SHIP Benefits

berkeley ship logoBerkeley Student Health Insurance Plan (SHIP) is an outstanding health plan designed specifically for college students.

Berkeley SHIP is a comprehensive major medical insurance plan, providing medical, counseling and prescription through Wellfleet Student, vision through VSP and dental services through MetLife.

Please note the 2020-21 Pharmacy benefit change:  

Outside Tang:

  • $20 co-pay for most generics
  • $40 co-pay for formulary brand
  • $60 co-pay for non-formulary
  • up to $250 co-pay for specialty
See the Summary of Benefits and Coverage and Berkeley SHIP 2020-2021 Brochure.

Benefit

In-Network Coverage Summary 2020-21 Plan Year

Preventative 100% covered (you pay $0)
Primary Care $15 co-pay for office visits
Physical Therapy $15 co-pay for office visits
Specialists $25 co-pay for office visits
Urgent Care $35 co-pay for office, $50 outside UHS 
Counseling No co-pay for short-term counseling from UHS, $15 co-pay outside of UHS
Nutrition $15 co-pay
Emergency Room $250 co-pay (waived if admitted; deductible waived)
Hospitalization $250 co-pay per admission then 90% coverage (you pay 10%) *subject to deductible
Labs/Tests/X-rays 90% coverage (you pay 10%) *subject to deductible outside UHS
Prescription Drugs Inside Tang:
  • $0 for generics
  • $25 co-pay for formulary brand
  • $40 co-pay for non-formulary
  • $75 co-pay for specialty

Outside Tang:

  • $20 co-pay for most generics
  • $40 co-pay for formulary brand
  • $60 co-pay for non-formulary
  • up to $250 co-pay for specialty
Dental 100% coverage for exams and cleanings twice per year, 80% coverage for basic services, and 70% coverage for major services (up to $2,000 benefit maximum per year). $25 deductible applies to basic and major services.
Vision $10 co-pay for eye exam, $25 co-pay for frames and lenses (up to $150/year) or contact lenses (up to $150/year)
Deductible *$300 for some medical services outside of the Tang Center
Coronavirus Coverage
  • Coronavirus testing: Wellfleet will cover COVID-19 testing (sypmtomatic) through 12/31/20 (including ER, telemedicine, urgent care and office visits) similar to a preventive benefit for fully insured plans, waiving co-pays, deductibles and co-insurance for customers when treated by in-network or out of network providers.
  • Coronavirus treatment: Wellfleet is waiving out-of-pocket costs for all COVID-19 treatment until 12/31/20. The treatments that will be covered for COVID-19 are those covered under Medicare or other applicable state regulations. The company will reimburse health care providers based on in-network rates or reasonable and customary rates, as applicable.

 Important Notes:

  • Coverage periods:
    • Fall 2020: August 1, 2020 - December 31, 2020
    • Spring 2021: January 1, 2021 - July 31, 2021 
  • There is a $300 per plan year deductible for some medical services provided outside of UHS.
  • If providers or facilities are used that are not part of in-network provider, claims will be paid at 50% of the non-network rate (customary and reasonable), which is often significantly lower than the in-network rate. For example, 90% coverage of the in-network rate is going to be less costly to the patient than 50% coverage of the non-network rate.

Berkeley SHIP 2019-20 Information (Previous Year)

 Berkeley SHIP Brochure 2019-20

 Summary of Benefits 2019-20