Are you among the freshmen nationwide who have just started college, or are about to? As you buy your books, ponder the best meal plan or wonder whether you will get along with your roommate, don鈥檛 forget about health insurance.
Whether you鈥檙e an undergrad or graduate student, your options depend on where you go to college, if you already have coverage through a family or individual health plan, and how much money you make.
It might surprise you to know you could qualify for no-cost Medicaid, the public health insurance program for people with low income.
鈥淭he good news is there are a few good options,鈥 says Paul Rooney, vice president of carrier relations at eHealth, an online health insurance broker based in Santa Clara, Calif.
Since health plans vary from region to region and state to state, your first call might be to an insurance agent in the market where your college is located to discuss your options. The help is free. In California, you can find certified insurance agents on the 鈥淔ind Help鈥 tab of the website of California鈥檚 Obamacare marketplace, Covered California:
Sometimes, staying on your family鈥檚 plan is the best option 鈥 and you can do so up to age 26.
If you are on your family鈥檚 plan, or you have your own insurance, call the customer service number on your insurance card to ask about the level of coverage, if any, it will provide if you attend college in another region or state.
If your family health plan is a preferred provider organization (PPO) with a national insurance company 鈥 Cigna, Aetna or UnitedHealthcare, for example 鈥 you often can get full medical services at in-network prices in other regions of the country where your insurer operates.
But it also has to work financially. Parents, ask your employer or your insurer if taking your child off the family PPO will lower your premium. If the answer is no, and he will have full network coverage while away at college, it makes sense to keep him on the plan.
If the answer is yes, do the math.
Keith Wakeman, CEO of a Chicago-based mental health app startup called SuperBetter, learned he would save $1,900 this year by taking his son Jack off the family鈥檚 Blue Cross PPO and buying him the student plan offered by Purdue University, where he is a freshman.
鈥淭he plan is much better for Jack in terms of deductibles and copays 鈥 and also includes vision and dental,鈥 Wakeman says. 鈥淚t was a no-brainer for us.鈥
It probably also makes sense to take your student off the family plan if it is a health maintenance organization (HMO) or an exclusive provider organization, both of which restrict their networks more than PPOs.
There are exceptions: Some insurers allow HMO enrollees to get full medical services at no extra cost in other regions or states where they operate. Ask your health plan if that鈥檚 possible.
If it鈥檚 not, the health plan offered by your college could be a good option.
Student health plans have improved in recent years, in part because they almost always comply with the Affordable Care Act鈥檚 coverage requirements. That means most offer a comprehensive range of medical services at a high level of coverage, says Stephen Beckley, a senior partner with Fort Collins, Colo.-based Hodgkins Beckley Consulting, which works with colleges on student health programs.
The University of California system鈥檚 health plan is 鈥渆xceptional,鈥 Beckley says, 鈥渂ecause of its highly favorable cost and the addition of vision and dental benefits.鈥
Nationally, costs vary widely from college to college, and some are very high, Beckley says.
The cost of this year鈥檚 UC undergraduate student health insurance plan, which includes all campuses except Berkeley, ranges from $1,773 to $3,537 for 12 months of coverage, according to Zina Slaughter, the plan鈥檚 director. Stanford University, by contrast, for undergraduate and graduate students.
Beware: Many universities, the UC system and Stanford included, will enroll you in their health plan automatically, and you must obtain a waiver 鈥 by proving you have other acceptable coverage 鈥 to avoid the charges.
鈥淲e tell people that you should make sure you鈥檙e not being opted into services you won鈥檛 use,鈥 says Erin Hemlin, director of health and policy advocacy for Young Invincibles, which promotes the interests of young adults.
If your family plan doesn鈥檛 work for you anymore and your college plan is too expensive, check to see if you qualify for no-cost Medicaid, which goes by the name Medi-Cal in California and insures one-third of the state鈥檚 residents.
This goes for students at private universities and public schools, including the 481,000 students at the 23 campuses of the California State University system and the 2 million-plus who attend one of the state鈥檚 115 community colleges.
In the that have expanded Medicaid, including California, individuals who make up to about $17,200 annually are eligible for the program. It helps if your parents do not claim you as a dependent on their tax returns; otherwise, you must report their income.
Check with the health department in your county to see if you qualify. Find a list of California county offices at .
If your income is too high for Medicaid, you might still qualify for a subsidy to buy a health plan through your state鈥檚 Obamacare insurance exchange. In California, log onto the Covered California website or call 800-300-1506 to research options.
Enrollment in 2020 Obamacare exchange plans starts Oct. 15 for Covered California and Nov. 1 in most of the rest of the country.
Experts say a viable option for some students who are on their family鈥檚 plan is to stay on it, getting emergency care at a local hospital if necessary and basic primary care at the on-campus clinic (access is often included in student fees). They can wait to get physical checkups and other non-urgent care until they visit home.
Giorgia Winters, a resident of Long Beach, Calif., says that鈥檚 the decision she and her husband made for their son Matthew, 18, who just entered Embry-Riddle Aeronautical University in Prescott, Ariz. They don鈥檛 worry about his health: He had to pass a Federal Aviation Administration fitness test to pursue his pilot鈥檚 license at the school.
鈥淗e鈥檒l come fairly often, because Prescott is an hour or so away by airplane,鈥 Winters says. 鈥淚 don鈥檛 know how much better it is financially, but it was more comfortable for us.鈥
This story was produced by聽, which publishes聽, an editorially independent service of the聽.
