UC SHIP Benefits - Medical

2021-22 Academic Year

UC SHIP Medical Benefits are administered by Anthem Blue Cross. Below is a brief summary of the current UC SHIP medical benefits for services with an in-network provider with Anthem Blue Cross.

A more detailed benefit description is available in the UC SHIP Benefits Booklet, including out of network benefit costs.

All services provided at the Student Health and Wellness Center, with the exceptions of optical and pharmacy services, are covered at 100% by the plan for UC SHIP enrolled students. 

General Information

Annual Deductible
$100

Annual Out of Pocket Maximum
$2,500

Overall Lifetime Benefit Limit
Unlimited

Emergency Services

Emergency Room Services
$75 copay per visit - waived if admitted to the hospital

Urgent Care Services
$25 copay per visit

Ambulance Services
Covered in Full

Mental Health / Substance Abuse Services

Office visit Copay
$0 per visit

Inpatient Services
20% co-insurance after annual deductible satisfied

Substance Abuse Services
20% co-insurance after annual deductible satisfied 

Psycho-Educational Testing
Covered in Full after $100 annual deductible has been satisfied. Plan has a $4,500 lifetime benefit for these services. Any billed amount above $4,500 will be the responsibility of the student.

Inpatient/Outpatient Services

Office Visit Copay (Primary Care/Specialty)
$15

Preventative Services - (Physical Exams/Immunizations)
Covered in Full

Hospitalization 
20% co-insurance - after $200 annual deductible has been satisfied

Lab Tests
$5 copay per lab test

Acupuncture/Chiropractic Services/Physical Therapy
20% co-insurance - after $200 annual deductible has been satisfied

Durable Medical Equipment
20% co-insurance - after $200 annual deductible has been satisfied

Imaging Services

X-Ray
$15 copay

Ultrasound
Covered in Full

MRI / CT Scan / PET Scan
$25 copay