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Student Health Insurance

University insurance policies and annual requirements

All degree-seeking Northwestern students must have comprehensive health insurance, and all degree-seeking students are defaulted each year into the Northwestern University Student Health Insurance Plan (NU-SHIP). Students who have alternate insurance coverage must waive their NU-SHIP enrollment online in CAESAR during their applicable open enrollment period.

Open Enrollment Overview

The open enrollment period is 3/11/26 - 4/12/26.

Every academic year, all degree-seeking students in insurance-eligible programs must confirm or waive their NU-SHIP enrollment during the annual open enrollment period.

About the Open Enrollment Process

Confirming or Waiving Instructions

Alternate Insurance

Does my insurance meet Northwestern’s comparable coverage requirements?

Plans that do not meet the requirements include: Most Out-of-State HMO PlansMost Out-of-State Medicaid Plans, Travel Plans, Catastrophic Plans, Short-Term Plans, Medical Cost-Sharing Plans, Healthcare Sharing Ministry Plans, Medisave Plans, Accident & Sickness Plans

Review the comparable coverage requirements/checklist to determine if your insurance plan benefits meet Northwestern University’s comparable coverage requirements.

Access the 2025-26 Checklist

Frequently Asked Questions

Find answers to common questions about the confirming and waiving health insurance.

How do I waive the NU-SHIP? (During Open Enrollment)

If you have comparable health insurance coverage, log into CAESAR to submit your waiver application. Please review Northwestern University’s comparable coverage requirements to ensure your plan qualifies for a waiver. For step-by-step instructions, see our screenshot guide. Once your waiver is successfully submitted, the default charge will be reversed within 1–2 business days.

How do I enroll in the NU-SHIP? (During Open Enrollment)

If you wish to enroll in NU-SHIP, log into CAESAR to confirm your enrollment. For step-by-step instructions, see our screenshot guide.

When will I be billed for the NU-SHIP?

The NU-SHIP premium will be billed to your student account following your tuition posting.

How do I pay the NU-SHIP premium?

The NU-SHIP premium will be billed directly to your student account. We recommend reviewing the payment methods posted on the Student Finance website.

Can I enroll in the NU-SHIP quarterly?

The NU-SHIP is annual plan. Therefore, we are unable to enroll students on a quarterly basis.

Can I be billed quarterly?

The NU-SHIP is an annual plan. Therefore, we are unable to bill you on a quarterly basis. We encourage you to reach out to the Office of Student Finance to find out if you are eligible to enroll in a payment plan.

I submitted my waiver. When will the charge be reversed?

The default charge will reverse within 1-2 business days of you successfully submitting your waiver. When reviewing your student account in CAESAR we recommend reviewing the real time activity versus the monthly snapshot.

What insurance options are available outside of the NU-SHIP?

We recommend reviewing the alternative insurance coverage options we have posted on our website.

Why is this charge appearing on my student account?

Each academic year, in the first quarter in which you have an active registration status at Northwestern, you are asked either to confirm or waive your enrollment in the NU-SHIP, via the online form in CAESAR, at your earliest convenience:

  • If you intend to use the NU-SHIP for your insurance coverage this year, please confirm your enrollment to ensure you do not experience any eligibility or service issues.
  • If you will use alternate insurance coverage – which must meet all of Northwestern’s comparable coverage requirements – then please waive your NU-SHIP enrollment so you are not billed for coverage you do not need.

Why is NU-SHIP enrollment mandatory for international students?

The mandatory NU-SHIP enrollment requirement applies to all international students. Northwestern University requires all degree-seeking international students – students holding a J-1 or F-1 U.S. visa – to confirm their annual Northwestern University Student Health Insurance Plan (NU-SHIP) enrollment, and maintain coverage in the NU-SHIP, for the entire time they are studying at Northwestern.

The requirement stems from J-1 and F-1 students having visa requirements involving insurance coverage. Additionally, the cultural difference between our healthcare system and many others in the world caused problems where international students either did not maintain enrollment for the full year or did not have adequate coverage.

The result was financial burden that resulted in a disruption to studies, as well as increased liability on the university’s side. A cross-campus policy committee deemed it necessary to ensure international students maintain sufficient coverage by requiring participation.

I submitted my waiver. Why was my waiver denied?

Most waiver requests are denied because one or more questions on the waiver form were answered “No,” meaning the plan does not meet Northwestern University’s comparable coverage requirements. Additionally, the most frequent reasons include enrollment in an out-of-state Medicaid plan or an out-of-state HMO plan. These plans typically limit coverage to emergency services only and therefore do not provide sufficient in-network access in Illinois.