Student Health Insurance Options

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thatonegrrl

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Med students - especially non-traditional students who have aged out of parental health insurance coverage and/or those with chronic conditions - how have you found health insurance during school? Did you use the student plan offered by your school, did you buy your own plan or qualify for medicaid? Have you found specialist care has been adequately covered by your insurance plan? Have you been able to find specialist(s) that accept your insurance? If you have regular medications and/or regular medical procedures you are supposed to have (EG - UC that needs monthly meds and biennial colonoscopies) have you found you could afford to continue with this care to keep your condition under control with your insurance plan?

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Med students - especially non-traditional students who have aged out of parental health insurance coverage and/or those with chronic conditions - how have you found health insurance during school? Did you use the student plan offered by your school, did you buy your own plan or qualify for medicaid? Have you found specialist care has been adequately covered by your insurance plan? Have you been able to find specialist(s) that accept your insurance? If you have regular medications and/or regular medical procedures you are supposed to have (EG - UC that needs monthly meds and biennial colonoscopies) have you found you could afford to continue with this care to keep your condition under control with your insurance plan?
Generally the student health insurance is very inexpensive (compared to almost all other options) and extremely good with very low deductibles and out of pocket costs. That doesn't mean that all schools will have super good health insurance, but in my experience most have very good plans for low costs (likely since they are insuring mostly all healthy young adults in their 20s)
 
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Medical students like myself and others usually go for medicaid if it's available in your state and if insurance is not offered by the school.
 
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Generally the student health insurance is very inexpensive (compared to almost all other options) and extremely good with very low deductibles and out of pocket costs. That doesn't mean that all schools will have super good health insurance, but in my experience most have very good plans for low costs (likely since they are insuring mostly all healthy young adults in their 20s)
Were you able to find out about the benefits structure in advance? (Out of pocket co-pays, deductibles, out of pocket max, etc.) I feel like the quality of the student insurance plan would/should be part of my calculations in deciding where to go, but none of the schools I've interviewed at/been accepted at have really mentioned it or provided any resources about it.

Medical students like myself and others usually go for medicaid if it's available in your state and if insurance is not offered by the school.
So far all the schools I've been accepted at offer student insurance, but I've not seen much info about what it covers, just the premium included in cost of attendance. I'm curious though, if you are in an area that expanded medicaid or not. I wonder if Medicaid is even an option in states that opted not to expand it. And did you have to establish residency first to qualify?
 
Were you able to find out about the benefits structure in advance? (Out of pocket co-pays, deductibles, out of pocket max, etc.) I feel like the quality of the student insurance plan would/should be part of my calculations in deciding where to go, but none of the schools I've interviewed at/been accepted at have really mentioned it or provided any resources about it.


So far all the schools I've been accepted at offer student insurance, but I've not seen much info about what it covers, just the premium included in cost of attendance. I'm curious though, if you are in an area that expanded medicaid or not. I wonder if Medicaid is even an option in states that opted not to expand it. And did you have to establish residency first to qualify?
You might be able to get that information from current students or from admissions. I won't be easy to find, but it's available somewhere if you look hard enough or ask the right people.

That being said, I would absolutly NOT use it as a deciding factor between schools. There are so may more important factors and at the end of the day, the health insurance will almost certainly be adequate anywhere you go. Worst case scenario, you pay some extra money for premiums or towards deductible if one school has a better/worse plan, but all of that is nothing compared to the 4 years and 250k+ that you will take out in loans.
 
So far all the schools I've been accepted at offer student insurance, but I've not seen much info about what it covers, just the premium included in cost of attendance. I'm curious though, if you are in an area that expanded medicaid or not. I wonder if Medicaid is even an option in states that opted not to expand it. And did you have to establish residency first to qualify?
I don't know about other states, but I was qualified for Medicaid from first day I moved here for medical school. I just provided my permanent address, and that was enough for proof of residency.
 
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I take the school’s plan and it’s $1,800/semester, comes off the top of my lowly cost of living budget… seems like way too much but what do I know. I investigated other options briefly but tbh it sounded like a b*tch to find a better plan and also meet all my school’s criteria for how low the deductible needs to be, what needs to be covered in xyz circumstances, alert the school by abc deadline and give them all the paperwork, etc. and if you lapse between plans for .3 seconds you get charged the schools plan for that whole semester anyway. If insurance is something we must have then I feel the Gov should allot it *on top*of our COL budget not off the top, bc currently it only punishes people who need every dime of their loan money and arent on a family member‘s plan (AKA poor people with no family help). My peers on their parents’ plan literally went out of country during Covid for spring break last year on that money, which they‘ll just pay back as attendings like nothing. Another reminder of how a little privilege goes a long way in this career path.

Also without my knowing my school changed the plan’s underwriter/provider mid semester last year and when I had an unexpected ER visit and gave them my blue cross card the ER couldn’t figure out how to bill them and I got the full bill. Well that’s because Aetna is the carrier now and when I submitted the visit to Aetna within the month that of course didn’t fly with them and they wouldn’t pay. The issue turned Out not too serious and not much besides physician saying OK you’re good to go. Bill was like $2,000. I just let it go to collections and to this day throw away the solicitation letters lol

Bright side is that I’m healthy and don’t need any care. I do get my annual checkup tho because its covered, I also get eye exams and teeth cleanings. Whatever services I think I can get I do it just to try to get a fraction of my money’s worth. All This insurance crap is like hidden curriculum helping me become a more empathetic physician.

Good for you for being proactive, if you can do the work I couldn’t you might find a more affordable plan and save some precious cash.
 
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I take the school’s plan and it’s $1,800/semester, comes off the top of my lowly cost of living budget… seems like way too much but what do I know. I investigated other options briefly but tbh it sounded like a b*tch to find a better plan and also meet all my school’s criteria for how low the deductible needs to be, what needs to be covered in xyz circumstances, alert the school by abc deadline and give them all the paperwork, etc. and if you lapse between plans for .3 seconds you get charged the schools plan for that whole semester anyway. If insurance is something we must have then I feel the Gov should allot it *on top*of our COL budget not off the top, bc currently it only punishes people who need every dime of their loan money and arent on a family member‘s plan (AKA poor people with no family help). My peers on their parents’ plan literally went out of country during Covid for spring break last year on that money, which they‘ll just pay back as attendings like nothing. Another reminder of how a little privilege goes a long way in this career path.

Also without my knowing my school changed the plan’s underwriter/provider mid semester last year and when I had an unexpected ER visit and gave them my blue cross card the ER couldn’t figure out how to bill them and I got the full bill. Well that’s because Aetna is the carrier now and when I submitted the visit to Aetna within the month that of course didn’t fly with them and they wouldn’t pay. The issue turned Out not too serious and not much besides physician saying OK you’re good to go. Bill was like $2,000. I just let it go to collections and to this day throw away the solicitation letters lol

Bright side is that I’m healthy and don’t need any care. I do get my annual checkup tho because its covered, I also get eye exams and teeth cleanings. Whatever services I think I can get I do it just to try to get a fraction of my money’s worth. All This insurance crap is like hidden curriculum helping me become a more empathetic physician.

Good for you for being proactive, if you can do the work I couldn’t you might find a more affordable plan and save some precious cash.

Glad to hear it turned out to not be serious, but I wouldn't ignore collection letters--that hurts your credit and follows you for a while. Get that sorted out. Whoever covered you when you visited is responsible for the bill--they have to pay. If they give you a hard time, appeal or whatever.

I had an insurance issue as a med student--we had United Healthcare Student Resources, and most providers, including our own medical center's ED which I visited, would bill United Healthcare, thinking it's the same thing. Apparently UHC isn't smart enough to recognize I was a "UHC Student Resources" member, but knew I was covered by UHC Behavioral Health 10 years prior, and would send me (and the providers) denial letters referencing that account. Eventually I received collection letters despite being told by both the hospital billing dept and UHC Student Resources not to pay. Eventually I got it all sorted out and the collections notice cancelled (ie., it never happened and wasn't on my credit report).

OP: Most schools provide their students with good insurance. My insurance (despite the hassle above) was actually very good and I had minimal payments. My residency insurance was even better--my co-residents basically paid max of $500 for their entire pregnancy/birth/hospital stay. Most med schools/residency programs (at least good/decent ones) take care of their own.

I don't think a school would be offended if you ask them about their insurance coverage, but it could come across as odd since I doubt many people ask about it. But if you phrased it along the lines of "could you send me information regarding the student medical insurance so I can get a better idea of how much I may need to budget/save" it might just be perceived as you being a thorough planner.

As other say, I wouldn't plan medical school around your insurance. All medical schools let you borrow far more than you actually need unless you're living the high life (or have a family to support). And many let you request extra loan money if you had to spend a lot on healthcare expenses (you have to talk with the director of financial aid to request a budget increase). And despite the above poster's statement, health insurance is typically included in your total cost of attendance (I believe it's actually required by the gov't)

Medicaid is not a great solution for someone with chronic issues--so many providers don't accept it, though on the plus side most academic centers do. So you could likely see specialists at your medical institution, though sometimes it takes longer to get in with Medicaid.

Don't forget about ObamaCare if your school's plan is lousy. While I may pay an arm and a leg (since I'm a solo practitioner) for it, you would probably qualify for subsidies--it could be free for you. We have a PPO plan so it lets us go where we want, but costs a bit more. You can look up through your state's portal to see who is in network/what the costs are. I purchased my policy directly from Blue Shield, so you can check there. Keep in mind the plans are going to differ by state and even county.
 
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I'd say get medicaid if you qualify. I got it this year and honestly unless you have health issues that require a specialist its actually pretty great. I've had no issues and my one medication I need is covered 100%.
 
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OP: Most schools provide their students with good insurance. My insurance (despite the hassle above) was actually very good and I had minimal payments. My residency insurance was even better--my co-residents basically paid max of $500 for their entire pregnancy/birth/hospital stay. Most med schools/residency programs (at least good/decent ones) take care of their own.

I don't think a school would be offended if you ask them about their insurance coverage, but it could come across as odd since I doubt many people ask about it. But if you phrased it along the lines of "could you send me information regarding the student medical insurance so I can get a better idea of how much I may need to budget/save" it might just be perceived as you being a thorough planner.

As other say, I wouldn't plan medical school around your insurance. All medical schools let you borrow far more than you actually need unless you're living the high life (or have a family to support). And many let you request extra loan money if you had to spend a lot on healthcare expenses (you have to talk with the director of financial aid to request a budget increase). And despite the above poster's statement, health insurance is typically included in your total cost of attendance (I believe it's actually required by the gov't)

Medicaid is not a great solution for someone with chronic issues--so many providers don't accept it, though on the plus side most academic centers do. So you could likely see specialists at your medical institution, though sometimes it takes longer to get in with Medicaid.

Don't forget about ObamaCare if your school's plan is lousy. While I may pay an arm and a leg (since I'm a solo practitioner) for it, you would probably qualify for subsidies--it could be free for you. We have a PPO plan so it lets us go where we want, but costs a bit more. You can look up through your state's portal to see who is in network/what the costs are. I purchased my policy directly from Blue Shield, so you can check there. Keep in mind the plans are going to differ by state and even county.
That's good to hear! I'm a previvor and have to get regular screenings for cancer screening and prevention. I'm also an older non-trad student so I've been navigating employer-based health insurance for a while now and have been dinged even on plans that I thought were pretty good. As a result I'm much more cautious now with insurance plan selection, providers and facilities I use, knowing it could be thousands of dollars in difference for my out of pocket expenses.

And yeah, I've tried to ask this question of fellow non-trads during interviews but so far every non-trad that has been on the student panels has been former military - so they all have had TriCare benefits and have zero clues about the school's insurance plans. And the traditional students are either still on their parents plans, or have the school's plan but don't really use it for anything more than annual physicals and minor illnesses.

All else being equal (in terms of costs to attend) having good or bad insurance and access to care could be a deal maker or breaker for me. I wouldn't decide based only on that, but it is absolutely a factor in the decision on where to attend for me because it could add thousands in costs and a lot of time and stress potentially on the phone hunting down insurance claims billing stuff. I've already learned these lessons by experience, and have a great deal of empathy for other patients as a result, but I really want to reduce any outside stressors as much as possible during med school, and health insurance can be a serious stressor if it sucks.

I'd say get medicaid if you qualify. I got it this year and honestly unless you have health issues that require a specialist its actually pretty great. I've had no issues and my one medication I need is covered 100%.
Yeah, the specialist thing is my main concern. I do have a few specialists that I need to see on at least an annual basis to manage my condition. If I can't get in to see them then I risk my condition progressing - I'm doing great now and I'd like to stay that way so that I can enjoy a good and long career after investing all this time towards shifting career paths to becoming a physician.
 
That's good to hear! I'm a previvor and have to get regular screenings for cancer screening and prevention. I'm also an older non-trad student so I've been navigating employer-based health insurance for a while now and have been dinged even on plans that I thought were pretty good. As a result I'm much more cautious now with insurance plan selection, providers and facilities I use, knowing it could be thousands of dollars in difference for my out of pocket expenses.

And yeah, I've tried to ask this question of fellow non-trads during interviews but so far every non-trad that has been on the student panels has been former military - so they all have had TriCare benefits and have zero clues about the school's insurance plans. And the traditional students are either still on their parents plans, or have the school's plan but don't really use it for anything more than annual physicals and minor illnesses.

All else being equal (in terms of costs to attend) having good or bad insurance and access to care could be a deal maker or breaker for me. I wouldn't decide based only on that, but it is absolutely a factor in the decision on where to attend for me because it could add thousands in costs and a lot of time and stress potentially on the phone hunting down insurance claims billing stuff. I've already learned these lessons by experience, and have a great deal of empathy for other patients as a result, but I really want to reduce any outside stressors as much as possible during med school, and health insurance can be a serious stressor if it sucks.


Yeah, the specialist thing is my main concern. I do have a few specialists that I need to see on at least an annual basis to manage my condition. If I can't get in to see them then I risk my condition progressing - I'm doing great now and I'd like to stay that way so that I can enjoy a good and long career after investing all this time towards shifting career paths to becoming a physician.
Yeah you can always have dual insurance. Some I know have medicaid which covers their meds but use the private insurance for specialist visits.
 
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Hi Guys! So... after much to do with trying to get back into residency etc I'm over it. Anyway, I can help with insurance instead! Even being in and coming out of residency I didn't know much about it but now all I do is insurance so can certainly help. Im happy to go over individuals situations anytime! dm me
 
I'd suggest/second ObamaCare/the healthcare marketplace too. Like RangerBob said, it could be free for you (it's free for me this year, last year it was $2.37/month). There are minimal co-pays per visit. I got a refund check at the end of the year for some reason too. I would suggest ObamaCare/the marketplace because not all specialists or private practices take Medicaid.
 
I'd also advise looking outside of your school.

My personal experience if that the school insurance is great for options next to your school, but I got sent multiple states away for third year, and everyone is out of network here. I had a >$200 out of pocket charge just for a routine FM visit where I live now. So if your school sends you away from the school for rotations, just be aware that your new town may have nothing in network with your school insurance
 
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