University of Pennsylvania University of Pennsylvania

 

 

University of Pennsylvania

 

 

Insurance waiver criteria for academic year 13-14.


 

All full-time, dissertation, or exchange students here for a semester or more must carry adequate health insurance as a condition of student enrollment.  Students who have their own insurance can waive enrollment in the Penn Student Insurance Plan (PSIP) only if their plan meets the following criteria:

  • Alternate insurance plans must be provided by a company licensed to do business in the United States, with a U.S. claims payment office and a U. S. Phone number. Company must have a process to remit claim costs to providers within the US.
    • Alternate insurance plans must provide coverage for both in-patient and out-patient medical care in the Philadelphia area, including but not limited to routine care, specialist office visits, diagnostic testing, imaging and physical therapy.
      • Alternate insurance plans must provide for both in-patient and out-patient mental health care in the Philadelphia area.
        • Alternate insurance plans may not limit coverage in the Philadelphia area to just Emergency or Urgent medical or mental health care.
        • Alternate insurance plans may not exclude coverage for the following: 

        o Pre-existing conditions (or the plan must have been in effect long enough that any waiting period has passed).

        o Conditions related to depression, eating disorders, and drug or alcohol counseling/treatment.

        o Sports injuries, alcohol-related injuries or conditions.

        • Alternate insurance plans must offer an annual maximum benefit of at least $2,000,000 in coverage for each service.


           

          Please obtain a copy of your plan's benefits and review them to ensure your plan meets these criteria. Please note that all waiver requests must be approved by the University. The University audits waiver requests and may contact your insurance company to verify your plan meets these criteria. Alternate insurance plans found to not meet this criteria will not be approved for waiving PSIP 

           

           

           

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          How to enroll or request a waiver:

           

          The online enrollment/waiver website is accessed through the Penn Portal. You will need to have a PennKey and password to access the PennPortal and the insurance selection system. The PennKey is your link to most of the electronic resources that you will need while here on campus. If you are a first year student, contact your school to find out how to obtain a PennKey and (or visit the PennKey web site.)

           

          Once you have made and confirmed your selection, any additional changes to your coverage must be processed in person in the Penn Student Insurance Office. You cannot change the date of enrollment. Once you have completed your selection, you will receive a confirmation e-mail. PLEASE SAVE THIS E-MAIL, AS THIS WILL BE YOUR CONFIRMATION THAT YOU HAVE VISITED THE SITE.

           

           

           

          Online enrollment for the 2012-2013 Penn Student Plan (PSIP) will begin on July 1, 2012.


          Penn Student Insurance Plan (PSIP) Premium Rates for 2012-2013

          Single student coverage: 

           

           

          Effective Dates

          Annual

          8/15/13-7/31/14

          Spring

          1/1/14-7/31/14

          Summer

          5/1/13-7/31/14

          Premium Rate:

          $2,771

          $1,677

          $730

           

           

          * This is a 50 week plan due to the transistion to an earlier PSIP start date for academic year 14-15 (8/1/13).

           

          ** Please note: the Clinical Fee charge is no longer included is this charge and will appear as a separate charge on your student account.

           

          Coverage for summer 2013

           

          Graduate/professional students starting University programs in July 2013 or August 2013 may enroll in the 12-13 plan at a prorated premium. Please

           

          contact the Student Health Insurance office at 215-746-3535, option 3 for more information. Applications will be available

           

          on June 1 2013 at shsinsur@pobox.upenn.edu or by calling the Insurance Office at 215 746 3535 option #3.

           

          Please make sure that you update your local address in Penn in Touch as this is where your insurance card will be mailed.

           

           

           The rates and coverage periods are:


          July 1, 2013 - August 14, 2013 (premium: $427)


          August 1, 2013 – August 14, 2013 (premium: $155)

           

           

          Note: If you are in a program that is paying for your insurance, please check with your school to make certain they will cover the entire amount.

           

           

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          http://www.vpul.upenn.edu/shs/files/PSIPbroc1314.pdf 

           

           

           

           

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          $2,926

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           Waiver Deadline Date:

           

           

           

          Students enrolling for


           

          the Fall Semester  08/31/2013

           

           

           

           

          Students enrolling for


           

          the Spring Semester  01/31/2014

           

           

          PSIP Premium rates for Dependents* 

          Effective Dates

          Annual

          8/15/13-7/31/14

          Spring

          1/1/14-7/31/14

          Summer

          5/1/14-7/31/14

          Premium Rate:*

          Spouse/Domestic Partner**

          $4,146

          $2,506

          $1,090

          One Child**

          $4,146

          $2,506

          $1,090

          2 or More Children**

          $4,880

          $2,949

          $1,282

           

           

           

           

           

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          Presbyterian Medical Center
          Specialty: Hospital - General
          Estimated Distance: 0.2 miles
          39th and Market Street
          Philadelphia, PA 19104-2640
          215-662-8000

           
          Presbyterian Medical Center
          Specialty: Hospital - General
          Estimated Distance: 0.2 miles
          39th and Market Street
          Philadelphia, PA 19104-2640
          215-662-8000
           
          Hospital of the University of Pennsylvania
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          Estimated Distance: 0.7 miles
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          215-662-4000
           
          The Childrens Hospital of Philadelphia
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          Estimated Distance: 0.8 miles
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          Philadelphia, PA 19104-4399
          267-426-6270
           
          Mercy Hospital of Philadelphia (MHS)
          Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Occupational Medicine, Occupational Therapy, Outpatient Facility, Psychiatry, Substance Abuse, Surgery Center
          Estimated Distance: 1.7 miles
          501 S 54th St
          Philadelphia, PA 19143-1900
          215-748-9000
           
          Magee Rehabilitation Hospital
          Specialties: Hospital - Rehabilitation, Occupational Therapy, Physical Therapy, Rehabilitation, Occupational & Physical Therapy
          Estimated Distance: 1.9 miles
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          215-587-3000
           
          Hahnemann University Hospital
          Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Medicine, Outpatient Facility, Pediatric Psychiatry, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
          Estimated Distance: 2 miles
          Broad & Vine Streets
          Philadelphia, PA 19102
          215-762-7000
           
          St Josephs Hospital
          Specialty: Hospital - General
          Estimated Distance: 2.2 miles
          1600 W Girard Ave
          Philadelphia, PA 19130-1615
          215-787-9000
           
          Thomas Jefferson University Hospital
          Specialties: Hospital - General, Radiology
          Estimated Distance: 2.3 miles
          111 S 11th St
          Philadelphia, PA 19107-4824
          215-955-6000
           
          Thomas Jefferson University Hospital-Wills Eye Division
          Specialty: Hospital - General
          Estimated Distance: 2.5 miles
          900 Walnut St
          Philadelphia, PA 19107-5509
          215-928-3000
           
          Pennsylvania Hospital
          Specialty: Hospital - General
          Estimated Distance: 2.6 miles
          800 Spruce St
          Philadelphia, PA 19107-6130
          215-829-3000
           
          Pennsylvania Hospital
          Specialty: Hospital - General
          Estimated Distance: 2.6 miles
          800 Spruce St
          Philadelphia, PA 19107-6130
          215-829-3000
           
          Continuing Care Hospital of Philadelphia
          Specialties: Critical Care Medicine, Hospital - Psychiatric, Hospital - Specialty, Psychiatry, Substance Abuse
          Estimated Distance: 2.8 miles
          8th St At Girard Ave
          Philadelphia, PA 19122
          215-787-2000
           
          Girard Medical Center
          Specialties: Critical Care Medicine, Hospital - General, Hospital - Psychiatric, Psychiatry, Skilled Nursing Facility, Substance Abuse
          Estimated Distance: 2.8 miles
          801 W Girard Ave
          Philadelphia, PA 19122-4212
          215-787-2000
           
          Belmont Center For Comprehensive Treatment
          Specialties: Emergency Medicine, Hospital - Chemical Dependency, Hospital - Psychiatric, Outpatient Facility, Pediatric Psychiatry, Psychiatry, Substance Abuse
          Estimated Distance: 3 miles
          4200 Monument Rd
          Philadelphia, PA 19131-1625
          215-877-2000
           
          Thomas Jefferson university Hospital-Methodist Division
          Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Therapy, Outpatient Facility, Physical Therapy, Radiology, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery Center
          Estimated Distance: 3 miles
          2301 S Broad St
          Philadelphia, PA 19148-3542
          215-952-9000
           
          Lankenau Hospital
          Specialties: Hospital - General, Magnetic Resonance Imaging, Mammography, Ultrasonography
          Estimated Distance: 3.7 miles
          100 E Lancaster Ave
          Wynnewood, PA 19096-3450
          610-645-2000
           
          Temple University Hospital
          Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Home Health, Hospital - General, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Therapy, Outpatient Facility, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
          Estimated Distance: 4.1 miles
          3401 N Broad St
          Philadelphia, PA 19140-5103
          215-707-2000
           
          Mercy Fitzgerald Hospital
          Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery Center
          Estimated Distance: 4.3 miles
          1500 Lansdowne Ave
          Darby, PA 19023-1200
          610-237-4000
           
          Mercy Fitzgerald Hospital
          Specialty: Hospital - General
          Estimated Distance: 4.3 miles
          1500 Lansdowne Ave
          Darby, PA 19023-1200
          610-237-4000

           

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