Waiving UC SHIP
- Waiver Criteria
- If You Plan to Waive SHIP
- ACA Requirements
UC San Diego students who have waived out of SHIP can be seen at UCSD Student Health Services (SHS) for primary care or urgent care issues, however your medical condition may require care that is not available at SHS.
If you plan to waive SHIP, you must first make sure that your insurance provides coverage for non-emergency medical care within 40 miles of UCSD. This is one of the waiver criterion and will ensure that you have access to necessary medical care in San Diego when you need it. Your waiver will be denied if your insurance does not provide coverage within 40 miles of UCSD. Avoid having your waiver denied and take the necessary steps now to make sure that you have the necessary coverage before you need to use it.
You must contact your insurance company, whether it is Kaiser, Medi-Cal, or a private HMO, to let them know you are attending college in San Diego. Ask them if you have coverage for non-emergency and non-urgent care while in San Diego. Most HMO plans, including Medi-Cal, require that your non-emergency and non-urgent care be obtained through your assigned medical group or Primary Care Physician (PCP), and will only allow local care if it's an emergency or urgent care. This will be a problem if your medical group or PCP is not located in San Diego. Most PPO plans do not have this requirement and will provide coverage in San Diego whether emergency, urgent or not.
If you do not have the necessary coverage in San Diego, ask your insurance representative how to change your coverage so that you do. You may find the following information helpful as you transfer your insurance coverage to San Diego.
If You Have | What to Do |
---|---|
Kaiser outside San Diego |
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Medi-Cal outside San Diego |
NOTE: This process can often take 30 days or more to complete and may require long phone calls and multiple follow-up calls. Get started on this process as soon as possible. Your waiver cannot be approved until your Medi-Cal coverage is active and provides non-emergency coverage in San Diego. |
Other HMO |
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After your coverage has been transferred, keep your insurance contact information handy - know who your primary care provider is, and how to contact them.