Bridgewater State University
STUDENT HEALTH INSURANCE PLAN
2022-2023 Academic Year
Welcome to the Bridgewater State University Student Health Insurance Plan On-Line Waiver/Enrollment System.
On this site you can find links to the Student Health and Sickness Insurance Plan Brochure, Provider Search, On-Line Waiver Form and On-Line Enrollment Form. You can access the Waiver Form or Enrollment Form by clicking on the appropriate box on the left. However, it is VERY important that you review the information below before proceeding to the Waiver Form.
Full time or three-quarter time students (graduate and undergraduate) at Bridgewater State University, who are enrolled in a health care plan or who are covered by a parent/spouse’s health care plan, which meets the minimums set forth in Massachusetts Law C.15A, s. 18 (available at www.mahealthconnector.org), use the Waiver Form found on this site to waive for the 2022-2023 Student Health Insurance Plan. The Student Health Plan for the 2022-2023 Policy Year is through Blue Cross Blue Shield of Massachusetts.
Insurance Cost and Coverage Periods
| Annual | Spring/Summer | |
| Coverage Dates | 8/1/2022 - 7/31/2023 | 1/1/2023 - 7/31/2023 |
| Premium Cost | $3,663 | $2,143 |
| Deadline Dates | September 21, 2022 | February 17, 2022 |
Bridgewater State University has partnered with University Health Plans to administer the plan and help with waiver, enrollment, or benefit-related questions. University Health Plans can be reached at 833-251-1736 or info@univhealthplans.com.
Bridgewater State University does not allow the following classes of students to waive off the QSHIP plan. If the student falls under one of the following categories they are ineligible for waiver and will be automatically enrolled:
- student with coverage from insurance carriers outside the U.S. and/or coverage by foreign National Health Services programs;
- this includes all ISO Health Insurance plans
- students with a health insurance plan that provides coverage through a closed network of providers not reasonably assessable in the area where the student attends school, for all but emergency services; or
- students with a Health Safety Net, MassHealth Limited, or Children’s Medical Security Plan.
Please note, in addition, the following students are not eligible to use this on-line waiver system:
- Undergraduate students taking less than 9 credits are not eligible for BSU Student Health Insurance and therefore need not waive.
- Graduate students taking less than 7 credits are not eligible for BSU Student Health Insurance and therefore need not waive.
- Does your plan provide coverage for medically necessary care in the Bridgewater area, and out of state?
- Does your insurance provide coverage for the entire academic year without restriction?
- Does your plan provide coverage with no maximum benefit?
- Does your plan provide comprehensive health care which includes primary and preventive care, hospitalization, surgical services, ambulatory patient services, emergency services?
- Does your plan include mental health services which meet at least the minimum required by Massachusetts law?
- Does your plan provide coverage for pre-existing illnesses?
- Your plan may not be Health Saftey Net, MassHealth Limited, or Children’s Medical Security Plan.
Students who waived the SHIP may qualify for special enrollment rights if they incur a loss of other coverage. To request enrollment and premium quote, contact the University Health Plans at 833-251-1736 or email info@univhealthplans.com.
Sincerely,
Student Accounts
Bridgewater State University
Student Health Plan
- Spring Late Waiver Appeal Form
- Spring 2023 Enrollment Form
- Qualifying Event Enrollment Form
- Provider Search
- Worldwide Providers &
Travel Assistance - Insurance ID Card
Optional Plans
Additional Information
Please review the 23-24 Summary of Benefits and Coverage and note the out-of-pocket maximum and coinsurance required for specialty drugs.
- Out-of-pocket maximum is $8,700 for medical and prescription drug expenses.
- The 5-Tier Plan prescription drug copays:
- Tier 1: $10 copay (generic)
- Tier 2: $20 copay (preferred brand)
- Tier 3: $30 copay (non-preferred brand)
- Tier 4: 30% coinsurance (preferred specialty)
- Tier 5: 30% coinsurance (non-preferred specialty)
To look-up your prescription medication in the 5-Tier Plan, choose Prescription Info → Medication Look Up in the navigation menu on the left.
We encourage students anticipating high out-of-pocket costs to compare other insurance options to the SHIP. The Massachusetts Health Connector offers information about their online insurance marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low or no cost insurance program for qualifying uninsured adults).
The following changes have been made to the 2022-2023 policy:
- Out of Pocket Maximum will increase to $8,700 for combined medical and prescription expenses.
- The prescription drug copayments will change to a 5-Tier Plan:
- Tier 1: $10 copay (generic)
- Tier 2: $20 copay (preferred brand)
- Tier 3: $30 copay (non-preferred brand)
- Tier 4: 30% coinsurance (preferred specialty)
- Tier 5: 30% coinsurance (non-preferred specialty)
To look-up your prescription medication in the 5-Tier Plan, choose Prescription Info → Medication Look Up in the navigation menu on the left.
The following changes have been made to the 2022-2023 policy:
- Out of Pocket Maximum will increase to $8,700 for combined medical and prescription expenses.
- The prescription drug copayments will change to a 5-Tier Plan:
- Tier 1: $10 copay (generic)
- Tier 2: $20 copay (preferred brand)
- Tier 3: $30 copay (non-preferred brand)
- Tier 4: 30% coinsurance (preferred specialty)
- Tier 5: 30% coinsurance (non-preferred specialty)
To look-up your prescription medication in the 5-Tier Plan, choose Prescription Info → Medication Look Up in the navigation menu on the left.