• Yes. The deductible is $100 for the policy year.
• The policy year deductible is waived for all of the following eligible health services:
  • In-Network Care for Preventive care and wellness, Pediatric Vision and Dental Care, Physician or Specialist Office Visit Expense, Walk-In Clinic Visit Expense, Consultant Expense, Urgent Care Expense, Acupuncture Expense, Outpatient Mental Health Office Visit Expense, Outpatient Substance Abuse Treatment Office Visit Expense, and Outpatient Prescription Drugs
  • In-Network care for Well newborn nursery care and Outpatient prescription drugs

• $25 copayment, then the plan pays 100% (of the balance of the negotiated charge) per visit.
• No policy year deductible applies.

• $150 copayment then the plan pays 90% (of the balance of the negotiated charge) per visit.

• $25 copayment then the plan pays 100% (of the balance of the negotiated charge) per visit .

• 90% (of the negotiated charge) per visit.

• In an emergency, California College of the Arts is concerned with getting a student to the hospital as quickly as possible.
• In the event that the college is billed for medical care a student received, the college reserves the right to directly bill the student or their family for portions of the bill which may have been paid up front by CCA.

• Please visit the following portal pages:
  • Health (Medical) Insurance
  • Dental and Vision Insurance

• Please visit jcbins.com to log into your student account.

• Yes. We believe the most important aspect of our plan is the lack of a pre-existing condition clause. We understand that many students may have health conditions, and they deserve quality health insurance regardless of their condition.
• Pre-existing conditions do not affect the cost of the plan, nor is coverage determined by the severity of the condition. Registered students are covered for all medical conditions while enrolled in the plan.

• Preventive care immunizations performed in a facility or at a physician's office are covered 100% (of the negotiated charge) per visit with no copayment or policy year deductible. 
• Please refer to the current Student Health Plan Design and Benefits Summary which can be found on CCA's Health (Medical) Insurance Coverage portal page.
• We strongly encourage you to reach out to One Medical - they serve as a healthcare provider that accepts the CCA student insurance plan (provided through Aetna). CCA students on the insurance plan are able to seek medical care - including vaccinations and advise about vaccinations - directly through One Medical.
• Additional information:
  • Immunization & Vaccinations

• The Aetna plan covers all medically necessary procedures. This includes, but is not limited to hormone replacement therapies, as well as top and bottom surgeries.
• Aetna members can speak with a specially trained member services representative with questions about their benefits or any challenges they have run into regarding claims.
• Students can get support and assistance through the Aetna Member Website (requires Aetna account login): https://health.aetna.com/sites/transgender-support-center.
• Aetna's LGBTQ Resources:
  • Transgender and gender-diverse people services from Aetna
  • Aetna Personal Navigator Program
  • Helpful Articles
• It is recommended that you start with a clinician through One Medical (see more information on their transgender-friendly healthcare here) who can manage your care and make referrals as necessary.

• Yes. Covered at 90% (of the negotiated charge) per visit.

• Yes, they are included.
• See Dental and Vision Insurance

• Yes. Prescriptions are paid at 100% of the negotiated Charge with the following co-pays:
  • $10 co-pay for Preferred Generic Drugs
  • $40 co-pay for Preferred Brand Drugs
  • $70 co-pay for Non-Preferred Drugs

To enroll in the plan if you are registered for a part-time course load (less than 12 units for undergraduate students; less than 9 units per term for graduate students), you must meet one of the criteria below, and receive approval prior to the last day of the Add/Drop period.

• Part-time students on an approved Reduced Course Load
  • International students: Approval must be granted by International Student Services.
  • Disability-related: Approval is granted by Access/Disability Services.
  • Requests must be approved every semester.
• Part-time students during their final semester
  • International students: Approval must be granted by International Student Services.
  • Undergraduate students: Confirmation is granted by Academic Advising.
  • Graduate students: Confirmation is granted by Graduate Advising.
• Students on approved leave of absence (for medical reasons)
  • Exceptions may be granted for a maximum of one semester. 

Please contact healthinsurance@cca.edu to request an exception and find out more about enrolling in the student insurance plan.

• Additional coverage for dependents (spouse/domestic partner, dependent children up to the age of 26, or both) is available for an additional fee. The student must be enrolled for the same term for which they are enrolling dependents.
• Dependent enrollments are handled by our student health insurance broker, Gallagher Student Health & Special Risk.
• To enroll your dependents, please opt into the plan (once you have created your student account) at www.jcbins.com during the insurance enrollment period.
• Dependents must be enrolled within 30 days from the date the student is enrolled in the plan, or within 31 days of one of the following qualifying events: marriage, birth*, adoption, or arrival in the United States.
• For covered students, newborns are automatically insured for injury or sickness from birth until 31 days old. Coverage for a newborn can be continued provided Gallagher Student Health & Special Risk (jcbins.com) is notified in writing within 31 days from the date of birth and all additional premiums are paid.
• Please contact GGB.JCB.Studentservices@ajg.com for further assistance.

• Coverage remains in effect for the entire term you have purchased. Aetna is a nationwide insurance carrier and has providers and hospitals throughout the country.

• Travel Assistance is included as part of the CCA Student Insurance Plan through On Call International.
• Services include:
  • Medical Insurance Assistance: ON CALL can assist You by coordinating notifications to medical insurers or managed care organizations, verifying policy enrollment, confirming medical benefits coverage, guaranteeing medical payments, assisting in the coordination of multiple insurance benefits, and handling claims paperwork flow.
  • Prescription Drug Assistance: When permitted by law and approved by the patient’s Physicians, ON CALL will assist You in obtaining prescription drugs and other necessary personal medical items that may have been forgotten, lost or depleted while traveling.
  • Emergency Transportation Services and (emergency-only) Medical Assistance Services are available when traveling 100 or more miles from Your Primary Residence or when traveling in a foreign country.
  • Security Assistance Services are available when traveling on a scheduled trip 100 or more miles from your Primary Residence and Your campus of Assignment.
• On Call International is staffed 24 hours a day, 365 days a year with trained multilingual coordinators and doctors to advise and assist you quickly and professionally in an emergency.
• On Call International phone numbers:
  • In the U.S. and Canada: 1-866-525-1956 (toll free)
  • From anywhere in the world: 1-603-328-1956 (call collect)
• For more information, please refer to the following:
  • Travel Assistance

Alumni and graduating students are not eligible to purchase additional coverage after their full-time registration status ends. (Note: fall coverage ends on December 31st; spring/summer coverage ends on July 31st - even for students completing degree requirements in May.)

For post-graduation insurance coverage options please see the information below.

• Domestic Students
  • California Residents: Students planning to continue residing in California after graduation are encouraged to look into individual plans via Covered California. [Note: California offers two ways to get health coverage. They are “Medi-Cal” and “Covered California.” Both programs use the same application.]
  • Non-California Residents: Please check the the insurance marketplace or programs similar to “Covered CA” in your state.
    
• International Students
  • CCA alumni on post completion OPT are not eligible for health insurance through CCA and will need to obtain health insurance independently while they’re on OPT. The link below provides general resources for international students that have recently graduated or will be graduating soon from CCA.
  • Health insurance on OPT

• Personal Property coverage is not part of the CCA Student Insurance Plan.
• CCA recognizes the importance of ensuring the safety of personal property. While CCA does not cover students' lost, stolen, or damaged property, we strongly urge all students and their families to contact their insurance agents, check their homeowner's policies, and/or to consider purchasing personal property insurance.
• CCA does not recommend or endorse any individual insurance company. However, please note that Gallagher provides information regarding personal property coverage.
• For more information, please visit:
  • Gallagher College Student Property & Renters Insurance
  • Brochure

• To locate Aetna providers or check if your current healthcare providers are covered under the CCA health insurance plan, please use Aetna’s DocFind tool: Find a doctor, hospital or pharmacy. [Select "OA Elect Choice EPO" insurance type.]
• You may also call Aetna Student Support line directly to speak with an Aetna representative and they will help you find a doctor or facility that is in network based on your location and zipcode.
• Call Aetna Student Support at 1-877-480-4161
  Dial "0" to skip to speak with an Aetna representative
  Call before 3:00pm (PST)
  
• You may also access One Medical doctors through your Aetna Plan. Please be sure to sign up for the One Medical membership by emailing healthinsurance@cca.edu for the school code for the current academic year.

• The Advice Nurse Line offers registered nurses (RNs) who offer advice regarding symptoms, including what a member can do to reduce or alleviate such symptoms.
• Advice nurses are available 24 hours a day, seven days a week. They can often resolve a minor concern over the phone, which saves a trip to the doctor.
• To reach the Advice Nurse Line, call: 1-800-556-1555.
• See Aetna Advice Nurse Line (24 hours)

• If you have coverage that meets the minimum requirements, you are encouraged to submit your waiver request as soon as possible. This will help avoid possible overlap in coverage - which may lead to denied claims by your primary insurance provider.
• For more information - including minimum requirements and instructions, please visit: Waiving Student Insurance.

• CCA's Waiver Request System is overseen by our student insurance brokers, Gallagher Student Health & Special Risk.
• If you need assistance logging into the system, please reach out to them directly at GGB.JCB.Studentservices@ajg.com.
• Be sure to provide them your CCA ID number.

• In order to be active in the waiver system, you must be registered as a full-time student (12 units or more for undergraduates, 9 units or more for graduates).
• Please wait to submit your waiver request until after you are officially registered as a full time student. Until then, your information will not show up in the waiver system.
• If you are a newly registered full-time student, please note that it could take up to seven business days until you are entered into the system. You will not be able to log in during this time.
• If it has been more than ten business days from the time you have registered, and you are still unable to log in, please email healthinsurance@cca.edu.
• Keep in mind that the waiver site for the upcoming coverage period will be live until after the add/drop period.

• If you've received confirmation that your waiver was approved, your student insurance fee will be reversed by Student Accounts after the published insurance waiver deadline each semester. (See above for waiver deadline dates.)
• If you have questions related to your billing and charges please contact Student Accounts directly at studentaccounts@cca.edu.

• If you are waived out of CCA's student insurance plan for the Fall semester, you will automatically be waived out for the Spring/Summer semester of the same academic year.
• If you wish to enroll in the college’s student insurance plan, but have already been approved for a waiver, you can still enroll by emailing healthinsurance@cca.edu before the end of the waiver period to request a reversal of your insurance waiver.
  
  
• Your approved waiver is effective for the current academic year only.
• If you want to waive participation for the next academic year, you must file another waiver application when that waiver period opens.

• To complete your waiver request on www.jcbins.com using insurance coverage provided by a non-US government please follow these instructions:
  • On the page where you enter your current insurance details: Start typing “Other” on the waiver page under "insurance carrier name." Select "Other (Carrier not found)," then will type in the insurance company name.
  • Once you do that, two upload fields will appear. Please upload the documents listed below. (You can obtain these documents by calling your insurance provider.) 
    • ID Card (front and back)
    • Current (dated within the last 30 days) Coverage Confirmation Letter from your insurance company
    • Summary of Benefits for your insurance plan
• Once uploaded, please be sure to continue and finalize until you get the screen that says your waiver is currently under review.

• Yes. However, if you are submitting an insurance waiver with Medi-Cal, it has to be within one of the approved counties below to meet CCA's minimum waiver requirements:
  • Alameda County
  • Contra Costa County
  • Marin County
  • Napa County
  • Santa Clara County
  • Santa Cruz County
  • San Francisco County
  • San Mateo County
  • Solano County
  • Sonoma County
    
• If you are on a Medi-Cal health plan which provides access to care throughout the state you should select San Francisco County. Please note that you are still responsible for finding local providers who accept Medi-Cal.
• For more information - including information on transferring benefits - please visit: Waiving Student Insurance.

• Aetna's Medicare Eligibility Notice: You are not eligible to enroll in the student health plan if you have Medicare at the time of enrollment in this student plan. The plan does not provide coverage for people who have Medicare.

• In order to confirm that your Medicare coverage is current and active, you will need to be able to provide:
  • A copy of your Medicare card;
  • Proof of current coverage:
    • Evidence of Coverage document
      or
    • A letter confirming coverage, dated in the last 30 days, which may be obtained directly from Medicare).
      
• Please contact healthinsurance@cca.edu for assistance waiving out of the student insurance plan requirement.

U.S. Tax Form 1095-B provides documentation about individuals who are covered by minimum essential insurance coverage, which is information required by the Internal Revenue Service (IRS) if you are filing taxes in the U.S.

• Students who were enrolled in the CCA Student Insurance Plan should receive 1095-B U.S. tax forms directly from Aetna. They are mailed to the local mailing addresses on record with Aetna.
• If you did not receive your Form 1095-B, please contact Aetna Student Support to request they reissue the form. They may be reached at 1-877-480-4161.
• For additional information, please visit: Aetna’s Tax Forms and the ACA.

Important Note:

• Form 1095-A – Individuals who enroll in health insurance through Covered California or the Federal Marketplace will get this form.
• Form 1095-B – Individuals who enroll in health insurance through Medi-Cal, Medicare, and other insurance companies or coverage providers (such as CCA’s Student Insurance Plan through Aetna) will receive this form.