Massachusetts law requires all full-time and three-fourths-time matriculated students to have comprehensive health insurance. These students will be billed automatically for health insurance. Students must then complete an online waiver form through their COIN account stating whether or not they are requesting the insurance. This must be done yearly. Students enrolled solely in on-line courses are not eligible for the school insurance. The insurance policy runs from August 1 through July 31.
Requirements, overview, right to waive
What are the student health insurance requirements under Massachusetts law?
Note: "Matriculated" means that a student has been accepted into a degree-granting program at UMass Dartmouth. "Three-fourths-time" at UMass Dartmouth means at least 9 credits for undergraduate students and at least 7 credits for graduate students, 9 credits for the school of law.
Only students who are matriculated are enrolled for full to three-fourths time, and are taking at least one class on campus are eligible to take the school health insurance. (Matriculated graduate students taking 6 credits may take the insurance if they request it through bursar's office.)
Students who are charged for the university student health insurance plan may choose to enroll in the plan or may choose to waive the charge if their own health insurance meets minimum qualifications for coverage in the UMass Dartmouth area.
Before you decide to waive out of the plan: The UMass Dartmouth student health insurance plan offers advantages for students who may be covered under a parent/guardian's plan, but who may not be adequately covered in the UMass Dartmouth area. See below for more information.
Students must either enroll or waive enrollment via their COIN account. (In the Finances section, select the Waive/Enroll Health Insurance Form link.)
All enrolled F1 visa international students and matriculated J-1 students are required to purchase the university student health insurance plan (regardless of the number of credits for which they are registered). An exception can be made if the student is covered under an American insurance through a spouse or the student's embassy that meets the minimum requirements or is a Fulbright Scholar and has medical evacuation and repatriation insurance. Please discuss this with Student Health Services before purchasing any insurance. All non-matriculated J-1 students must either purchase the student health insurance or show evidence that they have adequate insurance that can be used in this country.
Information about waiving coverage
Deadline: Full-time and three-fourths-time students must complete the online waiver form indicating whether or not they want to enroll in the school health insurance plan by the fall 2019 deadline of October 11, 2019. Students newly enrolled in 2019 must complete the online waiver by February 28, 2020. Be aware that if a student chooses to waive out of the student health plan, he or she will not be eligible to enroll again for one year. The only exceptions are if a student is dropped from his or her health plan and submits proof to the Health Services office within 30 days of being dropped from coverage. Only new students can enroll in January.
What is UMass Dartmouth's student health insurance plan?
UMass Dartmouth is pleased to offer Blue Cross Blue Shield - Blue Care Elect (PPO) as our student health insurance for Academic Year 2019/2020. This plan is administered by University Health Plans. The plan begins coverage on August 1, 2019 and ends July 31, 2020. The fee for the 2019/2020 plan is $2,512.
To view the complete plan visit www.universityhealthplans.com and select the University of Massachusetts Dartmouth link.
- To find participating providers, visit www.bluecrossma.com for Massachusetts providers
- To find participating providers out-of-state, visit the BlueCardProvider Finder web site at www.bcbs.com/healthtravel/finder.html
- If you are purchasing coverage for your dependents under this plan, you will need to enroll them online by visiting www.universityhealthplans.com and selecting the University of Massachusetts Dartmouth link
What are the minimum requirements to waive coverage?
US students with proof of insurance who meet the Qualifying Student Health Insurance Program (QSHIP) criteria and who do not want to purchase the student plan may waive out of the plan.
Your insurance should cover the following:
- Preventive primary care
- Emergency care
- Surgical services
- Hospitalization benefits
- Ambulatory patient services
- Mental health services, both inpatient and outpatient
- Coverage for pre-existing conditions
- Coverage for accident or illness that occurs during travel outside of the US
- No annual or lifetime maximum.
- Prescription coverage
- Coverage for outpatient care in the UMass Dartmouth area, including office visits, outpatient mental health care, laboratory and radiology procedures (Coverage for emergency care only does not satisfy this requirement. Note: UMass Dartmouth Health Services uses Quest Diagnostics for blood work.)
If you are unsure of the answers to any of the above questions, consult your private insurance provider. Students who are covered under a parent/guardian's plan should review this information with the parent/guardian prior to completing the online waiver.
Students may not waive out of the health insurance using Health Safety Net, MassHealth Limited or Children's Medical Security Program or a non US based insurance.
Per MassHealth regulations, students eligible for school health insurance who are covered under MassHealth will be enrolled in the school health insurance at no cost to them. The school insurance will be the primary insurance, with MassHealth covering most out of pocket expenses.
Students may either enroll or waive enrollment via their COIN account. (In the Finances section, select the Waive/Enroll Health Insurance Form link.)
Please note a waiver form must be filled out yearly stating whether or not you want the school insurance.
Frequently asked questions about the student health insurance plan
Who is eligible to purchase the student health insurance plan?
Matriculated undergraduate and graduate students who are at least three-fourths or full time are eligible to purchase this plan. Matriculated students who are not currently registered including those students who are on a leave of absence, are not eligible to enroll in this plan. ("Matriculated" means that a student has been accepted into a degree-granting program at UMass Dartmouth. "Three-fourths-time" at UMass Dartmouth means at least 9 credits for undergraduate students and at least 7 credits for graduate students, 9 credits for law students.) Matriculated graduate students taking 6 credits can be allowed to enroll in the insurance by contacting the bursar's office. Online courses can be counted toward the minimum number of credits; at least one class, however, must be on campus.
Non-matriculated students (continuing education students) who meet minimum credit requirements may be permitted to purchase the school insurance; to enroll, they must pay a health fee and submit a health form with all required immunizations.
How much does the student health insurance cost?
The annual cost is $2,168 for students for academic year 2018/2019
Visit the insurance web site at www.universityhealthplans.com and click on UMass Dartmouth for more information about dependents and supplemental benefits:
I have not been charged for student health insurance. Can I enroll?
If you are not charged for the university student health insurance but you wish to enroll in the plan, contact the University Enrollment Center (508-999-8857 or 508-999-8866) or the Bursar's Office (508-999-8832). You must meet the following criteria: undergraduate student registered for 9 credits or more, graduate student registered for 7 credits or more, law students for 9 credits or more. As above noted, a graduate student taking 6 credits can be allowed to enroll in the school insurance by contacting the Bursar's Office. Although on-line courses can be counted toward the minimum number of credits, at least one course must be on-campus.
I am insured under my parent's health insurance at home. Do I need to purchase the UMass Dartmouth student health insurance plan?
Massachusetts law (QSHIP) requires that your insurance be billable in the Dartmouth area. If it is not, then you must purchase the school insurance plan.
Generally, UMass Dartmouth recommends that all resident undergraduate students consider purchasing the plan, since it gives students access to local care when they may need it most. Be aware that many "home" insurance plans will not cover non-emergency services when students are away from home. Many HMOs may require that blood work, x-rays, physical therapy and specialist referrals only be done at "in-network" facilities. Students may find it difficult or inconvenient to return home for these types of services. Some plans will only let prescriptions be filled if ordered by an "in-network" provider.
Note: UMass Dartmouth Health Services uses Quest diagnostics for blood work.
Before you decide to waive out of this plan, you should check with your parent's insurance to make sure you are covered not only for emergency care, but also for any non-emergency, follow-up, specialist consultation or rehabilitative services in the UMass Dartmouth area. If not, then you are required by law to purchase the school insurance.Most if not all, out of state HMO's are not acceptable to waive the health insurance coverage.
You may not waive out of the school insurance using Children's Medical Security Plan, Health Safety Net or MassHealth Limited.
How does the student health insurance plan work?
Students who use the provider network available at wwww.universityhealthplans.com. generally pay a $30 office co-pay and most of the office visit is covered. Students using out of network providers pay a 20% co-pay, a more expensive option. UMass Dartmouth Student Health Services is part of the provider network. Students do not pay a co-pay when being seen at UMass Dartmouth Student Health Services, as the student fee is considered the co-pay. There is a $250 deductible that must be met. To review the brochure, go to www.universityhealthplans.com and click on UMass Dartmouth.
If I am at home or traveling away from UMass Dartmouth, am I still covered?
Yes, when classes are not in session and you are home on break or traveling, the school plan provides coverage 24 hours a day anywhere in the US for as long as you are insured. When you are traveling abroad away from your home country, your coverage is in effect.
What if I have an emergency while traveling more than 100 miles from home?
If you experience a medical emergency while traveling more than 100 miles from home or campus, you have access to a comprehensive group of emergency assistance services provided by AIG Travel Assistance Program. AIG will assist you with medical referrals, legal and interpreter assistance, foreign hospital admission guarantee, prescription assistance, lost luggage assistance, travel information such as visa and passport requirements, travel advisories, etc. This coverage will provide medically necessary travel back to your home country.. For more information on this coverage please visit www.universityhealthplans.com and click on University of Massachusetts Dartmouth, and then on the travel assistance program.
Is dental or vision covered?
Dental is not covered. For information regarding optional dental plans, separate from the school insurance, go to www.universityhealthplans.com
Regarding vision, the 2019/2020 insurance covers one routine eye exam visit per 24 months (in and out of network combined). Go to wwww.universityhealthplans.com for information regarding an optional vision plan separate from the school insurance.
You do not have to be enrolled in the school insurance to enroll in the Dental or Vision insurance.
Can I purchase the student health insurance for half the year?
Only NEW students can purchase the insurance in January for the spring semester. The only exception is a student who is dropped from his or her individual plan or a parent/guardian’s plan. These students would then need to submit proof to Student Health Services that they were dropped from the plan within 30 days of loss of insurance. Students who graduate in December can contact the Bursar's office to remove the Spring Charge.
Do I need the student health insurance to seek care at UMass Dartmouth Health Services?
No. All matriculated students who pay the required University Fees are eligible to use Student Health Services.
What if I have questions about the policy, claims or need assistance with filing a claim?
There is an insurance clerk who can assist you with the school health insurane and is available to talk to you in person in Health Services Monday through Friday. Call (508) 999-8982 to speak with the clerk.
What happens if I drop out of school or take a leave while I am enrolled in your insurance plan?
Students who withdraw from school after actively attending classes the first 31 days of the policy period may remain enrolled in the student health insurance plan for the full period for which the premium was paid. The policy runs August 1 through July 31.
Frequently asked questions about Health Services and insurance
Will UMass Dartmouth Health Services submit information to my family’s insurance company?
We bill your health insurance company for visits to Health Services.
Lab tests are sent to Quest Diagnostics, which also bills your insurance, including the school insurance.
Insurance companies routinely send information regarding usage of the insurance plan to the person who purchases the insurance. This is called an Explanation of Benefits (EOB). If you are covered under a Massachusetts based insurance company and do not want the EOB sent to the person who purchased the insurance plan, you should contact the insurance company to arrange this.
What else should I know if I have my own insurance under a parent or if this plan is an HMO-style plan?
If you are waiving the school insurance because you are a US student and have insurance, you must be sure that it is billable in the Dartmouth area. Many HMOs are not; if this is the case, you would need to purchase the student health insurance. Out of state HMO's that do not have providers in Massachusetts and are not acceptable to waive
It is important to always carry your health insurance card with you and have the plan booklet and contact information with you. It is the student's responsibility to obtain pre-authorization if off-campus or hospital care is needed.
Likewise, if you need pre-authorization for lab work, x-rays or prescriptions, it is the student's responsibility to obtain this authorization and know how to obtain the authorization.