Insurance

UC SHIP has a lot to offer you.  Take a look at the UC SHIP Student BrochureSummary of Benefits and Coverage, and Fees and Eligibility.

Medical Plan & Prescription

The Ashe Center serves as every UC SHIP student's medical home. Medical services must be initiated at The Ashe Center and Ashe referrals are required for all non-emergent services outside of Ashe. Claims will not be considered nor paid by Anthem Blue Cross without a valid Ashe Center referral. 

Click here for an infographic about how to use your UC SHIP services.


UC SHIP Premium Fees 2019-2020


Quarter Semester Annual 
Undergraduate $838.90 N/A $2,516.70
Graduates ‚Äč$1,439.66 $2,159.49 $4,318.98

Medical Plan Benefits Summary 2019-2020

Note: This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, visit www.ucop.edu/ucship/plan-documents/ or call 1-866-940-8306.

Key Benefits The Ashe Center UC Family *† In-Network* Out-of-Network***
Benefit Year Deductible N/A N/A $300 $500
Annual Out-of-Pocket Maximum $2,000 $3,000 $6,000
Physician Office Visit $0 $10 $25 (ded. waived) 40%
Specialist Copay $0 $15 $40 (ded. waived) 40%
 Lab and X-Ray
CT, MRI, PET scans N/A 10% 20% 40%
Lab. 10% 10% 20% 40%
X-Ray $0 10% 20% 40%
Hospitalization
In-patient N/A 10% $250 per Admit + 20% $500 + 40%
Out-patient N/A 125 $125 per Admit + 20% $250 + 40%
Mental Health/Substance Abuse ** Counseling and Psychological Services (CAPS) + BHS **
$0
$5 ** $5 ** (ded. waived; if there are facility charges, those charges will be subject to ded.) 40% **
Physical & Occupational Therapy $15 $15 $40 (ded. waived) 40%
Acupuncture $15 $15 $40 (ded. waived) 40%
Chiropractor N/A $15 $40 40%
Other Professional Services 10% 10% 20% 40%
Prescription Drugs $5 generic
$25 brand-name formulary, 30-day supply
$40 brand-name non formulary, 30-day supply
$10 generic
$40 brand-name formulary, 30-day supply
$60 brand-name non-formulary, 30-day supply
$10 generic
$40 brand-name formulary, 30-day supply
$60 brand-name non formulary, 30-day supply
$10 generic
$40 brand-name formulary, 30-day supply
$60 brand-name non-formulary, 30-day supply

plus amounts exceeding Optum maximums

Note: 100% prescription coverage for FDA-approved generic prescription contraceptives and brand-name prescription; contraceptives when a generic equivalent is not available is only available at Optum pharmacy network provider.

*Non-emergent medical services must be initiated at the Ashe Center. Valid Ashe referral required.
**Mental and Behavioral Health services must be initiated at UCLA Counseling and Psychological Services (CAPS). Valid CAPS referral required. Contact CAPS at 310-825-0768 or at www.caps.ucla.edu.
***Out-of-Network reimbursement is subject to usual and customary rates. Valid Ashe referral required.
UC Family includes Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, UCI, UCSD, UCSF, and UCD.

Download 2019-2020 UC SHIP Benefit Highlight Summary (PDF)