Welcome!

Location: 333 East Campus Mall

7th FloorPhone: (608) 265-5232

Email: shipmail@uhs.wisc.edu

Website: www.uhs.wisc.edu/ship

Student Health Insurance Plan

• Health care can be extremely expensive in the United States• For Example:

• Emergency Room Visit: $1,500• Appendectomy: $20,000• 6 Week Stay in a Hospital: $200,000

• Unexpected accidents and illnesses do happen

Health insurance is critical

UW-Madison Health Insurance Mandates

• Non-immigrant visa holders and their visa dependents must comply with the UW-Madison insurance requirements which meet or exceed the Federal and Wisconsin State insurance requirements

• UW-Madison requires that all non-immigrant visa holders and their visa dependents holders purchase SHIP or waive with qualifying insurance

No travel insurance plans or private policies will be accepted

SHIP is a comprehensive student health insurance plan

What is SHIP?

Doctors visits

One free eye exam Prescriptions

Emergency Evacuation

A. Waive SHIP Submit a qualifying Waiver Application

By September 14th with proof of insurance

ORB. Purchase SHIP

Purchase SHIP for yourself and any visa dependents

By September 14 with credit card, check or exact cash

To be compliant:

A. Waiving SHIP :No travel insurance plans or

private policieswill be accepted

Provide proof of group coverage WI State Health Insurance Applications signed and dated by your department Insurance ID card

Waiver Application

Automatic Waivers

Paid position with the University of Wisconsin Madison (teaching assistance-ship, research assistant position, or a project assistant position)

Coverage must take effect on or before September 1st of this year

Must Meet the Following Criteria:

Online: www.uhs.wisc.edu/ship

In Person: 333 East Campus Mall-7th floor Monday–Friday between 9:00AM-

5:00PMOver the Phone: Telephone: 608-265-5232

B. Purchasing SHIP :

2013-14 Plan Premiums

You must be registered for classes before you can enroll with SHIP

What To Bring: Campus ID & Enrollment form

VISA/MasterCard/Discover Card

Check

Exact cash

Payment

After enrollment?• You will receive a SHIP membership card

by mail• Keep your membership card with you at all

times• Card used for medical appointments and

pharmacy visits

HOW TO USE SHIP & UHS

How to use SHIP:1. Must use University Health Services for all available primary and preventive care services

2. “In-Network” providers are available for instances when UHS is closed or unable to provide necessary services

3. Click “Find ‘In-Network’ Providers on the SHIP website and contact our office if you experience any difficulties

SHIP Coverage and CostsIn-Network

Out-Of-Network

SHIP Pays 100% • Except for 3rd party

requested physicals and labs

You pay 10%SHIP Pays 90%

You Pay $500

deductible +40%

SHIP Pays 60%

Routine dental services

Not Included:

Recommendation

211 N. Carroll St.Madison, WI

53703

Dental

You must purchase or waive SHIP Before September 14th

OR A $100 late fee will apply

An academic hold will be placed on your account

You will be automatically enrolled in SHIP

REMINDER

Location: 333 East Campus Mall

7th FloorPhone: (608) 265-5232

Email: shipmail@uhs.wisc.edu

Website: http://www.uhs.wisc.edu/

ship/

Student Health Insurance Plan