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University of Pennsylvania health plan waiver

 

Our guest asks:

My daughter is entering the University of Pennsylvania. She is covered under our family health insurance policy. U of P offers a student health insurance but it is expensive on top of tuition and fees. She can waive the student coverage if we verify that the policy we have provides the minimum coverage required by U of P. How do I provide that proof that coverage meets or exceeds the minimum requirements?

OnlineAdviser responds:

The University of Pennsylvania has a close affiliation with the Aetna student health insurance plan and this is the easiest way to ensure full health care on the Penn campus. but this coverage adds $2,500 per year to the cost of an already expensive education. If you are satisfied with your current insurance then we agree that there is no reason to change.

The University now requires that this process be handled online so your daughter must have been assigned a PennKey and password to access the university's PennPortal Web site health insurance selection area. If she does not yet have this information, see the PennKey web site.

Once you have the waiver form, contact the health plan agent or administrator. Keep in mind that the insurance company member service department may not provide this verification. (See the post "Verification of insurance for college waiver" for an explanation of the distinction.

The University of Pennsylvania 's minimum coverage requirements are straightforward:

  • The insurance company must be licensed in the U.S. with domestic service and claims offices.
  • The policy must cover pre-existing conditions, in-patient and out-patient medical care, including specialist office visits, diagnostic testing, in-patient and out-patient mental health care in the Philadelphia area.
  • The policy's maximum benefit must be at least $500,000.

These minimum coverage requirements are based on the coverage limits of Aetna's limited benefit student health insurance. The coverage requirements are specifically intended to exclude qualification by other student polices issued by Aetna's chief commercial competitors. However, most major medical policies significantly exceed these minimum requirements.

Other resources:

University of Pennsylvania health insurance requirements

 


Columnist Tony Novak answers guest questions in a wide range of consumer finance issues. Health insurance questions and responses are published here to help others with the same issues.  Personal information is removed from the question prior to publication. Novak has addressed more than 50,000 consumer finance questions in newspapers, radio television and Internet over a span of 24 years. An expanded biography is published at www.tonynovak.com. Novak is  frequently compensated for endorsement of the companies covered in the forum. Advise is from sources believed to be reliable but cannot be guaranteed. OnlineAdviser comments represents the opinion of the adviser only and not represent the position any other person or business. This service is provided without charge on a best-efforts basis. Neither Freedom Benefits nor the adviser assume any liability for the effects of reliance on this advice.
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