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Student Medical Insurance Graduate Student Assistant Insurance

Graduate Student Assistant Insurance

This plan is provided to eligible graduate student assistants as a benefit. Upon request, you may purchase
coverage for your spouse/partner and dependents.

What’s new for the 2016-2017 plan?

We will be switching to a new administrator for the 2016-2017 WSU student insurance plan. This year’s plan will be provided by AmeriBen and underwritten by UnitedHealthcare StudentResources (UHCSR). The plan starts on August 16, 2016.

Starting on September 9, you will be able to create an online account with AmeriBen through their app or website.

You can use AmeriBen’s free mobile app for iOS and Android to get your ID card, check the status of your claims and upload documents. Check out AmeriBen’s instructions for the app, then find MyAmeriBen in the App Store for iOS or on Google Play for Android.

Or, you can review AmeriBen’s instructions for creating an account on their website at MyAmeriBen.com.

While the new plan will include some cost increases compared to last year, the change will help us limit increases to your annual premium. The new plan also provides additional benefits, including:

  • HealthiestYou, a 24-hour telehealth service that connects you with a board-certified physician via phone or video chat for a consultation, diagnosis and treatment – a great option for WSU Pullman students to use on evenings, weekends or holidays when Health & Wellness Services is closed!
  • Student Assistance Program, a set of services including 24/7 counseling, assistance with legal and financial issues, and mediation services
  • Global Emergency Services, a program providing you (as well as your spouse and/or dependent children if they are enrolled) with access to doctors, hospitals, pharmacies and certain other services when faced with a travel or medical emergency while traveling 100 miles or more from your permanent residence

Your deductible for the 2016-2017 plan will be $100 for services provided by Health & Wellness Services and $500 for services from other providers. Your deductible is the amount of expenses you must pay out of pocket before the insurance company will pay any expenses.

Your dental insurance coverage for the 2016-2017 plan year has also changed:

  • Preventive/diagnostic services will now be covered at 80 percent.
  • Basic services will now be covered at 60 percent.

How do I know if I am eligible for the GSA plan?

The following students are eligible for the GSA plan:

  • Graduate Student Assistants who are enrolled for ten (10) or more credit hours and who have an assistantship stipend of at least 50% for an academic semester or more; full-time Graduate Research Fellows/Trainees who are paid a stipend of at least $800 per month and who are engaged in research similar to that of a research assistant.
  • Graduate students defending in the final semester of a degree program enrolled in 2-6 credits who were enrolled on the graduate insurance plan the previous semester. Please send an email with your request to enroll to student.insurance@wsu.edu by the 13th day of classes.
  • Graduate students enrolled at the University on internships as part of their course of study who were covered the previous semester (must be enrolled in at least 2 credits). Please send an email with your request to enroll to student.insurance@wsu.edu by the 13th day of classes.

The following students should contact Billing & Insurance at 509-335-3575 (option 3) to determine insurance plan eligibility and associated costs.

  • Graduate students on summer assistantship who require coverage through the end of summer until the regular enrollment period.

How much does the GSA plan cost?

For the 2016-2017 plan, please review the 2016-2017 GSA Rate Table for specific information on costs for students, spouses/partners and dependents.

Please note that the premium rates are informational only. Most graduate students on the GSA plan do not pay this premium. The University pays the premium as a benefit to the student.

If you’re unsure who is responsible for paying the premium, check in with your home department or Graduate Coordinator, or contact HWS at 509-335-3575 (option 3) or student.insurance@wsu.edu.

How do I enroll dependents?

Spouses, domestic partners and children may be enrolled at the graduate student’s request. Dependents can only be enrolled in the medical insurance. They are not eligible for dental insurance.

2016-2017 plan

To enroll your dependents, please complete the Dependent Enrollment form. To add a spouse or domestic partner, please complete the Declaration of Marriage or Domestic Partnership.

The enrollment/cancellation deadline is the 13th day of classes for the fall and spring semesters and the 5th day of classes for the summer sessions. To cancel enrollment, complete the Dependent Cancellation Form.

How do I enroll myself and my dependents for summer sessions?

Graduate students who begin their studies during the summer session can enroll in summer medical insurance until the fall semester begins.

Summer 2016 forms

Forms for summer 2017 will be posted at a later date.

How do I get information about coverage?

2016-2017 plan
This year’s plan will be provided by AmeriBen and underwritten by UnitedHealthcare StudentResources (UHCSR). The plan starts on August 16, 2016.Starting on September 9, you will be able to create an online account with AmeriBen through their app or website.You can use AmeriBen’s free mobile app for iOS and Android to get your ID card, check the status of your claims and upload documents. Check out AmeriBen’s instructions for the app, then find MyAmeriBen in the App Store for iOS or on Google Play for Android.Or, you can review AmeriBen’s instructions for creating an account on their website at MyAmeriBen.com.You will be able to use your account to:

Your dental insurance provider is Delta Dental. Visit Delta Dental to:

2015-2016 plan
You have up to one year to submit claims for medical services provided to you on or before August 15, 2016. Your insurance administrator is AIG Educational Markets.

Can I keep my Washington State Medicaid coverage through Apple Health?

Yes, Washington State Medicaid may still pay part of your medical bills even if you have gained coverage under WSU’s GSA plan.

If you have coverage under Medicaid, it is important to let the Washington State Department of Social and Health Services (DSHS) know that your primary insurance, WSU Graduate Student Health Insurance, is not processed electronically.

That way, they can set up appropriate claim processing that coordinates with your WSU coverage. Otherwise, your prescription benefits may not be processed in a timely manner.
For more information, visit the Washington Health Care Authority.

What if I’m not located in Pullman and need prescription services?

Do you have prescriptions that you take regularly? The Health & Wellness Services pharmacy in Pullman can fill and mail maintenance medications to students who have a WSU student insurance plan (iSHIP or GSA).

We’ll need 3-5 business days to fill and mail your prescription. Make sure to give us plenty of notice before you need a refill. We’ll bill your insurance to reduce the amount you pay at the time you fill the prescription.

Not sure what we mean by maintenance medications? Some examples are:

  • Birth control
  • Antidepressants
  • Blood pressure medication
  • Oral diabetic medications

There are some restrictions. If you have questions or would like to start receiving your prescription by mail, give us a call at 509-335-5742 or visit the Health & Wellness Services website.

How do I contact the billing and insurance office?

The billing and insurance office is located in the Washington building within the medical clinic entrance.

Phone: 509-335-3575 (option 3)
Fax: 509-335-8214
Email: student.insurance@wsu.edu

How do I get information about the 1095-B form?

You can call AIG for more information at 888-679-5676 or see their Letter for 2015. A letter for 2016 will be posted when it becomes available.