BRIDGEWATER STATE UNIVERSITY
STUDENT HEALTH PLAN
2022-2023 POLICY YEAR
Spring Semester Late Waiver Appeal Form
POLICY TERMS:
In order to ensure that all full time and three-quarter time college students have adequate medical insurance while pursuing their academic goals, state law requires that students have coverage, either through the Bridgewater State University Student Health Plan or another United States-based carrier offering comparable coverage.
State law requires all registered students show proof of comparable coverage. If you are an undergraduate taking 9 or more credits, or a graduate student taking 7 or more credits, you will be automatically billed for the Student Health Plan on your tuition bill until proof of comparable coverage.
The deadline to complete the Spring Insurance Waiver Form was February 17, 2023.
You must complete a Late Waiver Appeal Form and provide proof of comparable and continuous coverage to appeal the student health plan charge. Appeal decisions may take up to 2 weeks.
PLEASE NOTE: Health Safety Net, MassHealth Limited, and Children's Medical Security Plan cannot be used to waive the Student Health Plan. Additionally, foreign-based insurance companies and travel insurance are not allowable according to Massachusetts law (including all ISO Health Insurance Plans).
You may enter only one decision through this system. If you have a life changing event (i.e. aging off a parent's insurance policy) and need to change your election, please contact University Health Plans at info@univhealthplans.com or 833-251-1736 to submit the appropriate forms within 60 days of the loss of coverage.
CONTINUING THE WAIVER PROCESS:
To continue the Spring Late Waiver Appeal process, you will need your Bear ID number which can be found on your tuition bill. This ID number is not your social security number nor your Connect Card number. Please enter your Bear ID below.
By continuing the waiver process, you are confirming that: (1) you have reviewed your current health benefits and they meet or exceed the requirements of the student health insurance plan; (2) you agree to the terms stated above; and (3) you are choosing to waive coverage in the Student Health Plan provided by Bridgewater State University, University Health Plans, and Blue Cross Blue Shield of Massachusetts.
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
The following changes have been made to the 2022-2023 policy to keep the premium and Student Health Insurance Plan (SHIP) a viable option for students.
- 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)
The plan design changes can have an impact on your out-of-pocket costs if you need a preferred or non-preferred specialty prescription that will require you to pay 30% of the medication's cost up to the out-of-pocket maximum.Before enrolling, we encourage students impacted by the change to compare other insurance options to the SHIP.
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 Massachusetts Health Connector offers information about their online 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.