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SHI Requirements and Exclusions

Student Insurance Info
FAQ's

 
 

* Please refer to the Official Benefit Brochure for complete details. This is only a brief description of the coverage available.  The policy on file at the University may contain, reductions, limitations, exclusions, and termination provisions.  Full details of the coverage are contained in the Policy.  If there is any conflict between the contents of this website and the Policy, the Policy shall govern.  This plan also covers Mandated Benefits as required by North Carolina.

 

 

  

REFERRALS

Text Box: The Student Health Insurance Plan requires a Referral  for services outside of the health center.   Exceptions are detailed below: Medical emergencies (any follow-up care will require a referral) Treatment outside of the 50 mile radius of the health center Dependents who are not attending the University The health center is closed Maternity care Mental Health/Substance abuse

 

PRE-EXISTING

Text Box: This plan includes a Pre-Existing Clause.   This can be waived or modified  if you have had 12 months of continuous creditable coverage  under your previous health plan.  If not, then coverage for any illness or condition treated or diagnosed within the 6 month period prior to the effective date of the Student Health Insurance Plan will be considered non-covered.   If you have questions regarding Pre-Existing please contact the Student Health Insurance Plan at 1-888-722-1668

 

Common Exclusions under the Plan
(Please read the complete list in the Student Health Insurance Brochure)

Text Box: A Allergy Testing Alopecia B Breast Implants or Breast Reduction unless Medically Necessary following a mastectomy C Cosmetic Surgery or complications there from, except for reconstructive surgery on a diseased or injured part of the body. D Deviated Nasal Septum including submucuous resection and/or other surgical correction thereof Dental Treatment, except for treatment resulting from accidental injury to sound, natural teeth. E Ele Elective Surgery and Treatment, or complications arising there from. Eye Examinations, including eyeglasses, contact lenses, prescriptions; vision correction surgery; or other treatment for visual defects and problems, except when due to the disease process. F Foot Care including corns, bunions (except capsular and bone surgery), calluses and nail treatments. G Gynecomastia H Hair Growth or Removal I Immunizations are not covered except for Hepatitis B, Hepatitis A/B, and Meningitis.  These three vaccinations are covered only when rendered at the Student Health Center.  The maximum benefit payable is $100 per policy year. Infertility (male or female);  including fertility testing and/or any services or supplies rendered for the purpose or with the intent of inducing conception.