UC Law SF (formerly UC Hastings)

Coverage for the Journey Ahead

UC Law SF (formerly UC Hastings)

Medical

What You Need to Know

If you are covered by UC SHIP, you will need a referral from Carbon Health, your Student Health Center (SHC), to get care anywhere else — except for emergency room care, urgent care clinic visits, pediatric care, obstetrics services, gynecological care, and LiveHealth Online virtual visits.

If needed, Carbon Health will provide a referral for services it can’t provide.

During summer months and breaks when Carbon Health is closed, you can visit an Anthem Blue Cross primary care physician without a referral. If you need to see a specialist, your visit will be covered only if you get a referral from a primary care doctor in the Anthem Blue Cross Prudent Buyer PPO network.

What You Pay for Care
Inside the SHC (Carbon Health)
Finding Care Outside the SHC

What You Pay for Care

    You’ll pay nothing for preventive care at Carbon Health, and low copays for other services and procedures.

    Except for preventive care, you will pay a deductible for services you receive outside Carbon Health or the UC network of doctors and facilities, unless otherwise noted. After you meet the deductible, the plan will pay a portion of the cost. What you pay for medical costs counts toward your combined medical and pharmacy annual out-of-pocket limit. Once your costs reach that limit, UC SHIP will pay 100% of your medical and pharmacy costs for the remainder of the year.

    If you receive any care from an out-of-network provider, you will be responsible for your coinsurance plus any amount above the maximum allowable charges. You’ll always pay more when you receive care from providers who are not part of the UC SHIP or Anthem Blue Cross Prudent Buyer PPO networks.

    Based on where you receive care, here’s what you can expect to pay for typical health care services.

    Note: Office visit copays do not include what you’ll pay for other services, such as lab work and X-rays. For coverage details, including expenses and services the plan does not cover, see the UC Law SF Benefit Booklet [PDF].

    You Need a Referral for Care Outside Carbon Health

    If you are covered by UC SHIP, you will need a referral from Carbon Health (the SHC) to get care anywhere else — except for emergency room care, urgent care clinic visits, pediatric care, obstetrics services, gynecological care, and LiveHealth Online virtual visits.

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    Inside the SHC (Carbon Health)

    You Pay
    Benefit-Year Deductible (excluding lab services)
    $0
    Benefit-Year Deductible for Lab Services (combined with in-network deductible)
    Individual: $50
    Family: $400
    Annual Limits on Your Out-of-Pocket Costs (Costs accumulate together with UC Family and Anthem provider costs.)
    Individual: $4,500
    Family: $9,000
    Office Visits (primary, specialty, mental health and substance use disorders)
    $01
    Routine Physicals/Adult Student Preventive Care
    $0
    Urgent Care
    $0
    Emergency Care
    N/A
    Inpatient Hospital Care
    N/A
    Lab Tests (e.g., bloodwork)
    10% coinsurance
    X-rays
    10% coinsurance
    Pediatric Dental and Vision Care (up to age 19)
    N/A
    1. You’ll pay additional charges for other services, such as lab work. For details, review the UC Law SF Benefit Booklet [PDF].

    For more information about Carbon Health services, visit the Student Health Services website.

    UC Family Providers

    UC Family providers include the SHC/Carbon Health, UCSF Medical Center, and other UC medical centers and their affiliated facilities and professional providers. Refer to the SHC chart above for specific SHC/Carbon Health charges.

    Benefit-Year Deductible
    Annual Limits on Your Out-of-Pocket Costs (Costs accumulate together with SHC and Anthem provider costs.)
    Office Visits (primary care)
    Office Visits (specialty care)
    Routine Physicals/Adult Student Preventive Care
    Office Visits (mental health and substance use disorders)
    Urgent Care
    Emergency Care
    Inpatient Hospital Care
    Lab Tests (e.g., bloodwork)
    X-rays
    Pediatric Dental and Vision Care (up to age 19)
    You Pay
    $0
    Individual: $4,500
    Family: $9,000
    $5 copay1
    $10 copay1
    $0
    $5 copay
    $25 copay
    $200 copay
    10% coinsurance
    10% coinsurance, deductible waived
    10% coinsurance, deductible waived
    N/A
     1. Copay covers office visit only. You’ll pay additional charges for other services, such as lab work. For details, review the UC Law SF Benefit Booklet [PDF].
    Anthem Blue Cross Providers
    Benefit-Year Deductible (combined with SHC deductible)
    Annual Limits on Your Out-of-Pocket Costs (Costs accumulate together with SHC and UC Family provider costs.)
    Office Visits (primary care)
    Office Visits (specialty care)
    Routine Physicals/Adult Student Preventive Care
    Office Visits (mental health and substance use disorders)
    LiveHealth Online (medical care, mental health and substance use disorders)
    Urgent Care
    Emergency Care
    Inpatient Hospital Care
    Lab Tests (e.g., bloodwork)
    X-rays
    Pediatric Dental Checkup (up to age 19)
    Pediatric Basic and Major Dental Services (up to age 19)
    Pediatric Vision Exam, Frame (formulary), Standard Lenses/Contact Lenses (up to age 19)
    You Pay
    Individual: $100
    Family: $400
    Individual: $4,500
    Family: $9,000
    $20 copay,1 deductible waived
    $10 copay,1 deductible waived
    $0, deductible waived
    $15 copay, deductible waived
    $15 copay, deductible waived
    $25 copay, deductible waived
    $200 copay, deductible waived; copay waived if you are admitted
    10% coinsurance after $250 copay2
    10% coinsurance
    10% coinsurance
    $0
    50% coinsurance
    $0
    1. Copay covers office visit only. You’ll pay additional charges for other services, such as lab work. For details, review the UC Law SF Benefit Booklet [PDF].
    2. An additional 25% penalty is assessed for services and supplies provided by an out-of-network hospital. For details, review the UC Law SF Benefit Booklet [PDF].
    Out-of-Network Providers

    As a reminder, you must first meet your annual deductible before the plan begins to share costs with you.

    Benefit-Year Deductible
    Annual Limits on Your Out-of-Pocket Costs
    Office Visits (primary care)
    Office Visits (specialty care)
    Routine Physicals/Adult Student Preventive Care
    Office Visits (mental health and substance use disorders)
    Urgent Care
    Emergency Care
    Inpatient Hospital Care
    Lab Tests (e.g., bloodwork)
    X-rays
    Pediatric Dental Checkup (up to age 19)
    Pediatric Basic and Major Dental Services (up to age 19)
    Pediatric Vision Exam, Frame (formulary), Standard Lenses/Contact Lenses (up to age 19)
    You Pay
    Individual: $600
    Family: $1,000
    Individual: $9,000
    Family: $18,000
    40% coinsurance
    40% coinsurance
    Not covered
    40% coinsurance
    40% coinsurance
    $200 copay, deductible waived
    40% coinsurance after $500 copay
    40% coinsurance
    40% coinsurance
    $0
    50% coinsurance
    100% after $30 exam allowance, $45 frame allowance, and $25 lens allowance

    We Cover Your Transition

    UC SHIP covers gender-affirming care.

    See what’s covered [PDF]
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    Finding Care Outside the SHC

    To find an Anthem network provider, visit the Anthem website and follow the steps below:

    1. Select Find Care at the top of the page.
    2. Select Guests unless you’re already registered with Anthem.
    3. Scroll down to What type of care are you searching for? and select Medical.
    4. Scroll down to What state do you want to search with? and select California.
    5. Scroll down to What type of plan do you want to search with? and select Medical (Student Health).
    6. Scroll down to Select a plan/network. In the drop-down menu, choose UCSHIP, and then click Continue.
    7. On the following page, insert your city (e.g., Riverside, CA).
    8. Scroll down to Search by Care Provider.
    9. To find a Primary Care doctor, select Primary Care.
    10. This will generate a list of Physicians & Medical Professionals. Select from those tagged Family Practice or Internal Medicine. These are the providers you can visit after you have received a referral from the SHC. You will need to contact the provider to confirm whether they are taking new patients.

    Virtual Care Through LiveHealth Online

    For convenient, nonemergency care wherever you are, have a virtual visit with a doctor via your smartphone, tablet or computer through LiveHealth Online.

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    Contacts

    Anthem Blue Cross Network

    Member Services
    (866) 940-8306

    Student Health Services (SHS)

    Your first stop for care on campus
    (415) 565-4612
    SHS website
    SHS email

    Related Pages

    Prescription Drugs

    Dental

    Vision