When you need 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 page 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 on 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
See this guide for more information.
Referrals from UHS clinicians
See SHIP referrals page.
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 prior to August 1, 2023
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 does 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.
