FAQs

Student Health Insurance 2017 - 2018 Plan Year

In order to better serve you, the answer to most questions for enrolling or waiving the Premier Plan can be found on this website. Below are the answers to the most frequently asked questions.

Enrollment

If I am charged for the Premier Plan, will I remain eligible for the Plan?

To remain eligible for the Premier Plan, students must be enrolled in the required number of credit hours and actively attend classes for the first 31 days.

My employer plan year coverage ends in December. May I enroll late into the Premier Plan for a prorated price, if my coverage is terminated during my employer’s Open Enrollment Period?

Yes, as long as you maintain the required credit hours for eligibility in the Spring semester. Email shi@georgetown.edu to provide proof of termination during your employer’s Open Enrollment Period within 31 days of terminating. Your effective date will be the day after your employer plan’s termination date, so you will not have a gap in coverage.

If I waive the Premier Plan in the Fall, can I change my mind and enroll in the Plan later?

Generally, no. Late enrollment is allowed if an eligible student is involuntarily dropped from other coverage due to age or job status and the late enrollment application is received within 31 days of being involuntarily dropped. If you know you will be involuntarily dropped due to age or job status during Open Enrollment, include the termination date of your other coverage in the text box provided when completing the waiver section of the survey. SHI should then e-mail you a Temporary Waiver agreement, so the Premier Plan charge can be temporarily removed from your Student Account.  If you do not receive the email within 5 business days of submitting your waiver, email shi@georgetown.edu to request instructions for a Temporary Waiver.

I will be eligible to enroll in another plan in November, can I purchase the Premier Plan from August 15 through November?

No, the Premier Plan coverage ends August 14, of each Plan Year and prorated refunds are not granted. You may purchase other private "gap" coverage until the new insurance is in effect. To notify the Student Health Insurance Office of these special circumstances, indicate in the termination date of your "gap" coverage when completing the waiver survey in the text box provided.

Can I extend/continue my insurance for 6 months?

No, the Fall of 2017 was the last term, students were eligible to voluntarily extend or continue their coverage for six months under the Continuation Plan provision if they were:

  • Insured on or before February 15, 2017 through August 14, 2017; and,
  • Were no longer eligible for the 12 month Premier Plan.

Continuation Plan payment must have been post marked no later than August 28, 2017.

Waiver

I submitted my waiver, was it approved?

Allow five business days before confirming if your waiver was approved. To confirm that your waiver has been approved, view your Student Account in MyAccess to see if a credit for the Premier Plan has been posted to your account. If the waiver is not approved, the Student Health Insurance Office will send a request for additional information or an explanation for the denial to your GU e-mail address.

If I waive the Premier Plan in the Fall, can I change my mind and enroll in the Plan during the Spring Open Enrollment Period?

No, each student has only one Open Enrollment opportunity per Plan Year. However, you may change your mind during your applicable Open Enrollment Period.

If I waived the Premier Plan and then become involuntarily uninsured in the middle of the academic year due to age or job status, can I pick up the Premier Plan in mid-year?

Yes, as long as you enroll within 31 days of being "involuntarily dropped" and provide official written proof that you were involuntarily dropped from your other insurance due to age or job status. Please contact the GU Student Health Insurance Office for access to the online late enrollment form. The premium will be prorated for late enrollments.

My son is covered under my plan, but he will be involuntarily dropped from my coverage in the Spring semester because he is turning age 26. He is also reducing his credit hours to part-time in the Spring. Can he enroll in the Premier Plan in the Spring?

If he is taking less than 9 credit hours (Undergraduate) or less than 8 credit hours (Graduate) in the Spring term, he will not meet the eligibility requirements. However, you may opt to enroll your son in your employer COBRA Plan. Otherwise, he should enroll in the Premier Plan in the Fall.

Benefits

Why was coverage for my Emergency Room visit denied?

Charges for Medical Emergency Expenses are covered only when the condition is a true Medical Emergency as defined in the Description of Benefits. If you have a non-emergent condition that needs to be treated after regular business hours:

  • Contact the on-call Student Health Center physician at 202-444-PAGE for advice; or,
  • Go to the UHCSR Urgent Care center after hours. UHCSR Urgent Care centers can be found through the online provider search tool at www.uhcsr.com

Does the Premier Plan provide coverage worldwide?

Yes, reimbursement for treatment outside the U.S. would be paid according to Schedule 3 in the Schedule of Benefits Summary in the Description of Benefits Booklet.

Does the Premier Plan cover dental or vision care?

No, the Premier Plan is a medical injury and sickness Plan. However, insureds have access to United HealthAllies Discount Network, Basix Dental Discount Network, and EyeMed Discount Network, which are linked on the Premier Plan Service web page. In addition, check Arthur J. Gallagher & Co., Student Health & Special Risk website to enroll in a voluntary dental plan or to explore other Discount Networks provided through Gallagher Insurance Agency that complement the Premier Plan.  Note: Georgetown University does not make vendor service/product recommendations.

Are pre-existing conditions covered?

Pre-existing conditions are covered if the condition or treatment is not specifically excluded or limited per the Exclusions and Limitations in the Description of Benefits Booklet.

Are medications or devices that prevent pregnancy covered?

Georgetown University has certified that this student health insurance plan qualifies for an accommodation with respect to the Federal requirement to cover all Food and Drug-administration approved contraceptive services for women, as prescribed by a health care provider, without cost sharing.  This means that Georgetown will not contract, arrange, pay or refer for contraceptive coverage.  The accommodation remains in place, thereby, UnitedHealthcare will continue to provide separate payments for contraceptive services that you use, without cost sharing and at no other cost, for so long as participants are enrolled in this plan.  Georgetown University will not administer or fund these payments.

UPDATE 12/1/2017

As it has for the past four years, Georgetown will continue to claim the accommodation related to contraceptive coverage under the Affordable Care Act.  This means that UnitedHealthcare will provide separate payments for contraceptive services that plan participants use, without cost sharing and at no other cost to plan participants.  Georgetown will not administer or fund these payments.

Can the physicians and nurse practitioners at Georgetown Student Health Center prescribe contraceptives?

Yes, if you have a medical condition for which these medications may be indicated.  See the Student Health Center website FAQs for more information. 

Other

I've reviewed the materials on the website, but I still have questions, who should I contact?

If you can't find the answer to your question on this website, refer to the contact page on the back cover of the the summary booklet, Premier Plan At a Glance, for information on who to contact with specific concerns. Student Health Insurance is also available to direct you to the appropriate contact to answer your questions.