Roger Williams University Student Health Insurance Plan

<!doctype html> <html class="no-js" lang="en"> <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <title>Roger Williams University Student Health Insurance Plan | University Health Plans, Inc.</title>  <link rel="stylesheet" href="/themes/2018/bootstrap/css/bootstrap.min.css?2024-03-19">   <link rel="stylesheet" href="/themes/2018/css/proxima-nova.css?20221128">  <link rel="stylesheet" href="/themes/2018/css/styles.css?2024-08-20"> <link rel="stylesheet" href="/themes/2018/css/legacy.css?2024-08-20"> <link rel="stylesheet" href="/themes/2013/plugins/fancybox/source/jquery.fancybox.css"> <link rel="stylesheet" href="/themes/2013/css/forms.css?2022-07-21"> <link rel="stylesheet" href="//ajax.googleapis.com/ajax/libs/jqueryui/1.11.4/themes/smoothness/jquery-ui.css" />    <script src="/themes/2018/js/vendor/modernizr-3.5.0.min.js"></script>  <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.6.0/jquery.min.js"></script> <script>window.jQuery || document.write('<script src="/themes/2018/js/vendor/jquery-3.6.0.min.js"><\/script>')</script> <script src="https://code.jquery.com/jquery-migrate-3.4.0.js"></script> <script src="//ajax.googleapis.com/ajax/libs/jqueryui/1.11.4/jquery-ui.min.js"></script>  <script type="text/javascript" src="/themes/2013/plugins/fancybox/source/jquery.fancybox.pack.js"></script> <script src="/js/popup.js"></script> <script src="/themes/2018/js/plugins.js"></script> <script src="/themes/2018/js/script.js?2023-04-25"></script> <script src="/themes/2018/js/products.js?2021-05-21"></script>  <script src="/themes/2018/bootstrap/js/bootstrap.min.js"></script>     </head> <body> <a href="#main-content" class="visually-hidden--focusable">Skip to main content</a> <a href="#main-menu" class="visually-hidden--focusable">Skip to main menu</a> <div class="body"> <header class="header"> <div class="container"> <div id="header__logo"><a href="/"><img src="/themes/2018/img/logo.svg" alt="Risk Strategies - University Health Plans" height="83"></a></div> <div id="header__legacy-logo" style="display: none;"><a href="/"><img src="/themes/2018/img/legacy-logo.svg" alt="Risk Strategies - University Health Plans" height="83"></a></div> <nav class="header__menu"> <ul class="clearfix"> <li id="header__about-link"><a href="/about/">About Us</a></li> <li id="header__contact-link"><a href="/contact/">Contact Us / FAQs</a></li> <li id="header__news-link"><a href="/healthcare-news/">Healthcare News</a></li> <li id="header__products-link" class="expanded"><a href="/products/" class="btn btn-primary">Additional Products & Services</a> <div class="header__submenu container"> <div class="products__all-link"><a href="/products/" class="btn btn-secondary">View All Products & Services</a></div> <div class="products"> <div class="row">  <div class="products__col col-xs-8"> <div class="products__item"> <h3>Dental Insurance<div style="font: .5em ProximaNova-Light, 'Open Sans', Helvetica, Arial, sans-serif; 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To enroll, they must complete the online enrollment form and make payment by the deadline.</div> <ul> <li> <div>Full-time Graduate Students with 6+ credits</div> </li> </ul> <table align="center" border="1" cellpadding="1" cellspacing="1" style="width: 725px;"> <tbody> <tr> <td> <div style="text-align: center;"> </div> </td> <td> <div style="text-align: center;"><strong>Annual Students</strong></div> </td> <td> <div style="text-align: center;"><strong>New Spring Law Students</strong></div> </td> <td> <div style="text-align: center;"><strong>New Spring Graduate & </strong></div> <div style="text-align: center;"><strong>Undergraduate Students</strong></div> </td> </tr> <tr> <td><strong>Coverage Period</strong></td> <td style="text-align: center;">08/14/2024 - 08/13/2025</td> <td style="text-align: center;">01/11/2025 - 08/13/2025</td> <td style="text-align: center;">01/21/2025 - 08/13/2025</td> </tr> <tr> <td><strong>Cost</strong></td> <td style="text-align: center;">$3,116</td> <td style="text-align: center;">$1,835</td> <td style="text-align: center;">$1,750</td> </tr> <tr> <td><span class="red"><strong>Late Waiver/Enrollment Deadline</strong></span></td> <td style="text-align: center;"><span class="red"><strong>September 11th, 2024</strong></span></td> <td style="text-align: center;"><strong>January 31, 2025</strong></td> <td style="text-align: center;"><strong>January 31, 2025</strong></td> </tr> </tbody> </table> <p>Wellfleet insures the Student Health Insurance Plan. The plan includes Cigna's Preferred Provider Organization (“PPO”) and has been customized to meet the needs of University students with an emphasis on wellness. You can access important information about the plan by selecting “Benefit Information” in the navigation menu on the left-hand side of this page.</p> <p><span class="red"><b><u>Plan Change for 2024-2025</u>: Co-insurance will be removed from the ambulance benefit. The out-of-pocket maximum will increase from $6,350 to $7,500, the ER copay will increase from $100 to $200, and the co-insurance for tier 3 and tier 4 prescription drugs for tier 3 and tier 4 will increase from 20% co-insurance to 30% co-insurance. Teledoc behavioral health will be included in the plan at no member cost share. </b></span></p> <p align="center"><strong><u>INTERNATIONAL STUDENT PROCESS</u></strong></p> <p>International students are automatically enrolled in the Student Health Insurance Plan and do not need to take any action to enroll. International students with comparable US-based health insurance policies filed and approved in the US and Compliant with the Affordable Care Act (ACA) may submit a waiver form. The waiver form will be reviewed before being approved or denied. </p> <p align="center"><strong><u>DOMESTIC STUDENT ENROLLMENT AND WAIVER PROCESS</u></strong></p> <div>Enrollment and waiver forms are located to the left in the navigation menu.<strong>  Mandatory students referenced above who do not complete an enrollment or waiver form by the deadline will be automatically enrolled in the student health insurance plan.</strong></div> <div> </div> <p align="center"><strong><u>WAIVER REQUIREMENTS</u></strong></p> <p>If a student is currently insured under another insurance policy comparable to the RWU Student Health Insurance Plan and does not wish to have coverage under the University-sponsored plan, the student may waive the insurance by completing the waiver form by <strong>the deadline.</strong>  You must review your current insurance policy to confirm it meets the following criteria:</p> <ul> <li>Your plan must be ACA-compliant, filed, and approved in the US</li> <li>Your plan must provide insured benefits for doctors, hospitals, labs, pharmacies, and behavioral health providers near the Roger Williams Campus</li> <li>Services must be accessible in Rhode Island near the Roger Williams Campus.</li> </ul> <p>The following plans do not meet the waiver requirements:</p> <ul> <li>Plans that provide emergency-only coverage near the Roger Williams Campus in RI.  Many out-of-state HMO, EPO, and Medicaid Plans do not provide comprehensive coverage in Rhode Island. </li> <li>Plans from insurance carriers outside the US and coverage by Foreign National Health Service Programs. Plans marketed solely to international students are often not filed and approved in the U.S., or compliant with the ACA, and do not meet the insurance requirements. GBG Insurance, HDL Global Specialty, ISO, Tigerless, PGH (United), PSI, Student Medicover, and Tata AIG are examples of companies that do not meet the waiver requirements.</li> </ul> <p>If your comparable plan will end before August 13, 2024, while you are in school, you must either enroll in the Student Health Insurance Plan within 31 days of your other plan’s end date or provide comparable coverage elsewhere.</p> <p>Students will be asked to provide details about their current insurance plans during the waiver process. </p> <p align="center"><strong><u>ACCESS THE ENROLLMENT OR WAIVER FORM</u></strong></p> <p>To waive or enroll, click on the appropriate link, either “Waiver Form” or “Enrollment Form,” in the navigation menu to the left, complete all required information, and click submit. Confirming enrollment before the deadline ensures your information is transferred to the insurance company on time.</p> <p><strong>Waiver Confirmation</strong>:  Once you have completed the waiver process, an e-mail will automatically be generated and sent to your student RWU e-mail address.  It will confirm that you submitted a waiver, and if you did so in error, to contact University Health Plans.  Please print and keep this confirmation for your reference.</p> <p><strong>Waiver processed, but the charge is still on the tuition bill?</strong>   Please allow 5-7 business days for your waiver to be processed. If you still are not seeing the credit, Undergraduate and Graduate Students should contact the Bursar’s Office at (401) 254-3520, and Law Students should contact the Office of Student Finance and Records at (401) 254-4657.</p> <p><u>Please contact University Health Plans at</u> 833-251-1144<strong> </strong>or <a href="mailto:info@univhealthplans.com">info@univhealthplans.com</a> with questions about the enrollment or waiver process.</p> <p align="center"><strong><u>ADDITIONAL INFORMATION FOR NEW STUDENTS</u></strong></p> <p>New students enrolling at the university for the 2024-25 academic year can access the waiver form once you have received your RWU Student ID, which is included in a separate mailing after their deposit has been received.</p> <p>Problems with your RWU Student ID? Undergraduate and Graduate Students should contact the Registrar’s Office at (401) 254-3510, and Law Students should contact the Office of Student Finance & Records at (401) 254-4657.</p> <p>If you have questions about the University Health Plans enrollment or waiver process, please contact University Health Plans at 833-251-1144 or <a href="mailto:info@univhealthplans.com">info@univhealthplans.com</a>.</p> </div> </div> <div class="col-sidebar col-xs-6 col-xs-pull-18 col-lg-7 col-lg-pull-17">  <div class="sidebar__menu" id="main-menu" tabindex="-1"> <div class="sidebar__logo"><img src="/logos/RWU.png" alt="Roger Williams University"></div> <ul> <li><a href="/letters/letter.cgi?group_id=392">Introduction</a></li> <li><a href="#menu-contact-info-392" class="lightbox-small">Contact Information</a></li> <li> <a href="https://wellfleetstudent.com/covid-19/" target="_blank">Wellfleet COVID-19 Updates</a>  </li> <li><a href="/faqs/faq.cgi?group_id=392">FAQs</a></li> </ul> <h2>Student Health Plan</h2> <ul> <li><a href="/secure/waiver.cgi?group_id=392">Waiver Form</a></li>  <li><a href="/secure/enrollment.cgi?group_id=392">Enrollment Form</a></li> <li><a href="/secure/enrollment.cgi?group_id=573">Qualifying Event Enrollment Form</a></li> <li class="expanded" href="/brochures/brochure.cgi?group_id=392"> <h3>Benefit Information</h3> <ul> <li><a href="#plan-summary-changes" id="plan-summary-link">24-25 Brochure</a></li> <li><a href="/pdf/RWU-Policy-Certificate-2425.pdf" target="_blank">24-25 Policy Certificate</a></li> <li><a href="/pdf/RWU-Brochure-2324.pdf" target="_blank">23-24 Brochure</a></li> <li><a href="/pdf/RWU-Policy-Certificate-2324.pdf" target="_blank">23-24 Policy Certificate</a></li> </ul> </li> <li>  <a href="https://wellfleetstudent.com/careconnect/" target="_blank">CareConnect –<br/>Behavioral Health Hotline</a>  </li> <li><a href="https://www.studentinsurance.com/MyAccount/Account/Index/897" target="_blank">Claims Status Lookup</a></li> <li> <a class="lightbox" data-fancybox-type="iframe" href="/custom/Cigna_find_provider.html?20191028" target="_blank">Provider Search</a>  </li> <li class="expanded"><h3>Prescription Information</h3> <ul> <li><a href="https://wellfleetrx.com/students/formularies/" target="_blank">Wellfleet Rx Formularies</a></li> <li><a href="https://wellfleetrx.com/students/pharmacy-network/" target="_blank">Locate a Pharmacy</a></li> </ul> </li> <li><a href="https://www.studentinsurance.com/MyAccount/Account/Index/897" target="_blank">1095-B Form</a></li> <li><a href="https://www.studentinsurance.com/MyAccount/Account/Index/897" target="_blank">Insurance ID Card</a></li> <li><a href="https://wellfleetstudent.com/mobile-app/" target="_blank">Insurance Mobile App</a></li> <li><a href="/secure/address_change.cgi?group_id=392">Address Update</a></li> </ul> <h2>Claims</h2> <ul> <li><a href="/pdf/RWU-Med-Claim-Form-2021.pdf" target="_blank">Medical Claim Form</a></li> <li><a href="/pdf/RWU-Rx-Claim-Form-2021.pdf" target="_blank">Prescription Drug <span class="no-wrap">Claim Form</span></a></li> </ul> <h2>Optional Plans</h2> <ul> <li><a href="/letters/letter.cgi?group_id=399">Voluntary Dental Plan</a></li> <li><a href="/letters/letter.cgi?group_id=170">VSP Vision Care Plan</a></li> <li><a href="https://assurantrenters.com?utm_source=dormdefense&utm_medium=uhp" target="_blank">Renters Insurance</a></li>  </ul> <h2>Additional Information</h2> <ul> <li><a href="https://www.rwu.edu/undergraduate/student-life/health-and-counseling/health-services" target="_blank">RWU Health Services</a></li> </ul> <div><div class="hidden"> <div id="graduate-enrollment-plan-changes" style="padding: 20px;"> <p><strong>For the 2022-2023 policy year, the prescription drug cost share will change to the following</strong></p> <ul> <li>Tier 1: $15 copay</li> <li>Tier 2: 20% coinsurance</li> <li>Tier 3: 20% coinsurance</li> </ul> <p><strong>This change</strong> can have an impact on your out-of-pocket costs if you need prescriptions that will require you to pay 20% of the medication's cost up to the plan's $6,350 in-network out-of-pocket maximum (there is no out-of-network out-of-pocket maximum). Before enrolling, we encourage students impacted by the change to compare all other insurance options to the RWU SHIP</p> <p>Information about the RWU SHIP can be found at <a href="/rwu" target="_blank">www.universityhealthplans.com/rwu</a>. To look up your prescription medication, choose the Prescription Information link on the left. <a href="https://www.healthsourceri.com" target="_blank">Health Source RI</a> offers information about the RI marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low or no cost insurance program for qualifying uninsured adults).</p> <p/> <p class="text-center"><a href="/secure/enrollment.cgi?group_id=393" class="btn btn-primary btn-lg">I have read and acknowledge the above statements</a></p> </div> </div> <script> jQuery(function($){ $('#graduate-enrollment-form-link').fancybox({ maxWidth: 1000, maxHeight: 625, fitToView: false, width: '90%', height: '90%', autoSize: false, openEffect: 'none', closeEffect: 'none', title: '', modal: true }); }); </script></div> <div><div class="hidden"> <div id="undergraduate-enrollment-plan-changes" style="padding: 20px;"> <p><strong>For the 2022-2023 policy year, the prescription drug cost share will change to the following</strong></p> <ul> <li>Tier 1: $15 copay</li> <li>Tier 2: 20% coinsurance</li> <li>Tier 3: 20% coinsurance</li> </ul> <p><strong>This change</strong> can have an impact on your out-of-pocket costs if you need prescriptions that will require you to pay 20% of the medication's cost up to the plan's $6,350 in-network out-of-pocket maximum (there is no out-of-network out-of-pocket maximum). Before enrolling, we encourage students impacted by the change to compare all other insurance options to the RWU SHIP</p> <p>Information about the RWU SHIP can be found at <a href="/rwu" target="_blank">www.universityhealthplans.com/rwu</a>. To look up your prescription medication, choose the Prescription Information link on the left. <a href="https://www.healthsourceri.com" target="_blank">Health Source RI</a> offers information about the RI marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low or no cost insurance program for qualifying uninsured adults).</p> <p/> <p class="text-center"><a href="/secure/enrollment.cgi?group_id=392" class="btn btn-primary btn-lg">I have read and acknowledge the above statements</a></p> </div> </div> <script> jQuery(function($){ $('#undergraduate-enrollment-form-link').fancybox({ maxWidth: 1000, maxHeight: 625, fitToView: false, width: '90%', height: '90%', autoSize: false, openEffect: 'none', closeEffect: 'none', title: '', modal: true }); }); </script></div> <div><div class="hidden"> <div id="plan-summary-changes" style="padding: 20px;"> <h2 style="text-align: center;">Plan Change for 2024-2025</h2> <ul> <li>Co-insurance will be removed from the ambulance benefit</li> <li>Teledoc behavioral health will be included in the plan at no member cost share</li> <li>The out-of-pocket maximum will increase from $6,350 to $7,500.</li> <li>The ER copay will increase from $100 to $200</li> <li>The co-insurance for tier 3 and tier 4 prescription drugs for tier 3 and tier 4 will increase from 20% co-insurance to 30% co-insurance.</li> </ul> <p class="text-center" style="margin-top: 2rem;"><a href="/pdf/RWU-Brochure-2425.pdf?28835386" class="btn btn-primary btn-lg" target="_blank">Continue to the Brochure</a></p> </div> </div> <script> jQuery(function($){ $('#plan-summary-link').fancybox({ maxWidth: 600, maxHeight: 400, fitToView: false, width: '90%', height: '90%', autoSize: false, openEffect: 'none', closeEffect: 'none', title: '', // modal: true }); }); </script></div> </div> <div class="hidden"><div id="menu-contact-info-392" style="padding: 20px"> <h1 style="text-align: center;">Contact Information</h1> <p>For <strong>waiver</strong>, <strong>enrollment</strong>, <strong>eligibility</strong>, <strong>general benefit questions</strong> or <strong>plan issues</strong><br /> contact University Health Plans at 833-251-1144.</p> <p>For <strong>specific benefit or claims questions</strong><br /> contact Wellfleet at 877-657-5030.</p> </div> </div>  </div> </div> </div> </div>  <footer class="footer"> <div class="container"> <div class="row"> <div class="footer__col">   </div> <div class="footer__col">  <div class="footer__broker"> <p>University Health Plans Broker License # 000123936000<br> William E. 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