Yale Health

Frequently Asked Questions

Where can I get my prescriptions filled when I am out of the area? (Will I get reimbursed?)

You can use any pharmacy. You will pay full price and then submit a Pharmacy Claim Form, which will be reviewed for reimbursement.  Please note, your reimbursement is dependent upon the benefit (for more information visit Understand Your Coverage) and formulary rules. For more information visit the Outside Pharmacy Use page.

(If you are a student you need to have Yale Health Hospitalization/Specialty Care coverage in order to be reimbursed.)

I am pregnant and traveling out of the area, will I be covered if I go into labor?

Starting from four weeks before your due date, or earlier if you are advised by your Yale Health clinician not to travel, charges associated with hospital admission will only be covered at Yale-Hew Haven Hospital.

Do I have healthcare coverage when I am out of state?

Students: If you have taken Yale Health Hospitalization/Specialty Care coverage, you are covered 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 Yale Health Student Handbook for details. If you have alternate insurance, you should check the specifics of that insurance.

Members: You are covered for emergency care when you are out-of-state.

An emergency medical condition is a sudden and severe condition, sickness or injury, including, but not limited to, severe pain, which would lead a prudent layperson including the parent or guardian of a minor child or the parent or guardian of a disabled individual possessing an average knowledge of medicine and health, to believe that failure to get immediate medical care could result in:

  • Placing one’s health in serious jeopardy
  • Serious impairment to a bodily function(s)
  • Serious dysfunction to a body part(s) or organ(s); or
  • In the case of a pregnant woman, serious jeopardy to the health of the unborn child.

I am a student. How do I obtain prescription refills when I am away from campus?

To transfer your prescription to another pharmacy, have them call the Yale Health Pharmacy (203-432-0033). If you have Yale Health Hospitalization/Specialty Care coverage, retain the receipt and submit a claim form for reimbursement. For more information visit the Outside Pharmacy Use page.

When a prescription is transferred to an outside pharmacy, Connecticut pharmacy law renders that prescription void at Yale Health.

I am a student. What should I do for follow-up care if I am away from New Haven in the summer and need to continue treatment?

Each person requires a different treatment plan, so you should consult with your clinician. Please remember that emergencies are covered while you are out of the area, but routine care is not. If you have alternate insurance, you should look into the terms of its out-of-area coverage.

I am a Yale student. Do I have health care coverage when I am away from campus (school breaks, weekend trips, summer vacations, semesters abroad and so on) during the regular academic year?

If you have taken Yale Health Hospitalization/Specialty Care coverage, you are covered 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.