Medical
What You Need to Know
If you are covered by UC SHIP, you need a referral from the Student Health Center (SHC) to get care anywhere else — except for emergency room care, urgent care clinic visits, pediatric care, obstetrics services, gynecological care, Lyra Health, and LiveHealth Online virtual visits.
If needed, the SHC will provide a referral for services it can’t provide.
What You Pay for Care
You’ll pay nothing for preventive care at the SHC, and low copays for other services and procedures.
Except for preventive care, you will pay a deductible for services you receive outside the SHC 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. 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 Santa Cruz Benefit Booklet [PDF].
You Need a Referral for Care Outside the SHC
If you are covered by UC SHIP, you need a referral from the SHC to get care anywhere else — except for emergency room care, urgent care clinic visits, pediatric care, obstetrics services, gynecological care, Lyra Health, and LiveHealth Online virtual visits.
Inside the SHC
Benefit-Year Deductible
You Pay
Limits on Your Out-of-Pocket Costs
You Pay
Office Visits
You Pay
Routine Physicals/Adult Student Preventive Care
You Pay
Office Visits (mental health and substance use disorders)
You Pay
Urgent Care
You Pay
Emergency Care (non-admission)
You Pay
Inpatient Hospital Care
You Pay
Lab Tests (e.g., bloodwork)
You Pay
X-rays
You Pay
Pediatric Dental and Vision Care (up to age 19)
You Pay
1. Additional charges for other services, such as lab work. For details, review the UC Santa Cruz Benefit Booklet [PDF].
For more information about SHC services, visit the Student Health Center website.
Network Providers
Network providers are those in the Anthem Blue Cross Prudent Buyer PPO network, including UC Family medical centers, affiliated facilities, and professional providers.
You Pay
Benefit-Year Deductible (combined with out-of-network services)
Family: $600Limits on Your Out-of-Pocket Costs
Family: $6,000Office Visits (primary and specialty care)
Routine Physicals/Adult Student Preventive Care
Office Visits (mental health and substance use disorders)
LiveHealth Online
Medical, including urgent care: $10 copay, deductible waivedUrgent 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)
1. Additional charges for other services, such as lab work. For details, review the UC Santa Cruz 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 Santa Cruz 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.
You Pay
Benefit-Year Deductible (combined with network providers)
Family: $600Limits on Your Out-of-Pocket Costs
Family: $12,000Office Visits (primary and 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)
We Cover Your Transition
UC SHIP covers gender-affirming care.
Finding Care Outside the SHC
To find an Anthem network provider, visit the Anthem website and follow the steps below:
- Select Find Care at the top of the page.
- Select Guests unless you’re already registered with Anthem.
- Scroll down to What type of care are you searching for? and select Medical.
- Scroll down to What state do you want to search with? and select California.
- Scroll down to What type of plan do you want to search with? and select Medical (Student Health).
- Scroll down to Select a plan/network. In the drop-down menu, choose UCSHIP, and then click Continue.
- On the following page, insert your city (e.g., Riverside, CA).
- Scroll down to Search by Care Provider.
- To find a Primary Care doctor, select Primary Care.
- 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.