Q&A with Georgia Insurance and Fire Commissioner John Oxendine

July 15, 2008 10:41 am

— Question: My daughter is a full-time college student. Is she still covered under my health insurance policy?
Answer: In Georgia, most health insurance policies cover dependents who are full-time students through age 25 – that is, right up to their 26th birthday. Check with your health insurer about how the policy defines a full-time student and the maximum age of coverage. Most policies consider a student taking at least 12 credit hours per semester (six or nine in the summer) to be a full-time student. However, college students who marry will lose their status as a dependent under their parents' policy regardless of their age or status as a full-time student.
It is also important to know the difference between how a college student not living at home can obtain coverage through a Health Maintenance Organization (HMO) or a Preferred Provider Organization (PPO). For example, a student insured through an HMO may be outside the HMO service area of physicians and hospitals while away at school. If this occurs, the student likely will have coverage for emergency care, but may have to travel to a physician and hospital within the HMO service area for other care. Similarly, an insurer may pay benefits at out-of-network levels for students who are outside a PPO network. Check your plan provisions or speak with your insurer to know the level of benefits provided when a student is away at school and outside the service area.
Be sure the college student has a copy of the relevant insurance cards and knows how to obtain any required approvals before seeking treatment.
Question: What if a college student is not covered under his or her parents’ health insurance?
Answer: Students who don't have health insurance through a parent's health insurance policy, or who have limited coverage due to network service areas, may buy a student health insurance plan. Student plans are sold by an insurer that has contracted with a college to offer coverage to its students. In general, these plans have more limited benefits and more exclusions than traditional health insurance plans. For example, most student plans have limited catastrophic coverage of $50,000 per accident or illness. Many policies also will exclude routine examinations and injuries sustained while under the influence of alcohol or drugs.

Please send your insurance or fire safety questions to:
Insurance and Fire Commissioner John Oxendine
716 West Tower
2 Martin Luther King Jr. Drive
Atlanta, Georgia 30334

Or call 404-656-2070 (toll free at 1-800-656-2298) for assistance with an insurance question, Monday through Friday, 8 a.m. to 7 p.m. TDD services available at 404-656-4031.