Mandatory Plan (Hard Waiver Plan) - Summary
The Mandatory Student Health Insurance Plan (Hard Waiver Plan) is with the University System of Georgia Board of Regents student health program administered by UnitedHealthcare Student Resources. It is an accident and sickness insurance policy that provides coverage worldwide. It includes diagnosis and treatment of illness, injury, or medical conditions, along with preventive care benefits. Benefits include physician, hospital, surgical, pharmacy, behavioral health services (i.e., mental health / substance abuse), as well as legally-mandated benefits.
Coverage under this plan cannot be prorated or ended early.
REQUIRED STUDENT GROUPS
The following groups of UGA students are required to have health insurance coverage. These students will be automatically charged for the Mandatory Plan on their UGA student account:
* The terminology "full tuition waiver" means the graduate assistantship provides reduced tuition of only $25.
** The terminology "administered by UGA" in the Fellowship Recipients and Departmental Training Grants sections means that external funds are channeled through UGA accounting systems. If the Fellowship or Departmental Training Grant recipient receives a payroll or stipend check from any source other than UGA Accounts Payable, then that student is NOT eligible for the UGA contribution.
Students who fall into one of the mandated categories can opt out of the mandatory
student health insurance plan if they have other acceptable health insurance coverage.
If a mandated student does not have an approved waiver request at the close of the
waiver period, the student will be automatically enrolled in the mandatory plan.
Be sure to read your policy brochure to find information about benefits and the use of the University Health Center and any referral requirements to other doctors.Visit the United Healthcare site to view the policy brochure, prescription drug list, or search for participating providers.
Select "Explore Policy" in the appropriate Medical Domestic or International Hard Waiver section to view the policy brochure.
If a student has not paid the UGA Health Center fee, the student should be aware that
the plan does not cover services/charges normally covered by the UGA Health Center
fee. A non-fees paid student must still utilize the Health Center for care per the
plan requirements (see the brochure regarding referral requirements and exceptions),
but the student will be responsible for paying the charges normally covered by the
Health Center fee.
Referrals required for care outside of Health Center
Students must utilize the University Health Center for care or to obtain a referral when needed.
The student must use the services of the Health Center first where outpatient treatment will be administered or referral issued. Expenses incurred for medical treatment rendered outside of the Student Health Center for which no prior approval or referral is obtained are excluded from coverage. A referral issued by the Student Health Center must accompany the claim when submitted. Only one referral is required for each injury or sickness per policy year.
Questions about student health insurance can be directed to firstname.lastname@example.org or 706-542-2222.
Questions concerning plan benefits or claims can be directed to United Healthcare Student Resources customer service at 866-403-8267.