Human Resource Services

GatorGradCare FAQs

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Questions about Eligibility

  1. Who is eligible for GatorGradCare?
  2. How can I get insurance if I am not eligible for GatorGradCare?
  3. Can I request an extension of benefits, although I am no longer eligible for GatorGradCare?
  4. How do I withdraw my enrollment from the GatorGradCare program?

Questions about Enrollment

  1. How do I enroll in GatorGradCare?
  2. When can I enroll for GatorGradCare?
  3. Can I enroll in GatorGradCare after the enrollment period has ended?
  4. Can I enroll a dependent in the GatorGradCare program?
  5. I enrolled in GatorGradCare last year and was confirmed eligible. Will I be automatically re-enrolled this year?
  6. How can I enroll my newborn child into GatorGradCare after the enrollment period has passed?
  7. I am no longer at the address that I provided when I completed my application. What should I do?
  8. When will I get my Insurance Card?
  9. Where can I view Certificate of Coverage Receipts, request duplicate ID cards, and check up on my claims status?
  10. What should I do if I incur a medical emergency or schedule a doctor’s appointment after I submit my GatorGradCare enrollment, but before my eligibility is confirmed for GatorGradCare?

Questions about Benefits

  1. Who pays the premium for the GatorGradCare program?
  2. Will the university pay for my spouse or child(ren)’s premium as well?
  3. How are benefits paid?
  4. What are the deductibles and copays under GatorGradCare?
  5. What is a Pre-Existing Condition?

Questions about Coverage

  1. What are the effective and termination dates for GatorGradCare for the 2007-2008 school year?
  2. When is my health insurance coverage effective?
  3. I am currently insured with GatorGradCare. Where can I go to obtain medical treatment?
  4. I need to go to the doctor, but I am currently away from Gainesville. What should I do?
  5. I have registered for GatorGradCare but still have a hold on my record. What should I do?
  6. I am/My spouse is currently pregnant and conceived prior to enrolling in GatorGradCare. Will the pregnancy and delivery be covered?
  7. Does GatorGradCare offer coverage for students who are Studying Abroad?
  8. How do I know when my GatorGradCare coverage terminates?

Questions about Medical Services

  1. I have obtained a referral from the Student Health Care Center to see an outside specialist. Where can I lookup the United HealthCare Network Providers?
  2. How can I transfer a prescription from my current pharmacy to the Student Health Care Center Pharmacy?

Contact Information

  1. Who should I contact with questions about GatorGradCare?
  2. Who should I contact about eligibility and enrollment information?
  3. What is the Student Health Care Center phone number?
  4. What is the Student health Care Center Pharmacy phone number?
  5. What is Scarborough Company Insurance (local agent) phone number?

Questions About Eligibility

Who is eligible for GatorGradCare?
University of Florida graduate students on an appointment as a graduate assistant, teaching assistant, or research assistant may participate in the GatorGradCare Health Plan beginning January 2007. To be eligible, University of Florida graduate students must be enrolled in a graduate degree program, on an appointment through University of Florida, appropriately registered and appointed 0.25 FTE (full-time equivalent) or greater for a particular semester.

University of Florida graduate students on a Pre-doc Fellowship appointment and appropriately registered, are also eligible to participate. There is no FTE requirement for graduate students on a Pre-doc Fellowship appointment. Criteria for appropriate registration can be found in the Registration Requirements section of the Graduate Catalog.

In order to ensure that graduate assistants or pre-doc fellows meet the above eligibility criteria, departments must ensure the following:

a. The TA, RA, or Pre-doc Fellow appointment must occur via the Letter of Appointment (LOA) process in PeopleSoft, and all Letter of Appointment criteria met.

b. The student receives a stipend as a bi-weekly paycheck from the appropriate UF account.

c. Health insurance premium is paid from the appropriate UF account.

How can I get insurance if I am not eligible for GatorGradCare?
 Students who are not eligible for GatorGradCare may obtain student insurance through Aetna Student Health at www.aetnastudenthealth.com. If you have questions about the benefit details, you may contact the local servicing agent, Scarborough Company Insurance at (352) 377-2002.

Can I request an extension of benefits, although I am no longer eligible for GatorGradCare?
There is no extension of benefits, or COBRA, available for students who no longer meet eligibility requirements. Students who are no longer eligible for GatorGradCare are encouraged to contact the Scarborough Company Insurance at (352) 377-2002 for information on additional health insurance.

How do I withdraw my enrollment from the GatorGradCare program?
Please contact the Graduate Assistant Benefits Office at (352) 392-0003 or via e-mail at gabenefits@admin.ufl.edu to receive assistance on withdrawing enrollment from GatorGradCare.

 

Questions About Enrollment

How do I enroll in GatorGradCare?
Eligible students may enroll by going to www.gatorgradcare.com and filling out an online application during the enrollment period.

When can I enroll for GatorGradCare?
 Eligible graduate students must enroll in GatorGradCare during the designated enrollment periods. The enrollment period for fall, fall/spring, and annual coverage is March through September 14. The enrollment period for spring and spring/summer coverage is October through January 30. The enrollment period for summer-only coverage is March through May 16.

Can I enroll in GatorGradCare after the enrollment period has ended?
Students will not be able to enroll in GatorGradCare after the enrollment period has passed.

Can I enroll a dependent in the GatorGradCare program?
Dependents can be enrolled in GatorGradCare as long as the Insured Student is enrolled. Eligible dependents are the spouse or domestic partner and their children 25 years of age who are not self-supporting.

I enrolled in GatorGradCare last year and was confirmed eligible. Will I be automatically re-enrolled this year?
Students are not automatically re-enrolled in GatorGradCare after their coverage term has ended. If you are in need of GatorGradCare for an additional semester or year, you must go to www.gatorgradcare.com and re-enroll online during the enrollment period.

How can I enroll my newborn child into GatorGradCare after the enrollment period has passed?
A child can be added to an existing plan by contacting the Graduate Assistant Benefits Office at (352) 392-0003 or gabenefits@admin.ufl.edu and providing pertinent information about the child (name, sex, and date of birth) within 30 days of the birth. The premium will be prorated based on the child’s date of birth. The full prorated premium will need to be paid by check or credit card.

I am no longer at the address that I provided when I completed my application. What should I do?
If you change your mailing address, contact the Graduate Assistant Benefits Office at (352) 392-0003 or at gabenefits@admin.ufl.edu to ensure future mailings are delivered.

When will I get my Insurance Card?
Insurance Cards will be sent to students after their eligibility has been confirmed (at some point after Drop/Add).

Where can I view Certificate of Coverage Receipts, request duplicate ID cards, and check up on my claims status?
Students can obtain such information by creating an account at www.uhcsr.com by selecting “Create Your Online Account Now ” on the right side of the home page. Follow the onscreen prompts - enter your first name, last name, date of birth, and enter your member id number or your email address to access account information. Please note that ID cards and coverage information will not be available until after eligibility has been confirmed (at some point after Drop/Add).

What should I do if I incur a medical emergency or schedule a doctor’s appointment after I submit my GatorGradCare enrollment, but before my eligibility is confirmed for GatorGradCare?

Contact the Graduate Assistant Benefits Office at (352) 392-0003 or gabenefits@admin.ufl.edu.

 

Questions about Benefits

Who pays the premium for the GatorGradCare program?
The premium of all eligible students will be paid by the University of Florida or supporting grant/auxiliary funds. The premium for any dependents is the student’s responsibility.

Will the university pay for my spouse or child(ren)’s premium as well?
 The premium for the dependent will not be paid by the University of Florida. Students who desire coverage for their spouse or child(ren) are responsible for the dependents’ premium. The premiums for dependents of Graduate Assistants will be taken through payroll deduction, if the dependent information is included on the online GatorGradCare enrollment form. Pre-Doc Fellows who wish to cover their dependents must pay the premium in full by check or credit card. Graduate Assistants who wish to cover their dependents may also choose to pay the premium in full by check or credit card. Please see the “Students' Costs for Dependent Coverage” section for the dependent premium information.

How are benefits paid?

What are the deductibles and copays under GatorGradCare?
The deductibles are as follows:

The copays are as follows:

The Prescription Drug Copays (Dispensed at the Student Health Care Center) are as follows:

The Prescription Drug Copays (Dispensed at Medco Pharmacies/Limited to a 31 day supply) are as follows:

$2,000 Prescription Drug Maximum Per Policy Year

What is a Pre-Existing Condition?
A pre-existing condition is any condition that you have sought medical advice, diagnosis, care, or treatment or for which medical advice, diagnosis, care, or treatment was recommended or received within the 6 months immediately prior to your effective date under GatorGradCare. In order for the Pre-Existing condition to be waived, you must show proof of coverage for a consecutive 6 months prior to the coverage effective date of GatorGradCare.

If the previous provider was not UnitedHealthCare StudentResources, a Certificate of Credible Coverage (proof of coverage for previous 6 months prior to the effective date of GatorGradCare coverage) will need to be submitted to UnitedHealthCare StudentResources or to the Graduate Assistant Benefits Office in order to waive a pre-existing condition once your eligibility has been confirmed.

Questions About Coverage

What are the effective and termination dates for GatorGradCare for the 2008-2009 school year?
The coverage dates are as follows:

When is my health insurance coverage effective?
As long as you enrolled during the enrollment period, your coverage is effective on the first date of the coverage period as long as you meet the eligibility requirements.

I am currently insured with GatorGradCare. Where can I go to obtain medical treatment? Graduate Assistants and Fellows participating in GatorGradCare who are within 35 miles of Gainesville are required to visit the Student Health Care Center first for outpatient services treatment. A referral is required to seek outpatient services outside the Student Health Care Center.

Spouses and children who are covered under GatorGradCare do not need to obtain a referral from the Student Health Care Center.

I need to go to the doctor, but I am currently away from Gainesville. What should I do? Students who are more than 35 miles away from campus do not need a referral to see a network provider. Please go to www.shands.org to find a Shands network provider or https://www.geoaccess.com/uhc/po/Default.asp to find a United HealthCare network provider in your respective areas. Students are also encouraged to call the provider and ensure that they are still in the Shands network or United HealthCare network prior to setting an appointment.

Students are not required to get a referral from the Student Health Care Center under the following conditions:

I am an International student. I have registered for GatorGradCare but still have an insurance hold on my record. What should I do?
International Students who have an insurance hold on their records should forward the confirmation email that they received from webmaster@uhcsr.com to the International Center at insurance@ufic.ufl.edu. If you are unable to locate this email, please contact the Graduate Assistant Benefits Office at (352) 392-0003 or gabenefits@admin.ufl.edu and we will have another confirmation email sent to you.

I am/My spouse is currently pregnant and conceived prior to enrolling in GatorGradCare. Will the maternity and delivery be covered?
Students or dependent spouses who conceive while enrolled in GatorGradCare are covered by the program. However, students or dependent spouses who conceive prior to enrolling in GatorGradCare must provide proof of continuous coverage with a comparable plan for at least 6 consecutive months prior to the effective date of coverage. Proof of continuous coverage can be obtained by contacting your previous insurance provider and asking for a Certificate of Credible Coverage. This document should include the names of the insureds covered under the policy as well as coverage effective and termination dates.

If a student or a dependent spouse is pregnant, and the conception occurred while covered under a student insurance policy (through UF or another school, etc.) prior to GatorGradCare, then that prior student insurance policy would include the extension of benefits for the pregnancy that is required by Florida Insurance Code 627.667.

If a student or a student 's spouse is already pregnant prior to the effective date of GatorGradCare coverage, and there was no previous coverage for a consecutive 6 months prior to the effective date of GatorGradCare coverage, then the maternity and delivery will not be covered by GatorGradCare.

If you need to submit a Certificate of Credible Coverage to the insurance company, you can send the documentation to UnitedHealthCare StudentResources or to the Graduate Assistant Benefits Office once you have been confirmed eligible for GatorGradCare.

Does GatorGradCare offer coverage for students who are Studying Abroad?
If you are a student insured with GatorGradCare, you and your insured spouse and minor child(ren) are eligible for Scholastic Emergency Services (SES). The requirements to receive these services are as follows:

*This information can be found on pages 18 and 19 in the GatorGradCare Brochure.

How do I know when my GatorGradCare coverage terminates?
Students can access their online accounts through UnitedHealthCare StudentResources. Through their online account, students can review their coverage effective and termination dates, print id cards, and access claim information. In order to create an online account through UnitedHealthCare StudentResources, students must visit www.uhcsr.com, select “Create Your Online Account Now” on the right side of the home page. Follow the onscreen prompts – entering their first name, last name, date of birth, and member id number or email address to access account information.

Students can also maintain for their records the email enrollment confirmation addressed from webmaster@uhcsr.com that is received after successfully completing the online GatorGradCare enrollment, in order to keep track of their GatorGradCare enrollment submissions.

Coverage will automatically terminate after a Graduate Assistant or Pre-Doc Fellow loses his/her eligibility status. The termination date of coverage will depend on when the Graduate Assistant or Pre-Doc Fellow loses his/her eligibility status. Contact the Graduate Assistant Benefits Office if you are unsure when your GatorGradCare coverage will terminate.

Questions about Medical Services

I have obtained a referral from the Student Health Care Center to see an outside specialist. Where can I lookup the United HealthCare Network Providers?
After you have obtained a referral from the Student Health Care Center, you can find a network provider at www.shands.org for Shands network providers or https://www.geoaccess.com/uhc/po/Default.asp for United HealthCare network providers. If possible, students are advised to go to a Shands network provider once a referral is received from the Student Health Care Center. Students are also encouraged to call the provider and ensure that they are still in the Shands or United HealthCare network prior to setting an appointment.

How can I transfer a prescription from my current pharmacy to the Student Health Care Center Pharmacy?
Advise a Student Health Care Center pharmacist where your prescription is currently being filled. The Student Health Care Center pharmacist will then call your previous pharmacy and get the prescription transferred.

 

Contact Information

Who should I contact with questions about GatorGradCare?
For questions about coverage information, contact UnitedHealthCare StudentResources at 1-800-996-4698.

Who should I contact about eligibility and enrollment information?
For questions about eligibility and enrollment into GatorGradCare contact Julie Neubig at the Graduate Assistant Benefits Office at 352-392-0003 or gabenefits@admin.ufl.edu.

What is the Student Health Care Center phone number?
The Student Health Care Center phone number is 352-392-1161. Contact the Student Health Care Center first for medical services.

What is the Student Health Care Center Pharmacy phone number?
The Student Health Care Center Pharmacy phone number is 352-392-1760.

What is the Scarborough Company Insurance (local agent for GatorGradCare) phone number? The phone number for the GatorGradCare local agency is 352-377-2002.

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