Health Services Co-pay Reimbursement

If you are an off-campus student assigned to APPEs in Davis, Fresno, Los Angeles / Orange County, North Bay, or South Bay, the School will reimburse your cost of health services co-payments (co-pays) according to the following guidelines:

1. The School will reimburse you up to US$250 per year for co-pays. This amount is equivalent to the required deductible.
2. The School will reimburse only for those months in which you are actively matriculated and registered for coursework off-campus.
3. The School will not reimburse you for any medications (prescription or non-prescription).

If you have a significant health event while you are off campus for rotations and cost becomes a concern to you, please contact Associate Dean and Director Cindy Watchmaker at 415/476-2733 or watchmakerc@pharmacy.ucsf.edu.

To receive reimbursement:

1. Pay your co-pay(s) by your own means.
2. Fill out the Co-pay Reimbursement Form (PDF, 1 page, 195 KB, Requires Adobe Reader).
3. Send the form to our office by mail. For each co-pay, you must also include a photocopy of the proof that you have paid it -- typically a receipt or canceled check or credit card statement. (Statements showing the amount of the co-pay are not sufficient.) Do not send originals -- keep them until you have received your reimbursement check. If your proof of payment is a check, please provide a photocopy of both the front and back of the canceled check.
4. You will receive a check in the mail, usually within 30 days.

For questions regarding your health care coverage, contact Student Health & Counseling.

For questions regarding reimbursement, contact Curricular Affairs Assistant Lucia Piriano at 415/502-5373 or pirianol@pharmacy.ucsf.edu.