Duke Student Health Insurance

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Duke Student Health Insurance

• 2007-2008

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How it works

• You pay Duke the premium (1,489, 1,611, 1,865,
  2,105)
• Duke pays Hill, Chesson, and Woody 8,000,000
• Hill, Chesson, and Woody keep 4.4 and pay the
  rest to Blue Cross and Blue Shield of North
  Carolina

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August 31, 2006

• Decision to go out to bid.
• We would hear from prospective companies.

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September and October

• Had presentations by
• Chickering Claims (Aetna)
• Pearce and Pearce (AIG)
• Hill, Chesson, and Woody (Blue Cross and Blue
  Shield of North Carolina)

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November 30, 2006

• With the increasingly complex and changing world
  or student health insurance, the decision was
  made to hire a consultant.
• An independent consultant, Stephen Beckley
  (www.slba.com) was hired to guide us through what
  we still thought would be the request for
  proposals (RFP) process.

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Voluntary Dental Plan
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Vision Statement

• The committee envisions all Duke students, their
  families, and their dependents with access to the
  health care needed in a timely fashion at the
  lowest possible cost.

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Mission Statement

• It is the goal of the committee to be transparent
  in its efforts to ensure that
• No student is without quality health insurance
• Desired benefits are provided at the least
  possible cost
• Students have access to a strong, effective
  network of providers
• The insurance plan takes advantage of Dukes
  resources while also enabling students to be
  autonomous in their health care decisions
• As much of the premium or fund contributions as
  possible will be returned to the covered
  individuals in the form of benefits
• The total health of the student will be provided
  for, including mental health
• Resources available to assist students in making
  good health care decisions will be continually
  improved
• The administration of the student health
  insurance plan will be done in a culturally
  competent manner that is sensitive to students
  national, religious, and ethnic preferences with
  regards to health care and to respond to the
  unique health needs of students
• Both the student health insurance administration
  and the student health center will try whenever
  possible to offer preventative care before normal
  treatment would be required
• Those we work with to provide these services
  offer the same level of transparency to the
  student body (the student body is consulted in
  decisions where possible).
• Taken from the American College Health
  Association, Standards for Student Health
  Insurance/Benefits Programs, available at
  http//www.acha.org/info_resources/stu_health_ins.
  pdf.

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December Meeting

• Energized by Stephens thought that we could move
  to a Duke-run plan, we begin the process of
  determining the legality of such a plan.
• Going out to bid is still an option.

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January, 2007

• Due to the mixed feelings of the legal grounds to
  enter into a Duke-run plan, we move forward with
  the original RFP process.

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LAST WEEK

• We are introduced to several other potential
  options.
• Duke University Health Systems are willing to
  negotiate with Duke students directly.
• RFP will not be issued as soon as expected in
  order for us to examine these options more
  thoroughly.

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Yesterday

• Our consultant and Dr. Purdy met with Blue Cross
  and Blue Shield to learn our options through
  them.
• We are now exploring a fully insured option
  around DUHS contracts.

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We still have questions

• Waiver process
• Access to care (experiences?)
• Student health services (spouses? Satellite
  facility?)
• Dental plan
• Additional benefits
• Copay structure
• Students experience with BCBS and HCW
• Prescription drugs
• Mental health
• Age-bands
• Medical evacuation/repatriation

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PUBLIC FORUM

• Wednesday, February 21
• 700pm
• Social Sciences 229