University Of Alabama At Birmingham University Of Alabama At Birmingham

 

 

University Of Alabama At Birmingham

 

 

Mandatory Insurance/Waivers     
All mandatory students are required to have major medical insurance. These students will automatically be billed for VIVA Student Health Insurance via their student accounts.

Students who already have their own personal insurance coverage have the option to waive the VIVA Student coverage. The student must sign a waiver stating that he/she has major medical insurance that is comparable or superior to the Viva plan. The major medical insurance coverage must meet the following minimum standards:

Physician and hospital coverage with providers in Alabama
Minimum of $500,000 lifetime maximum benefit
Transplant Coverage
Students will need to provide the insurance company name and policy number for verification. Students may sign the waiver online at the link below. (Students entering in the summer semester should check the box for the fall semester. All medical students should check the box for School of Medicine First Half.)

Please contact Candace RagsdaleThis e-mail address is being protected from spambots. You need JavaScript enabled to view it (by e-mail or call 205-996-2589) with any questions or concerns.

 

 

My signature below acknowledges
1. I have major medical insurance coverage other than Viva Health student plan that meets the following
minimum standards:
a) Physician and hospital coverage with providers in Alabama
b) Minimum of $500,000 lifetime maximum benefit
c) Transplant Coverage


2. Procedures, labs, pap smears, X-rays, prescriptions and referrals ordered by Student Health Services providers are not covered by Student Health fee and will be my responsibility to pay (the UAB laboratory and X-ray departments may file my insurance but I will be responsible for any charges not covered by my insurance)


3. I have attached a copy of the front and back of the member identification card for the insurance referenced in item 1 above and agree to notify Student Health Services if there is a change in insurance

 

 

 

 

¶ insurance waiver Ʈ

 

 

https://ssb.it.uab.edu/pls/sctprod/zweb_ldap_logon.enter_pass?in_redirect=I

 

 

 

 

insurance waiver form

 

 

http://www.vivaemployer.com/Download.aspx?ID=294&Type=doc

 

 

 

 

 

 

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ANNUAL PREMIUM


 

Effective Dates: August 16, 2011 - August 15, 2012


Student Only................................................................................................$1,704
*Does not include the $100 per semester student health fee.


Spouse..........................................................................................................$3,576
(Student and Spouse $1,704* + $3,576= $5,280)


First Child......................................................................................................$2,532


Each Additional Child.................................................................................$2,016

 

 

 

 

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Spain Rehabilitation
Specialties: Hospital - Rehabilitation, Pathology - Speech, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 0.3 miles
1717 6th Ave S
Birmingham, AL 35233-1801
205-934-4131

 
The Childrens Hospital of Alabama
Specialty: Hospital - Pediatric
Estimated Distance: 0.3 miles
1600 7th Ave S
Birmingham, AL 35233-1711
205-939-9100
 
Callahan Eye Foundation Hospital
Specialty: Hospital - General
Estimated Distance: 0.4 miles
1720 University Blvd
Birmingham, AL 35233-1816
205-325-8100
 
University of Alabama Hospital
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Medicine, Occupational Therapy, Outpatient Facility, Pediatric Psychiatry, Physical Therapy, Psychiatry, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 0.4 miles
619 19th St S
Birmingham, AL 35249-1900
205-934-4011
 
UAB Highlands
Specialty: Hospital - General
Estimated Distance: 0.8 miles
1201 11th Ave S
Birmingham, AL 35205-3410
205-930-1700
 
St Vincents Hospital
Specialties: Ambulatory Surgical Center, Critical Care Medicine, Durable Medical Equipment, Emergency Medicine, Home Health, Hospice, Hospital - General, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Outpatient Facility, Pediatric Psychiatry, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Skilled Nursing Facility, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 1.2 miles
810 Saint Vincents Dr
Birmingham, AL 35205-1601
205-939-7000
 
Baptist Princeton
Specialty: Hospital - General
Estimated Distance: 2.1 miles
701 Princeton Ave SW
Birmingham, AL 35211-1303
205-783-3000
 
Healthsouth Lakeshore Rehabilitation Hospital
Specialties: Hospital - Rehabilitation, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 2.9 miles
3800 Ridgeway Dr
Birmingham, AL 35209-5506
205-868-2000
 
Healthsouth Lakeshore Rehabilitation Hospital
Specialties: Hospital - Rehabilitation, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 2.9 miles
3800 Ridgeway Dr
Birmingham, AL 35209-5506
205-868-2000
 
Healthsouth Lakeshore Rehabilitation Hospital
Specialties: Hospital - Rehabilitation, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 2.9 miles
3800 Ridgeway Dr
Birmingham, AL 35209-5506
205-868-2000
 
Healthsouth Lakeshore Rehabilitation Hospital
Specialties: Hospital - Rehabilitation, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 2.9 miles
3800 Ridgeway Dr
Birmingham, AL 35209-5506
205-868-2000
 
Brookwood Medical Center
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Therapy, Outpatient Facility, Pediatric Psychiatry, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 3.5 miles
2010 Brookwood Med Ctr Drive
Birmingham, AL 35209-6875
205-877-1000
 
Trinity Medical Center
Specialty: Hospital - General
Estimated Distance: 3.6 miles
800 Montclair Rd
Birmingham, AL 35213-1908
205-592-1000
 
St Vincents East
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Medicine, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 9.9 miles
50 Medical Park East Drive
Birmingham, AL 35235
205-838-3000
 
UAB Medical West
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Hospital - Rehabilitation, Laboratory, Obstetrics, Occupational Medicine, Outpatient Facility, Physical Therapy, Psychiatry, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery Center
Estimated Distance: 13.9 miles
995 9th Ave SW
Bessemer, AL 35022-4527
205-481-7000
 
Shelby Baptist Medical Center
Specialty: Hospital - General
Estimated Distance: 17.3 miles
1000 1st st N
Alabaster, AL 35007-8703
205-620-8100

 

 

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