University of California, Berkeley University of California, Berkeley

 

 

University of California, Berkeley

 

 

Health Plan Requirements for Waiving Enrollment in UC SHIP

 

In order to waive UC SHIP, you must be enrolled in a private medical health insurance plan that meets ALL of the following requirements:

  1. You must be enrolled in a medical health insurance plan through a recognized company that has a claims office in the U.S. Foreign insurance plans with U.S. affiliates/representatives, travel insurance plans and reimbursement programs of any kind do not qualify, including reimbursement arrangements or vouchers from home governments or their U.S-based consulates. Foreign insurance plans must have a policy written in English with benefits expressed in US dollars.

  2. Your private insurance plan must provide:
    • Hospital stays for medical, surgical and mental health conditions
    • Doctor office visits for medical and mental health conditions
    • Medications prescribed by a doctor.
    • Medical services related to injury or illness caused by alcohol or drug use.
    • Medical services related to injury from participation in all types of recreatinal or amateur sports
    • A minimum of $400,000 in lifetime benefits; coverage per injury or illness may not be less than $400,000.
    • An annual deductible of $7,500 or less.
    • If you have a J-1 Visa, your insurance plan must provide at least $10,000 for medical evacuation each year and at least $7,500 for repatriation benefits

 

 

 

UC SHIP Premium (б )

 

Semester Annual
Graduate Students $1153 $2306
Undergraduate Students $891 $1782

 

 

 

 

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http://www.uhs.berkeley.edu/students/insurance/BenefitsBerkeleyNextYear.shtml

 

 

 

 

insurance waiver form

 

http://www.uhs.berkeley.edu/students/insurance/pdf/WaiverCriteriaWorksheet.pdf

 

 

 

 

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https://auth.berkeley.edu/cas/login?service=https://uhs-new.berkeley.edu/wells/wellspage.asp 

 

 

 

What are the deadlines for submitting a waiver?
The Fall 2012 waiver deadline is July 15, 2012. See updated waiver information here.

If you need help determining whether or not you need to waive SHIP, click here.

 

 

Fall 2012 WAIVER INFORMATION
Waivers must be submitted each academic year. Students who wish to waive UC SHIP for Fall 2012 may begin the waiver process here. Your waiver must be received by July 15, 2012 to avoid a late waiver fee of $50. All waivers received between July 16 and September 15, 20121 will be subject to a late fee of $50. Absolutely no waivers will be accepted after September 15, 2012.


Please review the new 2012-13 UC SHIP benefits here.

For more information, please call the Student Health Insurance Office at (510) 642-5700 or email your questions to (ship@uhs.berkeley.edu).

 

WAIVER APPEAL FORM
If you have submitted your online waiver and it was denied due to inaccurate or incomplete information, you may complete a Waiver Appeal Form (will be posted soon) and resubmit as instructed. You must have already completed the online waiver and received a denial to use this form. You may also email the completed appeal form along with the required documents to ship@uhs.berkeley.edu.


WAIVER REVERSAL
If you have waived UC SHIP enrollment for Fall 2012 and wish to reverse your waiver, you can fill out a Waiver Reversal form (PDF). If you do not have dual insurance (UC SHIP plus another health insurance plan) and UC SHIP will be your only insurance plan, you must show proof of termination of your former insurance plan. Please call the Insurance Office at (510) 642-5700 or email your questions to ship@uhs.berkeley.edu.
 

 

 

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Alta Bates Medical Center-Herrick
Specialties: Ambulatory Surgical Center, Hospital - General, Hospital - Psychiatric, Occupational Therapy, Outpatient Facility, Physical Therapy, Psychiatry, Rehabilitation, Occupational & Physical Therapy
Estimated Distance: 0.9 miles
2001 Dwight Way
Berkeley, CA 94704-2608
510-204-4444

 
Alta Bates Summit 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, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 1.1 miles
2450 Ashby Ave
Berkeley, CA 94705-2067
510-204-4444
 
Childrens Hospital and Research Center at Oakland
Specialties: Ambulatory Surgical Center, Critical Care Medicine, Emergency Medicine, Hospital - Pediatric, Hospital - Rehabilitation, Laboratory, Neonatal and Perinatal Medicine, Outpatient Facility, Pediatric Psychiatry, Physical Therapy, Radiology, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 2.5 miles
747 52nd St
Oakland, CA 94609-1809
510-428-3000
 
Alta Bates Summit Medical Center
Specialties: Birth Center, Diabetes, Hospital - General, Oncology, Surgery - Cardiovascular
Estimated Distance: 3.5 miles
350 Hawthorne Ave
Oakland, CA 94609-3108
510-655-4000
 
Mpi Treatment Services
Specialties: Addictionology, Hospital - Chemical Dependency, Substance Abuse
Estimated Distance: 3.7 miles
3012 Summit St Providence Pavilion 5th Floor
Oakland, CA 94609-3480
510-652-7000
 
Mpi Treatment Services
Specialty: Hospital - General
Estimated Distance: 3.7 miles
3012 Summit St Providence Pavilion 5th Floor
Oakland, CA 94609-3480
510-655-4000
 
Doctors Medical Center-San Pablo Campus
Specialty: Hospital - General
Estimated Distance: 7.1 miles
2000 Vale Rd
San Pablo, CA 94806-3808
510-970-5000
 
St Francis Memorial Hospital
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Durable Medical Equipment, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Medicine, Occupational Therapy, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery Center
Estimated Distance: 10.4 miles
900 Hyde St
San Francisco, CA 94109-4806
415-353-6000
 
California Pacific Medical Center Pacific Campus
Specialties: Cardiac Rehabilitation, Critical Care Medicine, Diagnostic Imaging, Dialysis, Emergency Medicine, Hospital - General, Laboratory, Occupational Therapy, Oncology, Orthopedic Surgery, Pathology, Pediatric Psychiatry, Physical Therapy, Psychiatry, Surgery - Cardiovascular, Surgery Center, Therapy - Respiratory
Estimated Distance: 11 miles
2333 Buchanan St
San Francisco, CA 94115-1925
415-600-6000
 
UCSF Medical Center at Mount Zion
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, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 11.6 miles
1600 Divisadero St
San Francisco, CA 94115-3010
415-567-6600
 
California Pacific Medical Center-Davies Campus
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Occupational Medicine, Outpatient Facility, Physical Therapy, Rehabilitation, Occupational & Physical Therapy, Skilled Nursing Facility, Surgery Center
Estimated Distance: 12.1 miles
45 Castro St Ste 140
San Francisco, CA 94114-1022
415-600-6000
 
John Muir Medical Center, Walnut Creek
Specialties: Ambulatory Surgical Center, Critical Care Medicine, Emergency Medicine, Hospital - General, Surgery Center
Estimated Distance: 12.2 miles
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
925-939-3000
 
California Pacific Medical Center California Campus
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Hospital - Rehabilitation, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Therapy, Pediatric Psychiatry, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 12.3 miles
3700 California St
San Francisco, CA 94118-1618
415-600-6000
 
St Lukes Hospital
Specialties: Ambulatory Surgical Center, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Laboratory, Neonatal and Perinatal Medicine, Obstetrics, Occupational Therapy, Outpatient Facility, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 12.3 miles
3555 Cesar Chavez
San Francisco, CA 94110-4403
415-647-8600
 
San Leandro Hospital
Specialty: Hospital - General
Estimated Distance: 12.6 miles
13855 E 14th St
San Leandro, CA 94578-2611
510-357-6500
 
St Marys Medical Center
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Psychiatric, Laboratory, Obstetrics, Occupational Therapy, Outpatient Facility, Physical Therapy, Psychiatry, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery Center
Estimated Distance: 12.7 miles
450 Stanyan St
San Francisco, CA 94117-1019
415-668-1000
 
UCSF Childrens Hospital
Specialty: Hospital - Pediatric
Estimated Distance: 13.3 miles
505 Parnassus Ave
San Francisco, CA 94143-2204
415-476-1000
 
UCSF Medical Center
Specialties: Ambulatory Surgical Center, Cardiac Rehabilitation, Critical Care Medicine, Emergency Medicine, Hospital - General, Hospital - Pediatric, Hospital - Psychiatric, Hospital - Rehabilitation, 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: 13.3 miles
505 Parnassus Ave
San Francisco, CA 94143-2204
415-476-1000
 
John Muir Behavioralhealth
Specialties: Hospital - Chemical Dependency, Hospital - Psychiatric, Substance Abuse
Estimated Distance: 14.4 miles
2740 Grant St
Concord, CA 94520-2265
925-674-4100

 
John Muir Medical Center, Concord
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, Physical Therapy, Psychiatry, Radiology, Rehabilitation, Occupational & Physical Therapy, Substance Abuse, Surgery - Cardiovascular, Surgery - Transplant, Surgery Center
Estimated Distance: 14.4 miles
2540 East St
Concord, CA 94520
925-682-8200
 
 

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