Health Insurance

All Duke students must carry major medical insurance. Duke’s student medical insurance plan is rated at the highest level. Unless waived, all students will be enrolled in the plan. International students at Duke on the F-1 or J-1 visa are required to purchase Duke’s plan. U.S. students may waive the plan if they can provide proof of comparable coverage. Enrollment for Fall 2018 will begin in June 2018. At that time, please log in to your DukeHub account to enter your decision to waive or enroll in the plan. Coverage is from August 1, 2018 through July 31, 2019. Go to Student Health for more information and directions on enrolling in or waiving the plan. 

For new students, open enrollment in Duke University’s Student Medical Insurance Plan (SMIP) will begin mid-June and concludes September 15.  If you intend to enroll in the Duke Student Medical Insurance Plan (SMIP), please complete the process in the DukeHub. By mid-June, new students will receive information about the Student Medical Insurance plan; be sure to check your Duke email.

>> If you do not enter your decision by September 15, 2018, you will be automatically enrolled in the SMIP for the period from August 1, 2018 to July 31, 2019.

Students who have an existing health insurance plan may keep their current policy, and will have the option to waive the Duke Student Medical Insurance Plan.  If you intend to waive the Duke Student Medical Insurance Plan (SMIP), the process to request a waiver is also done in the DukeHub.  In order to waive the Duke SMIP, the student must provide adequate proof of coverage under another health insurance plan. The waiver criteria may be viewed here

>> Enrollment in the SMIP is mandatory for international students holding an F1 or J1 visa.

>> All Students: Specific details about the 2018-2019 Student Medical Insurance Plan will be available in mid to late June.

If you do not enter your decision by September 15, you will be automatically enrolled in the SMIP for the period from August 1 to July 31.  The insurance charge will remain on your Bursar account and you will receive your enrollment information and card after September 15.  If you do not enter your decision and are automatically enrolled, you will not be able to waive.


>> 2018 STUDENT MEDICAL INSURANCE WILL BE AVAILABLE IN JUNE 2018; VIEW 2017-2018 INFO BELOW.

Read more about the Student Medical Insurance Plan (SMIP); topics include (but not limited to):

  • cost of coverage
  • waiver criteria
  • plan benefits
  • dental insurance
  • patient protection

More information is available at Student Health Center web pages.


Questions about health insurance should be directed to insurance@studentaffairs.duke.edu or call 919-684-1481. Due to volume, allow 2 business days for a response.