Student Medical Insurance

2015-2016 Insurance Information


Eligibility

OHSU requires all eligible students to carry comparable medical health insurance.  All eligible students will be automatically enrolled in the student health insurance plan and have the student health insurance plan premium billed to their student account unless they have other comparable coverage AND complete and are approved for a SHIP waiver by the deadline.

For the 15/16 academic year, OHSU has partnered with PacificSource to offer its University Sponsored Student Health Insurance Plan. Students who are enrolled on the OHSU Student Health Insurance Plan can enroll their spouse or domestic partner as well as dependents on this plan. For students with other comparable health coverage, an insurance waiver application is available. 

Enrollment Periods/Costs

2015 – 2016  Continuation * Summer B Fall   Winter  Spring/Summer 

Spring Only**

Medical Rates  (includes vision) 9/1/15 – 10/1/15  8/1/15 – 8/31/15  9/1/15 – 1/3/16  1/4/16 – 3/27/16  3/28/16 – 9/21/16  3/28/16-6/30/16
Student  $293.68 $293.68 $1,168.41 $1,168.41 $1,168.41 $865.80
Spouse  $293.68 $293.68 $1,168.41 $1,168.41 $1,168.41 $865.80
Per Child  $293.68 $293.68 $1,168.41 $1,168.41 $1,168.41 $865.80
* Continuation is only available to September graduates for the 15/16 plan year

** 4th year graduating medical students only

Coverage periods for the 15/16 plan year are BY TERM.  No refunds are issued past the 100% refund deadlines for any change in student status. 

Plan Details

Pacificsource

 

PacificSource hours:

  • September through February: 7:00 a.m. to 7:00 p.m. (PT), Monday through Friday
  • March through August: 7:00 a.m. to 5:00 p.m. (PT), Monday through Friday

Qualifying Event

Eligible students who involuntarily lose coverage under another group insurance plan are also eligible to purchase the OHSU Student Health Insurance Plan. These students must provide Wells Fargo Insurance with proof that they have lost insurance through another group (certificate and letter of ineligibility) within 30 days of the qualifying event. Students can contact Wells Fargo Insurance at (800) 853-5899, Monday-Friday, 8:00am - 5:00pm. The effective date would be the later of: a) term effective date, or b) the day after prior coverage ends if enrollment request is received by within 31 days from loss of prior coverage.  Payment for that term's coverage would be provided directly to Wells Fargo. 

Dependent Enrollment

Dependent coverage will be available for the 15/16 academic year through PacificSource. Dependent enrollment will be available approximately a month prior to the term start date.  You will not be able to enroll your dependents prior to this. 

WINTER DEPENDENT ENROLLMENT IS NOW CLOSED- You MUST be registered for winter term to be eligible

To enroll your dependents you will need to do so by phone by contacting Wells Fargo Customer Care at (800) 853-5899 by the deadline EACH TERM THAT COVERAGE IS DESIRED.  You will only be able to enroll dependents for the current term and cannot enroll them in future terms.  You MUST be registered for the term in order to be eligible.

Dependent deadlines are in line with waiver and 100% refund deadlines (see below).  Please remember if you choose to insure your dependents, that you must enroll spouses, domestic partners and/or dependent children  EACH TERM by the respective deadline or coverage will terminate at the end of the previous term's coverage  period.   

2015 – 2016  Continuation* Summer B Fall   Winter  Spring/Summer  Spring Only **
Medical Rates  (includes vision) 9/1/15 – 10/1/15  8/1/15 – 8/31/15  9/1/15 – 1/3/16  1/4/16 – 3/27/16  3/28/16 – 9/21/16  3/28/16-6/30/16
Spouse  $293.68 $293.68 $1,168.41 $1,168.41 $1,168.41 $865.80
Per Child *** $293.68 $293.68 $1,168.41 $1,168.41 $1,168.41 $865.80
Dependent Enrollment Deadlines N/A 8/21/2015 10/9/2015 1/15/2016 4/8/2016 4/8/2016
* Continuation is only available to September graduates for the 15/16 plan year
** 4th year graduating medical students only

*** We are no longer allowed to offer a family rate due to Healthcare Reform mandates

Student must enroll their dependent(s) every term that coverage is desired by contacting Wells Fargo Insurance Services by the deadlines above.

Dependent coverage will no longer be offered after 9/21/2016.

Leave of Absence/Late Admit

Leave Of Absence-University Approved

If leave is declared after the 100% refund deadline: the student will remain covered through the rest of the term coverage period and can elect one additional term of coverage (per academic career) if the LOA is an approved medical leave.  Enrollment and payment for this one term of medical leave coverage will be done directly through Wells Fargo Insurance Services.                                                                                                                                                         

If leave is declared prior to the 100% refund deadline: the student will not be covered for the term UNLESS it is an OHSU approved medical leave.  For those on an OHSU approved medical leave, they will have the option to enroll in the student health insurance plan for the current term only.  Enrollment and payment for the remainder of this term's coverage period will be done directly through Wells Fargo Insurance Services.  The student will NOT be able to elect an additional term of coverage.         

Previous enrollment in the prior term is required in order to qualify for a term of coverage for medical leave.  A maximum of one term of medical leave health insurance coverage will be granted during your academic career.

 

Late Admit 

Students that register after the 100% refund deadline will be enrolled in the whole term coverage period with backdated coverage from the start of this period.  If they wish to waive out of the SHIP, they will need to contact the JBT office upon registration for an alternative process.