podiatric
|
$20 co-pay; 20 visits/yr. UC SHIP Network providers.
|
| Physical Therapy |
$20 co-pay at SH or UC SHIP Network providers; $5,000 maximum, not subject to deductible.
|
| Prescription Drugs |
NEW FOR 2012 - $0 co-pay for contraception. $5 co-pay for generic, $25 brand name and $40 for brand name non-formulary medications (30-day supply), not subject to deductible.
$10 co-pay for generic, $50 brand name and $80 for brand name non-formulary medications (90-day supply available only from SH Pharmacy), not subject to deductible.
|
| Allergy Injections |
90% of UC SHIP Network rates, 60% non-Network rates. No charge at SH
|
| Dental Care |
Available at UCSB's Dental Care Center through Delta Dental Network. See Dental Coverage. |
| Dental Injury |
90% of UC SHIP Network rates, 60% of non-Network rates.
|
| Ambulance |
Ground - pays 90% after deductible; Air - 100% covered up to $25,000
|
Immunizations
|
Pays 100% of SH or UC SHIP Network rates, 60% non-Network rates for the following:
Diphtheria/Tetanus/Pertussis
Measles, Mumps and Rubella
Varicella
Influenza
Hepatitis A and Hepatitis B
Pneumococcal
Meningococcal
Polio
Human Papillomavirus (HPV) |
TB Tests
|
New for 2012 - No charge at Student Health
|
| Vision Care |
Vision care is available at SH Eye Care Center. See Vision Coverage.
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