Are you considering waiving UCSHIP?
Students (and parents) should ask: Am I sufficiently covered to ensure my healthcare needs will be met?
Please consider the following:
UC Merced requires that all students have a primary care provider within 55 miles of their school address (on or off campus). Many students with Medi-Cal, or HMO insurance cannot meet this requirement. If you cannot identify a provider within this 55 mile radius, you may not qualify to waive UCSHIP.
Students with an HMO: Before waiving UC SHIP, please note that HMO plans only covers you for medical care from your designated primary care provider or upon referral from that office. It is not automatically a portable plan. In order to seek non-emergency care in Merced County using an HMO plan, the student must select a new doctor in our area and transfer their care to that person. Please contact your insurance company to change your Primary Care Provider (PCP) to one in Merced.
Students with Medi-Cal: Contact your case worker back home or have mom or dad do it. You will need them to contact your case worker to let them know you are attending college in Merced at UC Merced. You will need to update your physical address to where you are living in Merced (house, apt., dorm). This will take you out of your current county plan and put you in the Merced County health plan. This will not affect your parents and it is only temporary. You still remain under your parents case. This will allow you to seek services in the Merced area and not just receive emergency care as long as you have full coverage Medi-Cal. This will help you meet the criteria to waive out of the UC insurance plan if you follow through with all requirements.
Access to Medi-cal Benefits for College Students (PDF)
Review your options carefully. UC SHIP is a low-cost, comprehensive package designed to provide students with medical coverage anywhere in the world. Only UC SHIP offers UC Family network discounts for students to receive care at UC hospitals, affiliated facilities and professional providers. Dental and vision are part of the UC SHIP package.
If you applied for a waiver and your waiver application was denied, you may appeal the decision in writing.
Please read all of the instructions below before filing an Appeal:
If your Waiver Application was denied because you missed the waiver application deadline, DO NOT FILE AN APPEAL.
Appeals will not be considered for students missing the waiver deadline.
Your appeal must be submitted to the Insurance office at the Student Health Center within seven (7) days of the date of notice of denial. Appeals received after the seven-day grace period will not be considered. Appeals will be considered for the current term only. Waivers granted on Appeal will NOT be applied to any previous term. Failure to complete the entire Appeal of Waiver Denial form, or to provide appropriate documentation, will result in your appeal being denied. You will remain enrolled in UCSHIP for the appropriate semester and be responsible for all UCSHIP fees.
Evaluation of your Appeal will be based on comparability insurance guidelines in effect at the time of the original Waiver Application.
Required Documents to File an Appeal of Waiver Denial
1. Attach copy of Waiver Denial Notice.
2. Attach copy of front and back of current insurance card.
3. Attach copy of the Complete Insurance Benefit Summary (this can be found online at your insurance company’s website by making a user name and password login or by calling your insurance company).
No action will be taken on your Appeal without all of the above attachments.
Communication regarding the status of your Waiver Appeal will be sent to your UC Merced email address.
Please only submit your Waiver Appeal 1 time. Once we receive your Appeal we will send an email confirmation.
If you still want to file an appeal of waiver denial, download the UC SHIP Appeal of Waiver Denial form and submit the completed form to Insurance Office at the Student Health Center within seven (7) days of the date you received the notice of your waiver denial.
Submitting an appeal can be done by mail, fax or email:
H. Rajender Reddy Health Center
University of California, Merced
5200 N. Lake Rd.
Merced, CA 95343
Disclaimer: Submission of an appeal is not a guarantee of an approval