Important Notice Regarding COVID-19 (Vaccinations, Testing, Treatment ) and UC SHIP
Students enrolled in UC SHIP must obtain a referral from SHC's Insurance Services Department in order for the COVID-19 vaccine provider to be reimbursed for the fees it charges to administer the vaccine. There is no charge for the actual vaccines. However, providers may bill insurance plans for their fees to administer the vaccines. Providers are not allowed to bill students directly for the vaccine or for their vaccine administration fees. To request a referral prior to being vaccinated or to request a retroactive referral after being vaccinated, please email: firstname.lastname@example.org or call 949-824-2388.
The UC SHIP waiver of co-pays and/or coinsurance for medically necessary testing and treatment related to COVID-19 will remain in effect for the remainder of the 2020-21 UC SHIP plan year and will be extended through the 2021-22 plan year. Cost sharing includes, but is not limited to, copays, deductibles or coinsurance. Medically necessary screening, testing and treatment for COVID-19 may include hospital services (including emergency department), urgent care visits, provider office visits, telehealth encounters (e.g., LiveHealth Online) and clinical labs where the purpose of the visit is to be screened, tested and/or treated for COVID-19.
For additional information regarding the type of scenarios for which testing may or may not be deemed to be medically necessary, please visit UC SHIP and COVID-19: A Guide for Students and Parents. Students will be financially responsible for any COVID-19 related services that are deemed to be NOT medically necessary.
The medical and mental health benefits of the plan are provided through Anthem Blue Cross. For questions regarding benefits, eligibility, claims status or to locate a network provider, contact:Anthem Blue Cross
PO Box 60007
Los Angeles, CA 90067-0007
Insurance ID Card
Download your insurance ID using the UC SHIP mobile app or visit www.anthem.com/ca. A physical ID card will not be mailed to you.
Pre-Certification for Hospitalization
Pre-certification is required for all inpatient hospitalizations. Prior to a scheduled hospital admission or following an emergency admission, please call (800) 274-7767.
How to Access Care Across the U.S. and Around the World
When you are traveling away from home and/or campus, you have access to care across the country through Anthem’s BlueCard® PPO Program. If you’re traveling outside the U.S., you have access to care through the Blue Cross Blue Shield Global Core Program. For assistance, please visit Anthem Blue Cross or contact the Blue Cross Blue Shield Global Core Service Center at (800) 810-2583 (BLUE).
Pharmacy Benefits - USHIP
OPTUMRx is the Pharmacy Benefit Management organization (PBM) for USHIP. Customer Service: (844) 265-1879.