{"id":4073,"date":"2020-07-31T13:43:40","date_gmt":"2020-07-31T17:43:40","guid":{"rendered":"https:\/\/www.bates.edu\/health-services\/?p=4073"},"modified":"2021-06-15T13:15:14","modified_gmt":"2021-06-15T17:15:14","slug":"health-insurance-faq","status":"publish","type":"post","link":"https:\/\/www.bates.edu\/health-services\/2020\/07\/31\/health-insurance-faq\/","title":{"rendered":"Health Insurance Frequently Asked Questions"},"content":{"rendered":"\r\n<p><b>What is the Bates College policy about health insurance coverage?<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">Bates College requires that all students have active, comprehensive health insurance coverage while enrolled, including coverage for both emergency and non-emergency care, to ensure that students have coverage for local care to meet their health care needs while at campus.<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>Why does Bates College require students to have comprehensive and non-emergency health insurance?<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">Students are required to have comprehensive health insurance coverage to both help minimize catastrophic financial risk for students in the event of a health issue and to increase students&#8217; access to health care during their time at Bates.\u00a0<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">The College partners with Central Maine Medical Center to provide health care on campus at Bates Health Services, and bills insurance for services utilized, rather than charge a campus health fee. Therefore, to utilize services on campus you must have and provide proof of health insurance that covers primary care while you\u2019re on campus.<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>Will my insurance cover the services provided at Bates Health Services?<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">If you have insurance through your family policy, you must let the company know you are at Bates College and determine how to handle all insurance claims while at Bates. Health Services bills your health insurance like your primary care provider. If your health insurance plan will not cover the services provided at Bates Health Services, like out-of-region HMO plans, then students will have the opportunity to enroll in the Bates Student Health Insurance Plan, in order to provide coverage to medical care while at Bates.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Health Services, like most healthcare clinics will be unable to process your claim, handle your bills, or answer any questions about your individual policy \u2013 you must work with your health insurance company directly.\u00a0<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">In some instances, your insurance policy may require a referral to see a specialist; in this case our staff will contact your Primary Care Provider to expedite the referral. Pre-approval is often needed for x-rays, lab tests, and hospitalizations. If you have purchased the Bates College policy, the Patient Services Representative and the specialist at Cross Insurance Agency can help you with certain questions you may have. You are still responsible for understanding your policy and following the needed procedures and claim form requirements.<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>The Bates Student Health Insurance Plan Enroll &#8211; Waive Process<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">Annually, all students must enroll or waive health insurance coverage under the Bates Student Health Insurance Plan. The Bates Student Health Insurance Plan is compliant with the Affordable Care Act (the ACA). In order to waive the Bates SHIP, students must have comprehensive health insurance coverage that is considered to be \u201ccomparable coverage.\u201d\u00a0<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">The Enroll \u2013 Waive process for students returning for the fall semester opens in June and closes on August 27, 2021. The Health Insurance Enroll \u2013 Waive process is accessed through Garnet Gateway and administered by the Wellfleet Insurance Group. To complete this process, click on the Student Health Insurance Plan (SHIP) under the To-Do List on <\/span><a href=\"https:\/\/www.bates.edu\/garnet-gateway\/\"><span style=\"font-weight: 400;\">Garnet Gateway<\/span><\/a><span style=\"font-weight: 400;\">. This process is completed annually during the summer.\u00a0<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Students will be directed to and must input insurance information into the website of the Wellfleet Insurance Group, which administers the Bates College SHIP, which will determine if the student\u2019s plan is sufficient to waive enrollment in the SHIP.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Students who do not complete the Enroll-Waive process by the appropriate date listed above will be automatically enrolled in the SHIP and charged the premium.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">International students cannot decline coverage unless they are insured under a U.S. plan.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Questions about the Enroll-Waive process can be directed to Douglas Ginevan at dginevan@bates.edu<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>What is the cost of the SHIP?\u00a0<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">The 2021-2022 cost of coverage through the SHIP for the full 12 months is $1,996. For students returning to campus for the first time for the Winter semester and enrolling in the SHIP in January, the premium is $1,236.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Students who elect the Bates SHIP or are required to enroll in the plan will be billed the cost of the SHIP in September (students returning for the fall semester) or January (students returning for the winter semester.) Students receiving need-based financial aid from Bates may qualify for a full or partial grant subsidy, depending on their Bates-calculated family contribution, to help offset this cost.<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>What qualifies as \u201ccomparable health care coverage\u201d?<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">Comparable coverage is a medical plan from a company based in the United States that provides health insurance benefits without lifetime maximums or pre-existing condition limitations. International students cannot decline coverage unless they are insured under a U.S. plan.<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Generally, comparable coverage complies with the Affordable Care Act and provides equivalent or increased benefits than those provided under the Bates SHIP.\u00a0<\/span><\/p>\r\n<p><span style=\"font-weight: 400;\">Comparable coverage must include coverage for:\u00a0<\/span><\/p>\r\n<ul>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">in-network health care providers who are located in Maine;\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ambulatory care (visits to doctors and other healthcare professionals, outpatient hospital care you get without being admitted);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">emergency care;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hospitalization (such as surgery and overnight stays);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">pregnancy, maternity, and newborn care (both before and after birth);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">mental health and substance use disorder services, including behavioral health treatment (including counseling and psychotherapy);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prescription drugs (including brand-name drugs and specialty drugs);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">laboratory services; and<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">preventive and wellness services and chronic disease management.<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-weight: 400;\">Additionally, the annual out-of-pocket limit cannot be more than $8,550 for an individual or $17,100 for a family.<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p><b>What does not count as \u201ccomparable health care coverage\u201d?<\/b><\/p>\r\n<p><span style=\"font-weight: 400;\">There are many types of plans and coverages that are not considered comparable coverage. While many of these plans provide emergency coverage worldwide, they do not cover non-emergency care while you are outside of their service area. Below are examples of plan that are not considered comparable coverage:<\/span><\/p>\r\n<ul>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">out of state Medicaid plans;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">regional HMO plans;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">travel insurance plans;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">health plans that only cover specific occurrences, such as accidents or certain illnesses;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">health plans that only provide emergency services;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">international plans (includes travel coverage from your home country);<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">health care sharing plans;<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">plans from insurance companies not located within the United States; and<\/span><\/li>\r\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prescription discount plans (this is not insurance).<\/span><\/li>\r\n<\/ul>\r\n","protected":false},"excerpt":{"rendered":"<p>What is the Bates College policy about health insurance coverage? Bates College&hellip;<\/p>\n","protected":false},"author":870,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_hide_ai_chatbot":false,"_ai_chatbot_style":"","associated_faculty":[],"_Page_Specific_Css":"","_bates_restrict_mod":false,"_table_of_contents_display":false,"_table_of_contents_location":"","_table_of_contents_disableSticky":false,"_is_featured":false,"footnotes":"","_bates_seo_meta_description":"","_bates_seo_block_robots":false,"_bates_seo_sharing_image_id":0,"_bates_seo_sharing_image_twitter_id":0,"_bates_seo_share_title":"","_bates_seo_canonical_overwrite":"","_bates_seo_twitter_template":""},"categories":[1],"tags":[],"class_list":["post-4073","post","type-post","status-publish","format-standard","hentry","category-uncategorized","with-sidebar"],"_links":{"self":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/posts\/4073","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/users\/870"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/comments?post=4073"}],"version-history":[{"count":5,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/posts\/4073\/revisions"}],"predecessor-version":[{"id":4312,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/posts\/4073\/revisions\/4312"}],"wp:attachment":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/media?parent=4073"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/categories?post=4073"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/tags?post=4073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}