Student Health Plan, Requirements

For International Students, Scholars, and Accompanying Family Members

Insurance Requirements

International students and scholars

International students and scholars, including J-2 or F-2 family members, are required to have health insurance while at Willamette. Good health insurance helps protect your ability to continue your study by managing healthcare costs.

Willamette University (WU) provides a mandatory health insurance plan through PacificSource.

You and your dependents are automatically enrolled.

Note, this a medical plan only. Dental is NOT included for adults (over age18).

It is reasonably priced for the high level of coverage it provides.

  • Meets U.S. Affordable Care Act requirements.
  • Meets "J" visa health insurance requirements, including medical evacuation and repatriation of remains.

Enrollment & billing to your WU student account are done via the Office of International Education.

  • Enrollment is on an annual period. Cost is billed to you in two pieces: once at the beginning of each semester. See the Cost table below for details.
  • One semester exchange students: You are billed only for the term you attend Willamette.
  • Note: Insurance does not cover 100% of healthcare costs. You pay the cost of the insurance (table below) plus you pay the healthcare provider for costs/balances that insurance does not cover. These costs are called: co-pay, deductible, coinsurance, non-covered or excluded costs, out-of-network costs, etc. Purchasing insurance is a cost in addition to any of these balances.

Cost

2021-2022 PacificSource Student Health Plan

 
(mm/dd/yy)
Annual
8/1/21-7/31/22
Fall
8/1/21-1/5/22
Spring
1/6/22-7/31/22
Student $ 2,938* $ 1,279* $ 1,659*
Spouse** $ 2,838 $ 1,229 $ 1,609
each Child** $ 2,838 $ 1,229 $ 1,609

*Includes $50 per semester administrative fee. No administrative fee for Dependents.
** Dependents can only enroll if student/scholar is also enrolled.
Costs will be reversed if a waiver request is approved.


Enrollment Application & Waiver Request

Use the current Health Insurance Enrollment & Waiver Request Form to Enroll in or Waive the insurance.

Option A: Enroll in the insurance

To Do: Follow instructions. ID cards will be available online on the PacificSource site. You will receive a notice via email when it is available.

Option B: Waive (decline) the university insurance

What it is: If you bring health insurance coverage with you, you have one chance each academic year to ask if your insurance is eligible to replace the university's health insurance. This is called a waiver. Requesting a waiver does not guarantee you will receive a waiver. Use the Health Insurance Enrollment & Waiver Request Form. The deadline cannot be extended.

Waiver Request Deadlines

Fall Deadline:
Mon, September 13, 2021
Academic year or Fall only students
Spring Deadline:
Mon, January 24, 2022
Spring waiver applies only if your first term at Willamette is spring 2022. Thereafter your deadline will be in fall.

Requirements and Forms

Health Insurance Requirements 2021-2022 PDF (international students)

Enrollment/Waiver Request Form 2021-2022 -PDF (international students)

Health Insurance Requirements 2020-2021 (international students)


Annual/fall deadline: Monday, 13 September 2021

Spring deadline: Monday, 24 January 2022 (spring start students only)

U.S. Students: link to Waiver

Insurance Benefit Information

2021-2022 PacificSource Health Plan Summary of Benefits (link to the insurance website)

2021-2022 PacificSource International Highlight Sheet (link to PacificSource website)

2021-2022 PacificSource Health Plan Student Guide (PDF) (link to PacificSource website)

How to Use Your Student Health Plan

Using Your WU Health Insurance Plan

For Additional Information

Coverage questions

PacificSource
(855) 274-9814 (toll-free)
Website
Email

Your Health & Health Insurance

Bishop Wellness Center
503-370-6972
Email

Waivers for International Student/Scholar Insurance

Ramona Murtha
Office of International Education
Email

Willamette University

Student Insurance

Address
Baxter Hall
900 State Street
Salem Oregon 97301 U.S.A.
Phone
503-370-6972 voice
503-375-5420 fax

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