Checklist For Other Coverage Before Waiving

Student Health Insurance 2016 - 2017 Plan Year

Some students already have adequate health insurance coverage through their parent's health insurance plans, but many other students on our three campuses may lack coverage for a variety of reasons. The checklist below is designed to help students and parents evaluate the adequacy of their health insurance in relation to the special needs of students:

Coverage in the Washington D.C. Metropolitan Area

Cost increases have caused many employers to adopt benefits through a health maintenance organization (HMO), preferred provider organization (PPO), or other managed care system. Some HMOs and PPOs limit access to non-emergency care to a specific geographic area. Students must have more than just emergency coverage while attending school. Adequate student coverage should provide full benefits for health care in the Washington area with an unlimited benefit maximum. For simple inexpensive tests, such as throat cultures or blood counts, HMO coverage often requires travel to an approved site.  Please refer to the Waiver Approval process for specific waiver requirements.

Club Sports Coverage

Students who participate in sports programs should have health care coverage. Intercollegiate or professional sports injuries are not covered under the Premier Plan. The Premier Plan does cover specific GU club sports injuries. Refer to Club Sports information in the Description of Benefits or call Arthur J. Gallagher  & Co., Student Health & Special Risk for a more detailed description.

Study Abroad and Worldwide Coverage

Premier Plan provides worldwide coverage. Georgetown University students in Study Abroad programs have an additional overseas policy to cover medical treatment rendered outside of the United States. The Study Abroad overseas policy will not be accepted as the only "other insurance" for purposes of meeting the waiver requirement to decline the Premier Plan. Because the additional overseas policy enhances the Premier Plan's overseas coverage, students are encouraged to maintain enrollment in both plans.

Mental Health Care Benefits

Health insurance plans may provide limited mental health care benefits, which may be insufficient for the needs of a student. Your health insurance program should provide a level of benefits for mental health care comparable to the coverage provided by the Premier Plan.

Insured's Payment Obligations

The Georgetown University Student Health Center (SHC) charges students for visits. Parents and students should make certain that their deductibles and coinsurance would not preclude them from obtaining appropriate health care services.

Dual Coverage Under the Premier Plan and Another Plan

You may want to remain covered under your current plan and purchase this Plan. However, this Plan would not necessarily be your primary plan. This Plan coordinates benefits with other plans to determine which plan pays first. Refer to the Coordination of Benefits explanation in the Premier Plan Description of Benefits brochure, if you wish to be covered under this Plan and another.