<p>I have medi-cal and I want to waive my expensive UCR health insurance that automaticallly charged to my account. But I need to answer below yes/no questions in order to submit waiver form.... and I'm stuck. Can anyone please help me answering those question?? I know nothing about medical policy thing.. I need help.</p>
<p>Tell us about your current insurance plan</p>
<p>I hereby affirm my understanding of the following and attest that I have health insurance that meets the following minimum standards:</p>
<p>1) Does your plan cover pre-natal and maternity services with no pre-existing limitation?<br>
2) Does your health insurance plan have a maximum benefit for any injury or illness<br>
3) Does your health insurance plan have an annual or lifetime maximum?<br>
4) Does your plan cover hospital stays for medical and surgical care?<br>
5) Does your plan cover hospital stays for mental health and substance abuse conditions the same as any other medical condition?<br>
6) Does your plan cover emergency room services?<br>
7) Does your plan cover diagnostic services including laboratory tests?<br>
8) Does your plan cover medications prescribed by a doctor including contraceptives?<br>
9) Does your plan cover medical services related to injuries from participation in all recreational activities and amateur sports?<br>
10) Does your plan have an in-network doctor and hospital providing full non-emergency medical and behavioral health care within 30 miles of campus or your place of residence while you are attending school?<br>
11) Does your plan cover: Preventive health care services, including an annual physical exam, preventative immunizations and laboratory tests to help determine your state of health?<br>
12) Does your plan cover: Chronic disease management for such conditions as asthma, diabetes or other chronic medical conditions?<br>
13) Is the Annual Out-of-Pocket maximum you are required to pay $6,350 or less? Deductibles, copayments and coinsurance paid by the member accrue toward meeting the out-of-pocket maximum. A higher out-of-pocket maximum is allowed if the subscriber has a Health Savings Account funded sufficiently to cover in full the individual and family out of pocket maximum for the year.<br>
14) Is your coverage currently limited due to a pre-existing condition waiting period?<br>
15) Does your Plan pay at least 80% coinsurance?<br>
16) Would you like to enroll in Highlander Student Care? Highlander Student Care costs $60 per quarter and is billed directly to your student account.<br>
Additional information about your current policy
Insurance Company Name *
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Type of Insurance Plan *
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Insurance Company Phone Number *
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Policy Holder Name *
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Policy Holder ID Number *
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Policy Holder Birth Date *
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Policy or Group Number *
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Insurance Company Country of origin *
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Insurance Company Address *
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