Health Coverage Overview for Students at Yale Health
Important note: All care must be obtained at the Yale Health Center at 55 Lock Street unless it is an emergency situation or you have a referral with prior authorization to see an outside clinician for services.
Yale Health Basic Coverage
All eligible enrolled students attending Yale at least half time and working towards a Yale degree, receive many Yale Health services, including primary care and the services listed below. Students do not have to sign up or pay extra to obtain this coverage, Yale Health’s Basic Student Health Services.
Yale Health Basic Coverage includes services in the following departments at the Yale Health Center:
- Student Health
- Athletic Medicine (for varsity athletes)
- Acute Care
- Mental Health & Counseling
- Blood Draw
- Inpatient Care
Yale Health 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.
Students who have alternate insurance can 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 prescription coverage and the following services at the Yale Health Center:
- Diagnostic Imaging
- Ear, Nose & Throat
- Emergency Services
- Infectious Diseases
- Hospital Services
- Physical Therapy
Services not available on-site at the Yale Health Center 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.
NOTE: Pre-entrance immunizations are not covered by Yale Health. It is strongly recommended that you receive all of your required immunizations from your healthcare provider prior to your arrival on campus.
Prescription drugs are also covered under Hospitalization/Specialty Care Coverage.
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, you must pay the full retail price for the prescription and submit a Pharmacy Claim Form for reimbursement.
You will be responsible for the greater of 20% of the cost or the co-pay.
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
You will be responsible for $24 (when purchased at an outside pharmacy). If you had the prescription filled at the Yale Health Pharmacy you would only need to pay $10.
Coverage When Not on Campus
When you are away from campus for school breaks, weekend trips, semesters abroad, etc., Yale Health Hospitalization/Specialty Care Coverage only covers you 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.
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 you 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.