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Announcing...GAUCHO HEALTH INSURANCE


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Skip Navigation Links                 Location : Graduate Students : Insurance : UC SHIP Benefits

UC SHIP Benefits

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
Service Coverage
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.


Outpatient Services
Service Coverage
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.