Cost if you take SHIP
Annual premium for the Duke Student Health Insurance Plan (Blue Cross NC) is approximately $3,400–$4,000 USD for the 2025 academic year. This is billed directly to your student account unless you successfully waive.
Waiver deadline
Submit your waiver request before the deadline above. Universities rarely accept late waivers — if you miss it, you are auto-enrolled in SHIP and billed the full premium.
Waiver requirements
Your alternative plan must meet all of the following criteria to pass the Duke University waiver review:
- Comparable coverage with Durham County, NC network access
- Annual benefit of at least $500,000
- Mental health parity and prescription coverage
- Medical evacuation and repatriation for international students
- Valid for the full academic year
Alternative plans that typically qualify
International students at US universities commonly use these plans to pass SHIP waiver reviews. Always confirm that the specific plan you buy meets your university's minimum standards:
- GeoBlue Navigator — strong US network, high benefit limits, passes most Ivy League waivers
- ISO Student Health Insurance — US-based claims, affordable monthly rates, widely accepted
- IMG Patriot Exchange — designed for F-1/J-1 students, meets most ISSS minimum standards
- Student Secure (WorldTrips) — competitive pricing, US network, frequent waiver approvals
Estimated savings
A successfully approved waiver at Duke University typically saves international students $2,500–3,200/year. Savings vary based on the alternative plan you choose — the more competitive your replacement plan, the more you save.