Checks of any kind will not be accepted for mail order prescriptions. What should I do if my insurance doesn’t cover the cost of coming to Hall Health/UW Medicine? Identify a primary care provider, an urgent care provider and a pharmacy that are in-network with your insurance plan, where you will get the highest level of coverage. This is an exercise for your own knowledge. Enrollment in Apple Health can be done any time of the year and is not subject to an annual open enrollment period. Out-of-state families will need to determine if their insurance covers services in Washington state. For example, if your position begins October 16 your coverage begins November 1. Depending on your income and immigration status, you may be eligible for government subsidies to assist with monthly premiums and other out-of-pocket costs. Contact Benefits Contact Hall Health to select a provider who is accepting new patients first, then contact your PCM to request a referral. Contact Us. (Services that meet the federal preventive guidelines do not accrue to this maximum.) Does the managed care organization’s network include the clinics and providers that you want to be able to see? Dept. Student medical insurance Health Services accepts all provincial health plans, for example, the Ontario Health Insurance Plan (OHIP), and the University Health Insurance Plan (UHIP) for international students for most physician visits. You can also purchase private insurance as an individual. The cost of GAIP is charged to the hiring budget as a percentage of the salary in the form of the payroll load rate. In other words, you will want to select a plan based on which doctors, clinics, or health care providers you want to be able to see. Contact your school for details about its student health plan and eligibility criteria. Many international students and graduate student employees are … If paying for insurance is not an option, you will want to identify affordable providers that you can visit in certain situations: How can I protect my health information as a dependent? Earns up to 133% of the federal poverty level. Living in another US state or territory? Students are strongly recommended to consider what optional coverage they may need and to become familiar … Students with private health insurance should be prepared for out-of-pocket costs, such as premiums, deductibles and coinsurance. GAIP covers medical, vision, and dental care for teaching assistants, research assistants, tutors, predoctoral researchers, and other ASEs working across the University. This is an exercise for your own knowledge. Getting a referral from your Primary Care Manager (PCM). Sign up for health insurance by following the instructions below. If you reside in WA and don’t have health insurance, you will need to seek coverage through Washington Health Plan Finder, Washington state’s health insurance marketplace. If the family member is based internationally and is not filing taxes in the US, the student should report their own personal income instead. ASE dependents as well as ASEs who are not registered for classes have two levels of coverage available to them, depending on the type of provider they choose: Benefits at Hall Health are covered at in-network levels and generally subject to the deductible. Knight Hall room 248. In most cases, GAIP will be your primary plan unless you enrolled in another employer plan first. Complete this worksheet for the plan(s) you consider, 1. If you remain eligible throughout these three quarters, you’ll automatically receive summer quarter coverage. As of January 2020, a new law (leg.wa.gov) gives dependents (adult dependents and minors who can agree to care without a parent’s consent) the exclusive right to control who has access to their sensitive health information. J1 or F1 visa holders are automatically enrolled in ISHIP, Many graduate students employed by UW have GAIP, Required for all UW students studying abroad. Open enrollment only applies to private insurance. As you work toward your graduate degree, we will support you on the academic path that you will help to define so that you can take full ownership of your graduate education and follow the career trajectory that you imagine. Private health insurance plans are contracts between you and an insurer. Which campus health services are subsidized? The Student Health Service is closed on University holidays, winter closure (between the Christmas and New Year’s holidays) and weekends. Domestic students are not required to have health insurance by the university. These plans only provide emergency coverage in Washington State. Call if you have concerns about urgent on- of off-campus mental health needs. Applying during open enrollment (November 1-December 15th), Gather materials you will need to apply: social security number, WA address, phone number, immigration documentation (if non-citizen), estimate of monthly income of applicant or family members if student is being claimed as a dependent on US taxes. for vaccines and limited urgent care needs. The EOB shows what your medical provider charged for the visit and the services, what your insurer allowed and paid, and what you may owe out-of-pocket. Only US citizens and legal permanent residents (green card holders) of more than five years are eligible for Washington State Medicaid (Apple Health). If you have health insurance, complete the Know Your Benefits Worksheet to learn about your coverage and benefits. 206-543-4444 The question you are asking is whether the funding you received to cover your student health insurance is also considered tax-free by the IRS. Many international students and graduate student employees are automatically enrolled in UW-provided health insurance. ... (UW Site) NEW Mobile App: Get all your health plan details on your iOS or Android smartphone. Mail order prescriptions must be paid for by debit or credit. Upon request, you can purchase coverage for your spouse/partner and dependents. Review GAIP eligibility requirements, enrollment, health benefits (medical, dental, and vision), and other GAIP resources, and learn about the information and tools available to GAIP participants on the new LifeWise website. Rubenstein Pharmacy reserves the right to contact the prescribing physician to confirm the need for maintenance medication and the right to verify future GAIP eligibility. However, to avoid any coverage delays, you should contact your department and verify your employment information was entered into Workday if you haven’t received enrollment confirmation. Use the links and FAQ below to learn about access care on- and off-campus affordably, use health insurance and obtain health insurance. Look into coverage of common health needs, like mental health counseling, urgent care and prescription medication. Once enrolled in GAIP, you’re covered on a month-by-month basis for the duration of your position. If you are undocumented or a DACA recipient, there may be a few plans that do not have immigration requirements associated with them available outside of the marketplace. If the student is a dependent of parents/guardians filing taxes in the US, parent/guardian income will be taken into consideration. Eligibility criteria for private insurance: Only US citizens and legal permanent residents (green card holders) of more than five years are eligible for Washington State Medicaid (Apple Health). Catastrophic health insurance There are several kinds of personal insurance available to UBC students. Some on-campus health services are subsidized by the Services & Activities Fee (SAF), which all matriculated UW Seattle students pay. [email protected], © 2020 University of Washington | Seattle, WA, University of Washington Human Resources Home, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, Summary of Medical Benefits for Dependents & and non-ASEs, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Fund review committee for UW retirement plans, DCAP: Tax savings for child and elder care, UW Medicine Health System Employment Transition, You enroll for at least 10 credits during the quarter, You’re position is at least 50% full-time equivalent, You’re paid on at least five of the six pay days of the coverage period, You register for classes by the 10th day of each quarter, You enroll for at least 10 credits per quarter, Current mailing address and daytime phone number. If an alternate means of delivery is required or requested, an additional shipping and handling fee may apply. Does the plan’s network include the clinics and providers that you want to be able to see? Is it easy to search for contracted providers? View the Medicare credible coverage notice (PDF). Health insurance is essential for students because it protects you from paying the full cost of health care. Unfortunately, DACA recipients and undocumented students are not eligible. People with Tricare have three ways to obtain medical coverage at Hall Health Center: A fee-for-service plan available to active-duty personnel, retirees, and their families. The reverse is true of exchange plans obtained outside of Washington State (i.e., California). More information about the mail order prescription drug plan is found in the Prescription Drug / Pharmacy Plan. If you decide not to obtain comprehensive coverage in WA and retain coverage in your home state, be sure you have a plan for what you will do if you need care while in Seattle. The benefits are standard across the plans, but the network of providers differs. Domestic students are defined as US citizens, green card holders, DACA recipients and undocumented students. X-rays or hospitalization) are not covered by your health fee. It is also known as “the exchange.” International students. You’re position is at least 50% full-time equivalent 3. You don’t need to enroll yourself in GAIP. Domestic students are not required to have health insurance by the university. You will be responsible for any cost not covered by your insurance plan. This list is subject to change and does not guarantee that your insurance will cover the cost of all services with Hall Health/UW Medicine. Many students are covered under their parents' or their own medical insurance plans. Calling the home to confirm appointments. UW does not offer health insurance to domestic students. Insurance seekers can select a range of plans, from a minimal ‘Catastrophic Plan’ to platinum coverage. For 2021, you can now select “public option” plans, which have a lower deductible, by choosing a plan with the word “Cascade” in the name. Medicaid (Apple Health) has no costs associated with it as long as you only seek covered services with contracted providers. If you need a temporary card before yours arrives, visit the LifeWise website to download a temporary card. If you are undocumented or a DACA recipient, there may be a few plans that do not have immigration requirements associated with them available outside of the marketplace. Health Plan Total Premium Rates For UW Grad Students The Monthly Cost for Your Health Insurance Form Number: et-2107prtg. UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. You’ll receive your GAIP insurance card shortly after you’re initially enrolled. There is one application for health insurance through the WA marketplace. The Student Health Insurance Plan (SHIP) provides comprehensive health coverage for UW–Madison students and scholars. If the family member is based internationally and is not filing taxes in the US, the student should report their own personal income. Student Health Insurance. The insurance is provided by the LifeWise Assurance Company. GAIP: Graduate Appointee Insurance Program Orientations. An on-campus student health insurance representative, Kristina Miller, is available to help with questions pertaining to insurance coverage and benefits. There are two main kinds of health insurance that are relevant to students: Most UW students have in-state or out-of-state private insurance. Each Prime member is assigned a Primary Care Manager, who provides all routine care and facilitates referrals to specialists as needed. 24-hour crisis line for people in the Seattle area. Quick glance at student health plans. On the website, you can also request a replacement for a lost card. For any medical or mental health services not on this list, your health insurance will be billed. In many cases, applicants are eligible for coverage immediately, or by the first of the following month. See “how do uninsured students get health insurance?”. If your insurance does not contract with Hall Health Center and UW Medicine, but does work with other providers in Seattle, you will need to identify providers that you can visit affordably and conveniently, such as those listed below. These hours are subject to change depending upon the needs of the university. This fee is paid by the student as part of the tuition and collections through the student business office billing system. Your GAIP health plan is administered by LifeWise Assurance Company. Medical services that you receive from in-network providers will be reimbursed at higher levels than non-network providers, however the highest level of benefits will come from using Hall Health Primary Care Center, the Plan’s preferred In-network provider. If you have out-of-state Medicaid, review the information above about transitioning to Washington Medicaid (Apple Health). to learn about your coverage and benefits. The mail order option uses the same formulary list as the regular Rubenstein prescription plan, but offers the convenience of delivery by mail. Your coverage starts on the first day of the quarterly coverage period (these don’t correspond to the academic quarters). Is the managed care organization’s website well-organized and easy to access? Undocumented students and DACA recipients are only eligible for comprehensive insurance if pregnant. Out-of-state families will need to determine if their insurance covers services in Washington state. What are your regular health care needs? The main University Health Services clinic is located in floors 5-8 of 333 East Campus Mall. Students who have an F-1 visa and who receive health care insurance from a spouse or parent's U.S. employer Note: The mandatory health insurance coverage for international students meets the federal government Affordable Care Act (ACA) requirements and the University of Wisconsin System Policy. Note: Hall Health not contracted with Community Health Plan of Washington (CHPW). GAIP benefits are negotiated between the UW and United Auto Workers on a three-year basis. If you have health insurance, complete the. Or do you frequently need health care, and prefer a lower deductible? Domestic students who need information about how to obtain insurance should see “How do uninsured students get health insurance?” below. Learn more about coordination of benefits by visiting the LifeWise website and downloading the plan benefit booklet. Domestic and international undergrads and special students taking five or more credits as well as all grad students will be eligible to enroll in the university health care plan. Domestic students are defined as US citizens, legal permanents, DACA and undocumented students. If the student is a dependent of a family member who is filing taxes in the US, parent/guardian income will be considered in the application. The Graduate Appointee Insurance Program is a Preferred Provider Plan (PPO) which means you may visit any medical provider you wish, however costs will vary depending on the following: The term “provider” refers to individuals who provide care, such as a physician or nurse practitioner or the facility you use when you receive care, such as a hospital or clinic. Out-of-state private plans purchased on a state or federal exchanges, which only provide emergency coverage in Washington State, facilities for routine, urgent, or specialty care, or go to the, Care Clinic inside the Bartell Drugs in University Village. During quarters in which matriculated students are enrolled, these include: UW does not offer health insurance to domestic students. An HMO-style plan available to active-duty personnel, retirees, and their families. Review the plans available to you that are contracted with your preferred health care providers at, Call the Community Health Access Program (CHAP) at Public Health-Seattle & King County at, At the end of the application, you may either designate which plan you would like over the phone or complete the process at. I'm starting graduate school in February 2021 and my school doesn't offer insurance to graduate students. 401 Schmitz Hall. Insurance for Graduate Students on an Assistantship This plan is provided to eligible graduate student assistants as a benefit. Filter table by typing keywords. Hall Health does not participate in charity care (financial assistance) or offer any discounts based on income or other factors. Review the medical benefit coverage summaries for more details about the benefit levels for each type of provider. Your student health fee covers medical care only at the Health Center. I'm also getting kicked off my parent's insurance at the end of this year. Review these for a quick overview of your GAIP coverage: Drugs prescribed by your physician that you take on a regular basis and which are determined to be eligible by LifeWise Assurance Company, are available at a discounted co-pay through Rubenstein Pharmacy at Hall Health. Local Washington state address (residence hall okay). Determine which you have first. It is also known as “the exchange.” International students can find information here on how to get health insurance during periods when they are not covered by ISHIP. Learn about out-of-pocket costs, like deductibles, copays and coinsurance. US citizen or legal permanent resident (green card holder) of five years. As you review the websites, answer these questions: Private insurance plans through the exchange tend to have limited networks of contracted providers, monthly premiums of $0-$600/month depending on the plan and your eligibility for subsidies, and annual deductibles of $1,000-$10,000/year. I'm not at a top institution (not bad, but I'm realistic), and I'm enrolled in our student insurance, but my grad group, PI, and fellowships habe all covered the standard costs and it's shockingly good insurance. To be eligible for subsidies, you must earn 100-400% of the federal poverty level. Health Plan Total Premium Rates For UW Grad Students The Monthly Cost for Your Health Insurance Form Number: et-2107prtg. Local Washington state address (residence hall or other student housing okay). Are there providers who are conveniently located close to your home and/or UW? Determine which providers, if any, from whom you want to be able to continue to seek care. Enrollment and Health Plan Q & A. Domestic students are defined as US citizens, green card holders, DACA recipients and undocumented students. Out-of-state families should note that none of the insurance options available in Washington State will provide coverage for routine care outside of Washington. For more information, pick up a detailed brochure from Hall Health Center or contact Hall Health. Health Insurance Requirement for F-1 and J-1 Students. Fax: (307) 766-3024 All UMBC students have health insurance options through University Health Services Health insurance is available to graduate students through our partner, Aetna Student Health. Are you a person who rarely uses health care, and would prefer a lower monthly premium? Video and phone visits are eligible for this benefit. Non-network providers on the other hand are not contracted by LifeWise and therefore may bill you for charges over the allowable charge. Benefits Enrollment Opportunities New Employee >> Employment Change >> Life Events >> Open Enrollment >> Benefits News News feed from UW Service Center Article Item News Post Insurance Plans Health Insurance State Group Health Insurance Disability Insurance AD&D ICI Savings Plans Health Savings FSA HSA Retirement Savings WRS TSA 403(b) WDC 457(b) Leave Legal… Hall Health is contracted only with the public option plans offered by the insurers listed above. If a student is not covered under a family insurance plan, we strongly recommend purchasing a plan. Is the GAIP plan that is offered considered credible for prescriptions by Medicare? To check the holiday schedule: on the main UW webpage click on Calendar, and then click on Administrative Holidays and Summer Hours. 206.543.5030 Complete information about the plan can be found on the UW Benefits website. Apply about one week before the student arrives in Seattle and/or current health insurance ends, set aside 30 minutes to complete the application. The site also features a search tool if you’d like to see which doctors and pharmacies are in the plan’s network. By completing this application, you will be sorted based on your eligibility into the appropriate category – private insurance (with or without a government subsidy) or Medicaid (Apple Health). Eligible academic student employees are covered by the Graduate Appointee Insurance Program (GAIP). All plans include out-of-pocket costs like premiums, deductibles and coinsurance. There are two types of Tricare: Prime and Select. All services outside of the Health Center (e.g. You can apply any time of year for Medicaid. All J-1 and F-1 international students and scholars are required to enroll in the UWL health insurance plan for the duration of their stay at UWL. Patients should allow 7 to 10 working days after the pharmacy receives the prescription for the drugs to arrive via U.S. Mail. Are there providers that are conveniently located close to your home and/or UW? I have money and student loans saved so that I can work part-time (20-30 hours per week) and go to grad school the rest of the time to focus on my program. To learn about your coverage, including how much you’ll pay for certain services, visit their website. Documented immigration status (US citizen, legal permanent resident, student visa, etc.). If you are an ASE who is registered in UW classes, you will have three levels of coverage available to you depending on the type of provider you choose: *ASEs who use Hall Health services do not have to meet a deductible and the plan covers 100% of most covered charges up to an individual maximum of $1,000 each plan year. Five reasons to choose the UW-Madison Student Health Insurance Plan (SHIP) SHIP is designed specifically for UW–Madison students. Hall Health services provided beyond the $1,000 individual maximum will be subject to the in-network level deductible and plan limits. One visit with a medical provider for a problem or concern per quarter OR for a pre-travel consultation. All University of Wisconsin students studying/traveling abroad under a UW sponsored program must enroll in health insurance through CISI). Some plans. Student Assurance Services and Wellfleet provides medical insurance to international students … Any international student with F-1 and J-1 visa status who is enrolled at the UW in a program that lasts a quarter or longer must purchase the UW International Student Health Insurance Plan (ISHIP). Please make sure to read all the GAIP information you receive as it contains important information about the GAIP plan. to locate a provider that is in network or contact your Tricare Primary Care Manager to arrange for a referral. LifeWise Assurance Company has determined that the prescription drug coverage offered by your health plan is, on average for all plan participants, expected to pay out as much as standard Medicare prescription drug coverage pays and is therefore considered “Credible Coverage.” Because your existing coverage is Credible Coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to join a Medicare drug plan. You register for classes by the 10th day of each quarterThis eligibility criteria applies to the fall, winter, and spring quarters. You do not need to submit the worksheet or any other documentation to UW. Look into coverage of common health needs, like mental health counseling, urgent care and prescription medication. Some UW community members are not eligible for these services because they do not pay SAF, including certain exchange programs, postdocs, and others. Look into your institution's student health insurance plan, or if you're looking at programs don't be afraid to ask (or ask current students). You may need to contact your current providers to find out which plans they are contracted with. Hall Health offers the following resources to ASEs (enrolled in UW classes) and their dependents: Note: For Hall Health Services not available to you, these will be indicated by “NA” in your medical plan summary (below). Plans available through the marketplace only provide emergency coverage out-of-state. In Washington State, private insurance is only available for purchase through Washington Health Plan Finder (see below for details). By law (leg.wa.gov), your health plan can’t disclose your information if you tell them in writing that: Under Washington state law, if you’re age 18 or younger and old enough to consent to your own health care services, your health plan should not release any personal health information about those services, unless you tell them in writing it’s OK. We are motivated to meet the needs of our students, not by profit. You will be responsible for any costs not covered by your insurance plan. The following commercial insurers are sometimes contracted with UW Medicine/Hall Health. Additional services, such as lab tests, immunizations, imaging, x-rays, and medication, are billed to insurance. Digital ID card, doctor search, up-to-date health plan balances, more. Having an insurance plan protects the student from potentially catastrophic health care costs. She is located at the Student Health Center, Zerfoss Building, 4 th floor. You enroll for at least 10 credits during the quarter 2. Student Health Services is a fully staffed clinic with Physicians, Nurse Practitioners, Psychiatric Nurse Practitioner, Registered Nurses, and Medical Assistants providing evaluation, testing, and treatment for medical problems, injuries, reproductive health, and preventative cares. All US citizens, legal permanent residents and student visa holders are eligible to apply for insurance through the exchange, regardless of income and other criteria. You can elect to not be considered for Medicaid or government assistance, in which case you will only be eligible for full-fee private insurance ($300-600/month). You will need to strike a balance between the deductible (the amount of money you must pay each year before your insurance begins to cover services) and your monthly premiums. These plans include monthly premiums, deductibles and coinsurance. Review the Summary of Medical Benefits for Dependents & and non-ASEs (PDF) for more details about the benefit levels for each type of provider. The benefits are administered by LifeWise, a health insurance company based in the Pacific Northwest. Or are you willing to limit your choice of provider to lower the premium (i.e., by choosing a Kaiser plan)? An academic student employee (ASE) who is registered for UW classes, An ASE who is not registered for UW classes, or, Mental Health Clinic (for individual and group therapy), Rubenstein Pharmacy (for prescription drugs), Health Promotion/ Wellness Resource Center, Preferred In-Network Provider: Hall Health*, In-Network providers (this includes Hall Health). You can still be eligible for Medicaid even if you have private insurance. Hall Health What if I’m a DACA recipient or an undocumented student? UBC Risk Management Services has detailed information about student insurance. Use your insurance company’s website to search for contracted providers. Use your non-network benefit, if available, which covers 50% of the cost and includes a $300 deductible, Lifewise individual plans available through the WA marketplace, Coordinated Care individual plans available through the WA marketplace, Community Health Plan of Washington (an Apple Health plan), Community Health Plan of Washington (Medicaid) – Use the, For care that is essential to your ability to succeed academically, such as ADHD assessment, surgery, etc., consider applying for. Some on-campus health services are subsidized by the Services & Activities Fee, which all matriculated UW Seattle students pay. The UW pays for your GAIP coverage if you hold an eligible job appointment and meet all these requirements: This eligibility criteria applies to the fall, winter, and spring quarters. The only way to know for sure if your plan is contracted is to call the customer service number on the back of your insurance card to complete the Know Your Benefits worksheet. Use the. Short Term Medical Insurance Gallagher Student Health & Special Risk offers Short Term Medical Insurance specifically designed for people who need temporary health insurance for a few months after graduating, are between job or are waiting for other health insurance coverage. There you can review the Summary of Benefits and Coverage (SBC) document as well as the plan benefit booklet, which explains your coverage in detail. Most international students and many graduate employees are automatically enrolled in UW-provided health insurance. Filter table by typing keywords. 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