If you are a member of UC SHIP, Student Health serves you in two ways: as your health care provider and the gatekeeper of your health insurance plan. All of the Patient Rights and Responsibilities apply to students enrolled in UC SHIP. In addition, as a UC SHIP member, you also have the following rights and responsibilities.
As a UC SHIP member, you have the right to:
- Understand How the Plan Works
- Request information, and have your questions answered, about:
- The benefits of UC SHIP
- The providers available to serve you at SH and in the medical community
- How to receive access to care, both at SH and off-campus
- How to waive the plan if you have comparable major medical insurance coverage
- How to express grievances or provide suggestions concerning the plan
- Receive Appropriate Access to Health Services
- Obtain authorization and appropriate levels of payment for medically necessary services covered by the plan, including:
- Coverage of emergency care services as specified in the plan
- Authorizations and references for visits to a specialist, based on an approved treatment plan
- Coverage for hospitalization as specified in the plan
- Receive a written "Notice of Privacy Practices" that explains how your protected health information will be used and disclosed.
You have the responsibility to:
- Provide information about your insurance if you have dual coverage
- Learn About the Plan
- Become knowledgeable about the covered benefits, limitations and exclusions of UC SHIP. Know and abide by the administrative and operational procedures of the plan. Please read the brochure.
- Meet Your Financial Obligations
- Make a good-faith effort to meet your financial obligations under the plan, including paying premiums (included with your registration fees) and any co-payments
- Be Open
- Provide information relevant to your participation in the plan and use of plan benefits
- Let Us Know How We're Doing
- Use established complaint resolution procedures to address any concerns you may have about the plan