When you need health care
With SHIP, you can use care at University Health Services (UHS) (also known as the Tang Center). When you need medical care, simply call to make an appointment. SHIP members pay $15 for a primary care, physical therapy and gynecology office visit, $25 for specialty visits and $35 for an Urgent Care clinic visit at the Tang Center ($50 co-pay for in-network off-campus Urgent Care). For most other services, SHIP members pay 10% of UHS fees. There are no claims to file for UHS visits, and you will not have to pay any deductibles for any services at the Tang Center.
As of March 16, 2020, no referrals are needed until further notice to obtain medical or mental health care outside of the Tang Center.
Referrals from UHS clinicians
See SHIP referrals page.
When you need health care outside of the area
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 is a nationwide plan and there are in-network providers across the country. To locate in-network providers see find providers from Wellfleet Student.
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.
SHIP does not exclude pre-existing conditions. There is no waiting period for coverage for pre-existing conditions.
Referral for services
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.
Billing for services at UHS
UHS will bill Wellfleet directly for services provided at the Tang Center. At the time of service, patients will pay their co-pays. Some services will require students to pay 10% of the total service cost. This is not charged on the date of service but will be later billed to the student. Students can return to UHS within 21 days to pay their 10% charges or have the charges billed to their Cal Central account. The remainder of the charges will be billed to Wellfleet.
Billing for services outside UHS
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 network (in California this is Blue Shield; outside of California this is Cigna). If you receive a medical bill and the provider has not billed the plan for services, please call the number on the bill and give them your Wellfleet ID number and ask them to re-bill the claim directly to Blue Shield if in California or to Cigna if in another state. If you choose to visit a non-network provider, you will have 365 days to submit a claim for reimbursement. Please see submit a claim to Wellfleet.
For out of country claims: You will be required to pay upfront for the services and submit a claim for reimbursement. You have 365 days from the date of service to do so. If you are out of the country and received health care, use the International Medical Reimbursement Claim Form.
If you have questions or need assistance, please contact the SHIP office at 510-642-5700 or firstname.lastname@example.org.
There is a $300 plan year deductible for some services provided outside UHS. SHIP members are responsible for the first $300 of qualified charges outside of UHS each plan year. Once the deductible has been satisfied, SHIP benefits begin. Medical and mental health office visits, emergency room visits, urgent care center visits and prescriptions are not subject to the annual deductible.
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. An approved referral from the SHIP office will still be required in order to receive coverage through the plan. Please contact Wellfleet Member Services at (833) 302-9785.
Important reminder: If you also have Medi-Cal or Tricare, SHIP is always primary.
Annual out-of-pocket maximum
Students are responsible for no more than $3,200 of in-network out-of-pocket expenses each plan year. If you have paid $3,200 in coinsurance and deductibles to in-network providers, you will no longer be required to pay co-insurance for services obtained from in-network providers for the remainder of the plan year. The in-network out-of-pocket maximum does not apply to non-network providers or to services not covered by the plan.
The non-network out-of-pocket maximum for services and providers is $6,500.
There is no lifetime maximum on the plan.
Managing your plan - update your address
Updated address: It is very important that you keep your address updated with campus. For most students, your address should be updated through Cal Central. If you are a student worker, you may need to update your address in UC Path instead of Cal Central. Berkeley SHIP pulls your address from these systems. When you move or go away for the summer, please remember to update your address.