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215 S. Jackson St.
Athens, GA 30602
Tel (706) 542-2222
Email: hrweb@uga.edu

Mandatory Plan

newThe enrollment and waiver period for Fall 2018 is scheduled to open July 23, 2018.
 

The Mandatory Student Health Insurance Plan is with the University System of Georgia Board of Regents student health program administered by United Healthcare 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.

The following groups of UGA students are required to have health insurance. These students will be AUTOMATICALLY ENROLLED in the Mandatory Plan:

See below for enrollment process.

If a student is mandated to participate and has other health insurance coverage, he/she must submit a waiver request by the stated deadline.How to request a waiver.

    • Undergraduate and Graduate International students holding "F" or "J" visa status.
    • Students whose program requires health insurance (currently, only Doctor of Pharmacy students).
    • Graduate students receiving Qualified Graduate Assistantships: Graduate students receiving a full tuition waiver as part of their graduate assistantship award. This includes general graduate assistantships, teaching assistantships, laboratory assistantships, and research assistantships, regardless of the source of funds; as well as graduate school assistantships and Graduate Recruitment Opportunity (GRO) assistantships.
    • Graduate students receiving Qualified Fellowships: Graduate students supported by fellowships administered by UGA** that provide funding for the student in an amount equal to or greater than the prevailing in-state tuition rate for graduate students. Such fellowships include, but are not limited to, UGA Presidential Graduate fellowships, National Research Service Awards, National Science Foundation fellowships, and other state and federally funded fellowships.
    • Graduate students receiving Qualified Training Grants: Graduate students supported on state or federally funded training grants administered by UGA** that provide funding for the student in an amount equal to or greater than the prevailing in-state tuition rate for graduate students.

** The terminology "administered by UGA" in the Fellowship Recipients and Departmental Training Grants sections means that external funds are channeled through UGA accounting systems and that the student must receive a payroll check from UGA. If the Fellowship or Departmental Training Grant recipient receives a payroll or stipend check from any source other than UGA Payroll, then that student is NOT eligible for the UGA contribution.

Plan information:

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.

arrow Visit the United Healthcare site to view the plan brochure, prescription drug list, or search for participating providers.

Students eligible to waive the UGA Health Center fee should be aware that the plan does not cover services/charges normally covered by the UGA Health Center fee. Students who waive the UGA Health Center fee 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 the 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.


Referral Exceptions

A Student Health Center referral for outside care is not necessary only under any of the following conditions:

  1. Medical Emergency.  The student must return to the Student Health Center for necessary follow-up care.
  2. When the Student Health Center is closed.
  3. When service is rendered at another facility during break or vacation periods.
  4. Medical care received when the student is more than 30 miles from campus.
  5. Medical care obtained when a student is no longer able to use the Student Health Center due to a change in student status.
  6. Maternity, obstetrical and gynecological care.
  7. Dermatological services. Dermatological services means services ordinarily and customarily rendered by a physician specializing in the practice of dermatology.
  8. Mental illness treatment and substance use disorder treatment.

Dependents, post-doctoral research fellows, and post-doctoral research fellow adjuncts are not eligible to use the Student Health Center; and therefore, are exempt from the above limitations and requirements.

 

 bullet Questions about student health insurance may be directed to gshiplan@uga.edu or 706-542-2222. Questions concerning plan benefits or claims may be directed to United Healthcare Student Resources customer service at 866-403-8267.

 

 

 

Revised 7/13/2018