How to use SHIP

Health care at University Health Services (Tang Center)

When you need medical care, call the appointment office at 510-642-2000 or visit the eTang portal to make an appointment. Visit the appointments webpage for more information. 

When you need health care outside of the area

Referrals 

As of March 16, 2020, and until further notice, no referrals are needed to obtain medical or mental health care outside of the Tang Center. 

SHIP Insurance Card

Please have your insurance card available when scheduling appointments as you will be asked for your plan details. You may also be asked to bring your insurance card to your appointment. 

Enrolled students may access their new ID card on Wellfleet's website and the Wellfleet Student mobile app. Log into your Wellfleet account or create a new account using the email registered with campus, student ID, and date of birth.  

Locate in-network medical and mental health providers 

SHIP is a nationwide plan and there are in-network providers across the country. To find in-network providers, use Wellfleet's provider search tool online or the Wellfleet Student mobile app.  

Using SHIP Abroad & Travel Assistance Services 

Please see our Using SHIP Abroad guide (pdf) for more information.

Referrals from UHS clinicians

Emergency Room & Urgent Care Center

Emergency room and urgent care services do not require a referral. Please provide the facility with your insurance ID card. Claims submitted to the insurance provider will be processed according to the SHIP benefits.   

Billing for services at UHS

UHS bills Wellfleet directly for services provided at the Tang Center. Patients have the option to pay their financial responsibility (e.g. co-pay, co-insurance) at the Billing & Cashier Office within seven days from the date of service. After seven business days, charges are billed to your CalCentral account and payments will need to be made through CalCentral. (Note: We will wait for Wellfleet to process claims before billing any patient responsibility portion to your CalCentral account. Sometimes, this process may take more than seven business days.)  

Billing for services outside UHS beginning August 1, 2023

Medical & Mental Health Services

When students receive care outside of the Tang Center, the health care provider may require payment of the student's portion of fees at the time of service, or they may send a bill after SHIP has paid the covered amount. Most providers will submit bills directly to Wellfleet's provider network (Blue Shield of CA for services in California or Cigna for services outside of California).

If you receive a medical bill and the provider has not billed the plan for services, please call the number on the bill, give them your Wellfleet ID number, and ask them to re-bill the claim directly to Blue Shield of CA for services in California or Cigna for services outside of California. 

Non-network Providers 

If you visited a non-network provider and paid out-of-pocket for services, you will have 365 days from the date of service to submit a claim for reimbursement. 

Complete and upload the new paper claim form with an itemized statement(s) to your Wellfleet account or submit by mail, fax, or email provided on the top of the claim form.

For out-of-country services, you will be required to pay upfront and submit a claim for reimbursement. If you reside outside the U.S., you may request reimbursements sent to your current location by providing your international address in the address field of the claim form.   

Prescriptions 

When filling prescriptions at a pharmacy, present your Wellfleet insurance card. If you paid out of pocket for a prescription, submit the prescription claim form for reimbursement. 

Questions 

If you have questions or need assistance, please contact the SHIP office at 510-642-5700 or ship@berkeley.edu.

Reimbursement for services outside UHS before August 1, 2023

If you visited a non-network provider and paid out-of-pocket for services, you have 365 days from the date of service to submit a claim for reimbursement. 

Medical & Mental Health Services 

Submit claims online through your HealthComp (Wellfleet's third-party administrator) account or submit the paper claim form by mail/fax.

International Medical & Mental Health Services 

If you are currently located in the U.S., you may submit an online claim through your HealthComp (Wellfleet's third-party administrator) account or submit the paper claim form by mail/fax.  

If you reside outside the U.S., use the International Medical Reimbursement Claim Form and include your international address in the address field of the claim form. 

At-home COVID-19 Tests 

For purchases made between January 15, 2022, and May 11, 2023, visit the OTC COVID-19 testing page for coverage and reimbursement details. (Note:Effective May 12, 2023, at-home COVID-19 tests are no longer covered and members will need to pay the full retail cost.)

Prescriptions  

If you paid out of pocket for a prescription, submit the prescription claim form for reimbursement. 

Dual coverage

  • Services provided at UHS will be billed exclusively to SHIP regardless if you have dual coverage through another plan in addition to SHIP.
  • For services provided outside of UHS, standard coordination of benefits practices apply. For most students, SHIP will be their primary insurance.
  • For questions regarding the coordination of benefits, please contact Wellfleet Member Services at (877) 657-5033.
  • Important reminder: If you also have Medi-Cal or Tricare, SHIP is always primary.

Deductible

There is a $450 plan year deductible for some services provided outside UHS. SHIP members are responsible for the first $450 of qualified charges outside of UHS each plan year. Once the deductible is satisfied, SHIP benefits begin.

Medical, mental health, and urgent care center office visits with network providers, emergency room visits, and prescriptions are not subject to the annual deductible. 

Annual out-of-pocket maximum

In-network

The individual in-network out-of-pocket maximum is $3,200. Applicable deductibles, co-pays, and co-insurances paid to in-network providers will accumulate towards the in-network out-of-pocket maximum. When the in-network out-of-pocket maximum is satisfied, SHIP will pay 100% for covered services with in-network providers for the remainder of the plan year. 

Out-of-network

There is a separate individual out-of-network out-of-pocket maximum of $6,500. Applicable deductibles, co-pays, and co-insurances paid to out-of-network providers will accumulate towards the out-of-network out-of-pocket maximum. When the out-of-network out-of-pocket maximum is satisfied, SHIP will pay 100% of the usual and customary charge for covered services with out-of-network providers for the remainder of the plan year. Non-covered services and charges over the usual and customary fee do not accumulate towards the out-of-pocket maximum and are the responsibility of the patient. 

Note:

  1. The plan year is August 1 to July 31.
  2. Out-of-pocket expenses to in-network providers do not count towards the out-of-network out-of-pocket maximum. 
  3. Out-of-pocket expenses to out-of-network providers do not count towards the in-network out-of-pocket maximum. 

Lifetime maximum

There is no lifetime maximum on the plan.

Pre-existing conditions

SHIP does not exclude pre-existing conditions. There is no waiting period for coverage for pre-existing conditions.

Managing your plan - update your address

It is very important to keep your local address updated with the campus on CalCentral. When you move or go away for the summer, please remember to update your address.

SHIP Patient Rights  + Responsibilities 

Glossary of Insurance Terms

Access Your Health Plan Online

Accessing your Wellfleet account

To access your Wellfleet account, please follow the instructions below:

  • Visit the Wellfleet Student website and enter your school’s name (UCB) into the search box. 
  • Click the menu icon (three blue bars) in the top right corner and select “My Wellfleet Account.”
  • Click “Create a New Account” using the email address registered with your school. 

Key features on your Wellfleet Account (similar to the mobile app):

  • To access your online ID card, click the “Student Options” tab.
  • To view your claims history, click the “Claims” tab.
  • File/upload claims for reimbursement, click the “Claims” tab.
  • To view your benefits brochure, click the “Benefits” tab.
  • Find in-network medical and behavioral health providers.   

Wellfleet Student Mobile App

The Wellfleet Student Mobile App enables access to plan information, providers, resources & more -- anytime, anywhere.  
Key Features
  • Access digital ID cards
  • View and search for claims
  • View your plan status (deductible and out-of-pocket)
  • Find in-network providers 
Plus 
  • View your ID card: Easily access healthcare ID cards for use at the doctor's office or pharmacy. 
  • Access important health plan information: Easily review benefit information, discover pharmacy benefits, and access additional plan resources.  
  • View claims and activity status: Review claims, correspond with Wellfleet's claims team and access "Explanation of Benefit" documents for each claim paid.
  • Find care: Access a robust network provider search and access to telehealth options, including Teladoc. 
  • Connect with Wellfleet’s Customer Care team: Email or call our student-focused customer care team straight from the app.
  • Manage their account with Wellfleet: Whether using our website or mobile application, students have one account and centralized information to securely manage their health plan on their terms.  

Where do I find the app? 

Download the Wellfleet Student app on both Apple and Android devices.

Have additional questions? Need more information?

The Wellfleet Member Service Team is ready to assist you. Contact Wellfleet Member Services for eligibility, benefits, and claims questions by calling (877) 657-5033 or emailing UCBcustomerservice@wellfleetinsurance.com.

Access Your Health Plan Online

Instructions to access your Wellfleet account online

To access your Wellfleet account, please visit the Wellfleet Student website and enter your school’s name (UCB) into the search box. Click the menu icon (three blue bars) in the top right corner and select “My Wellfleet Account.” Click “Create a New Account” using the email address registered with your school.

Wellfleet Student Mobile App

Download the Wellfleet Student mobile app to access your insurance card, submit and review claims, find medical and mental health providers, and more -- anytime, anywhere.