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Duke Student Health Insurance

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100 Rx deductible $1000 Rx out-of-pocket max (new) Dental savings program by ... Taken from the American College Health Association, 'Standards for Student ... – PowerPoint PPT presentation

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Title: Duke Student Health Insurance


1
Duke Student Health Insurance
  • Eric Vance
  • David Kahler
  • GPSC Retreat
  • September 15, 2007

2
How it works
  • Insurance company (BCBS) predicts total 2007-2008
    claims 8mil
  • Duke students pay BCBS 10mil in premiums plus
    additional 2.4 for customer service
  • The extra 25 (2mil) pays for BCBS staff,
    billing, profit, etc.

This is in addition to the 546 (171 summer)
fee each student pays for the Student Health
Center.
3
History of Premiums
4
2007-2008 Plan
  • BCBS Blue Options Plan
  • 150 deductible
  • Insurance pays 80 of bill, you pay 20
  • 1500 out-of-pocket max
  • 100 Rx deductible
  • 1000 Rx out-of-pocket max (new)
  • Dental savings program by Basix (new)

5
2007-2008 Plan
  • A 500 annual benefit for preventative vaccines
    (as defined by the CDC) including the HPV
    vaccine.
  • Unlimited medical evacuation and repatriation
  • No pre-existing condition exclusion (enjoy full
    benefits for the full policy term)
  • A new 1,000 annual out-of-pocket maximum for
    prescription drugs
  • In-network mental health benefits in the Durham
    area

6
GPSC HI Committee 2007-2008
  • Vision Statement
  • The committee envisions all Duke students, their
    families, and their dependents with access to the
    health care needed in a timely fashion at the
    lowest possible cost.

7
Mission Statement
  • It is the goal of the committee to be transparent
    in its efforts to ensure that
  • No student is without quality health insurance
  • Desired benefits are provided at the least
    possible cost
  • Students have access to a strong, effective
    network of providers
  • The insurance plan takes advantage of Dukes
    resources while also enabling students to be
    autonomous in their health care decisions
  • As much of the premium or fund contributions as
    possible will be returned to the covered
    individuals in the form of benefits
  • Taken from the American College Health
    Association, Standards for Student Health
    Insurance/Benefits Programs, available at
    http//www.acha.org/info_resources/stu_health_ins.
    pdf.

8
Mission Statement
  • It is the goal of the committee to be transparent
    in its efforts to ensure that
  • The total health of the student will be provided
    for, including mental health
  • Resources available to assist students in making
    good health care decisions will be continually
    improved
  • The administration of the student health
    insurance plan will be done in a culturally
    competent manner that is sensitive to students
    national, religious, and ethnic preferences with
    regards to health care and to respond to the
    unique health needs of students
  • Both the student health insurance administration
    and the student health center will try whenever
    possible to offer preventative care before normal
    treatment would be required
  • Those we work with to provide these services
    offer the same level of transparency to the
    student body (the student body is consulted in
    decisions where possible).

9
SHIAC
  • Student Health Insurance Advisory Committee
    consists of GnP students and administrators
  • Led by Dr. Bill Purdy and advised by an
    independent consultant, Stephen Beckley
    (www.slba.com), SHIAC determines the HI plan
  • Resports to Larry Moneta, Director of Students
    Affairs

10
Issues for 2007-2008
  • Evaluating bids for 2008-2009
  • Restrictive waiver?
  • Partial self-insurance?
  • Better Mental Health network
  • Family subsidy
  • Fair age-based pricing
  • Copays?

11
Partial Self-funding
6 mil
Health Care
7.5 mil
12
Discussion and Questions
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