Lehigh University
Student Health Insurance Plan
STUDENT ENROLLMENT FORM
2023-2024 POLICY YEAR
The following students are eligible to enroll and are required by Lehigh University to have Health Insurance.
• Undergraduate matriculating students registered for five (5) or more credits
• Undergraduate non-matriculating students (non-degree/General College Division) registered for twelve (12) or more credits
• Graduate students enrolled in a degree seeking on-campus based program and registered for nine (9) or more credits.
• Graduate students with certified-full time status registered for (1) or more credits
• All Lehigh international students on an F-1 or J-1 visa regardless of number of registered credits
Students enrolled in a Distance Education program do not fulfill the Eligibility requirements.
The charge for the annual premium will be included on the student’s fall invoice once the student meets the minimum registration eligibility requirements.
If you do not plan to attend Lehigh for Spring 2024 and you would like to request Fall Only coverage, contact Lehigh's Bursars Office at (610) 758-3160 before the deadline of September 8, 2023 to request Fall Only coverage. Fall Only coverage terminates at the end of December 31, 2023, and reduces the charge to $937. You will be required to pay the insurance premium to Lehigh's Bursars Office prior to receiving access to the fall only enrollment form.
Students can expect to receive an email from Wellfleet in 5 to 10 business days with details on how to access your electronic health insurance card and online account. We encourage enrollment as soon as possible so that you can have your insurance card available to you prior to the start of the policy.
Confirmed enrollments that occur after July 31st, or more than 10 days after becoming eligible, may be subject to a late processing fee of $25.
To continue the enrollment process, please fill out the required fields below:
Please note, your LIN# is 9 digits.
***STEP 1 OF 4***
Student Health Plan
- Waiver Form
- Enrollment Form
- Qualifying Event Enrollment Form
-
CareConnect –
Behavioral Health Hotline - Provider Search
- Claim Form
- Insurance ID Card
- Insurance Mobile App
Optional Plans
Additional Information
PLAN CHANGES FOR THE 2016-2017 POLICY YEAR:
UNDERWRITER:
The underwriter for the plan has changed from Nationwide Life Insurance Company to National Guardian Life Insurance Company. Claims are still submitted to Cigna and, subsequently, processed by Consolidated Health Plans (CHP).
DEDUCTIBLE:
There is now only one in-network deductible of $50 and one out-of-network deductible of $50 per policy year, regardless of how many conditions are treated. If the deductible is applicable for a medical service, it can be waived by receiving a referral from the Health and Wellness Center.
REFERRAL:
A referral from the Health and Wellness Center is not required for the 2016-17 policy year. A Health and Wellness Center referral may be used to waive the deductible, if applicable, for a medical service.
COINSURANCE:
Unless stated otherwise in the brochure, the plan will pay at 95% of the Preferred Allowance for in-network services and 85% of Reasonable & Customary Charges for out-of-network services.
OUT-OF-POCKET MAXIMUM:
The out-of-pocket maximum for eligible expenses in-network is $1,500. There is no maximum for out-of-network services.
Lehigh University Qualifying Life Event
Students who waived the Student Health Insurance Plan (SHIP) and recently lost their other coverage or moved to the US can contact the Lehigh Bursar Office at bursar@lehigh.edu to request the qualifying event enrollment form (include your LIN in your email). Once the qualifying event enrollment form has been completed, eligibility will be confirmed, and the insurance charge will be added to the student's account. Once payment has been made to the Lehigh Bursar Office, enrollment will be sent to Wellfleet for processing. If the loss of coverage occurs between 8/15 and 12/31, payment due is the annual premium. If the loss of coverage occurs between 1/1 and 8/14, payment due is the spring premium. The deadline to complete the enrollment form is 60 days from the qualifying life event.