Yale Health

Frequently Asked Questions

What is Basic Coverage?

All students enrolled at least half-time in a degree-seeking program receive Yale Health Basic Coverage at no charge.

Yale Health Basic Coverage includes services in the following departments at the Yale Health Center:

  • Student Health

  • Athletic Medicine (for varsity athletes)

  • Gynecology

  • Acute Care

  • Mental Health & Counseling

  • Laboratory

  • Inpatient Care

  • Nutrition

For more details about Basic Coverage, please see the Student Handbook.

What is Hospitalization/Specialty Care Coverage?

All students enrolled at least half-time in a degree-seeking program are automatically enrolled in and charged a fee for Yale Health Hospitalization/Specialty Care Coverage.

If your child has alternate insurance and you would like to waive Yale Health Hospitalization/Specialty Care Coverage, please see "How does my child waive Yale Health Hospitalization/Specialty Care Coverage?

Students enrolled in Yale Health Hospitalization/Specialty Care Coverage receive all the services in Basic Coverage along with the following services:

  • Allergy

  • Dermatology

  • Diagnostic Imaging

  • Ear, Nose & Throat

  • Emergency Services

  • Infectious Diseases

  • Endocrinology

  • Gastroenterology

  • Hospital Services

  • Neurology

  • Obstetrics

  • Oncology

  • Ophthalmology

  • Orthopedics

  • Physical Therapy

  • Urology

Prescription drugs are also covered under Hospitalization/Specialty Care Coverage. Please see "What prescription coverage is available?"

Services not available on-site are also covered with prior authorization by Yale Health.

Please see the Student Handbook for a complete description of coverage, including limitations, deductibles and co-payments.

What prescription coverage is available?

Students enrolled in Yale Health Hospitalization/Specialty Care Coverage also have prescription coverage.

Prescription drugs are covered if medically necessary and FDA approved subject to a 3-tier copay structure when purchased at the Yale Health Center Pharmacy. For copays and specific drug information, please see the Yale Health Drug List.

Prescription coverage includes free generic oral contraceptives, related devices, and emergency contraception at the Yale Health Center Pharmacy.

If prescriptions are filled at an outside pharmacy, your child must pay the full retail price for the prescription and submit a Pharmacy Claim Form for reimbursement.

They will be responsible for the greater of 20% of the cost or the co-pay.  

Example:
Cost of drug purchased at outside pharmacy: $120
Co-pay (found on the Yale Health Drug List): $10
20% of your cost of $120: $24
They will be responsible for $24 (when purchased at an outside pharmacy).  If they had the prescription filled at the Yale Health Pharmacy they would only need to pay $10.

What is the cost for Yale Health Hospitalization/Specialty Care Coverage?

Please see Yale Health's student rates.

Rates are updated each June for the upcoming academic year.

When will I see a charge for Yale Health Hospitalization/Specialty Care Coverage on my child's e-bill?

The first billing cycle for the Fall term is commonly applied in early July for undergraduates.

How does my child waive Yale Health Hospitalization/Specialty Care Coverage?

All students enrolled at least half-time in a degree-seeking program must provide proof of insurance in order to waive Yale Health Hospitalization/Specialty Care Coverage.

Your child must waive coverage by completing an online waiver form. The waiver form can only be accessed with your child's net id and password. Reminders to waive coverage are sent via e-mail directly to your child's yale e-mail address. 

The deadline to waive for the Fall term or full year is September 15th.
The deadline to waive for the Spring term is January 31st.

Waivers must be completed each academic year that a student wishes to waive Yale Health Hospitalization/Specialty Care Coverage.  

Can my child waive Yale Health Hospitalization/Specialty Care Coverage with Medicaid as their alternate insurance?

Yes. However, Yale Health clinicians will be unable to write prescriptions for your child and any specialty services received at the Yale Health Center will not be covered by Medicaid. 

When will the Yale Health charge removed after my child waives Yale Health Hospitalization/Specialty Care Coverage?

Following a successful waiver submission, the Yale Health Hospitalization/Specialty Care Coverage charge will be removed from your child's e-bill on the following billing cycle. 

Can my child still be seen at the Yale Health Center if they waive Hospitalization/Specialty Care Coverage?

Yes. All students enrolled at least half-time in a degree-seeking program receive Basic Coverage at no charge and can receive those services at the Yale Health Center.

If your child has waived Yale Health Hospitalization/Specialty Care Coverage, they must seek services outside of the Yale Health Center for anything not provided under Basic Coverage.

They can use the Yale Health Pharmacy to fill prescriptions written by a Yale Health clinician, but must pay full retail price and be reimbursed through your insurance company.

What coverage is available for varsity athletes?

If your child is a varsity athlete, they have all the same coverage options as every other student. They will be seen in the Athletic Medicine Department, which is provided at no charge under Basic Coverage.

We strongly recommend that varsity athletes do not waive Yale Health's Hospitalization/Specialty Care Coverage.

Does my child have health coverage when they are away from campus?

If your child is away from campus for school breaks, weekend trips, semesters abroad, etc., Yale Health Hospitalization/Specialty Care Coverage covers them outside of Connecticut for emergency care, acute care and pre-authorized short-term follow-up care. Please see the Terms of Coverage section of the Student Handbook for details. If you have alternate insurance, you should check the specifics of that insurance.

What should my child do if they are sick?

They should always call ahead to the Student Health Department at  203-432-0312 to schedule an appointment that meets their needs.

There are a number of same-day and next-day sick visits available with clinicians in the Student Health Department or a nurse may be able to give them medical advice over the phone.

After hours, weekends, and holidays, your child can contact the Acute Care Department at 203-432-0123. The Acute Care Department is open 24 hours a day, 7 days a week, 365 days a year to care for members of the Yale Community.

What should my child do if they have an emergency?

If your child has a medical emergency, they should call 911. When possible, they should call Acute Care at 203-432-0123 before going to the hospital emergency department.  When they call and let us know they are going to the Emergency Department, a nurse can follow up on their care and make sure that their primary care clinician knows as well. If they are unable to call before they go, they should be sure to call the Referrals Department at 203-432-7397 within 48 hours of receiving care.

Please see the Student Handbook for a complete description of coverage, including limitations, deductibles and co-payments.

What if my child is coming to Yale with an ongoing health issue?

If your child is coming to Yale with an ongoing health issue, they can work with Yale Health's Care Management Department to help transition their care to Yale Health. 

Care Management is available at 203-436-5791.

Are there mental health services available for my child?

Yes. All students eligible for Basic Coverage can utilize the Mental Health & Counseling Department at the Yale Health Center.

When does my child's insurance begin and end?

Fall Term and full-year coverage for both Basic Coverage and Yale Health Hospitalization/Specialty Care Coverage for incoming students begins on the date dormitories open or the date they are required to be on campus for orientation. The coverage year ends on July 31 and the following year’s coverage begins on August 1 with no lapse in coverage. Even students who graduate are covered through July 31.

Does Yale Health accept outside insurance?

No. Yale Health is a closed-model HMO and does not accept outside insurance.

Can my child continue to see their previous doctors if they have Yale Health Hospitalization/Specialty Care Coverage?

No. All of your child's care must be obtained at the Yale Health Center at 55 Lock Street unless it is an emergency situation or your child has a referral with prior authorization to see an outside clinician for services.

Can my child be on two insurance policies?

Yes. You can keep your child on your insurance policy and have Yale Health Hospitalization/Specialty Care Coverage. 

What vaccinations/forms are required for my child to attend Yale?

Please see the new incoming student forms section.

If you have questions about incoming student immunizations or forms, please e-mail immunization@yale.edu.

Can my child receive the required pre-entrance immunizations at Yale Health?

No. It is strongly recommended that your child receive all of their required immunizations from their healthcare provider prior to their arrival on campus.

How does my child transfer previous medical records to Yale Health?

Your child can transfer their previous medical records to Yale Health by completing a Release of Health Information Form and returning it to Yale Health's Health Information Services Department.

Can I speak to Yale Health regarding my child's medical information?

Your child's medical records are confidential. If your child is over over 18 and wishes to give you the authorization to speak with their clinicians or receive their health information, they need to complete and sign the Designation of a Personal Representative to Access Health Information Form and return it to the Health Information Services Department.

Without receipt of this completed form you or any other persons will not have access to your child's health information through Yale Health. 

Are Yale Health clinicians board certified?

Yes. All clinicians providing care at Yale Health are board certified MDs, APRNs, PAs or CNMs.

Does my child need to choose a primary care clinician at Yale Health?

All students eligible for Basic Coverage will be designated with a primary care clinician in Student Health. Undergraduate students are designated by their residential college while graduate & professional students are randomly designated.

Eligible female students will also be randomly desginated with a primary care clinician in Obstetrics & Gynecology.

If your child would like to change their primary care clinician, they may do so by contacting the Member Services Department at 203-432-0246.