Welcome to the Customer Service Center! We are excited to assist you with any and all questions you may have regarding your policy.
On the left hand side we have provided you with a number of links and downloads for immediate access to any questions you may have regarding your school’s student insurance plan.
If you don’t see what you are looking for, or would like to speak to a live representative, it will be our pleasure to assist you.Â
Call Us
For questions regarding:
Benefits
Claims
Change of address
Requesting a new ID card
My Account assistance
General Policy Information
Please call 1-888-251-6253 to speak to a live customer service representative, toll free, 7 am – 7 pm CST.
It’s easy! Just download the claim form below. Fill out the first page with your personal information, dates of injury or sickness, the cause of the injury or date of first symptoms for a sickness, sign your name with today’s date, and attach all receipts. Please fill out the entire first page and be sure not to leave anything blank.
Your Doctor can also submit a claim electronically using Emedeon (formerly WebMD). This gives a faster turn-around time than submitting a claim by mail. Check with your doctor to see if they are a participant. If they are, show them your ID Card. The Emedeon information is printed on the back of every ID Card.
If you have any problems filling-out these forms or would like to talk to a customer service representative, you can call us toll free at:Â 1-888-251-6253 or CONTACT US
If you are a student and would like to check on the status of a claim that you or a provider submitted to UnitedHealthcare, you will need to set up a My Account if you have not already done so.
Please visit our My Account center to log in to an existing account or to create a new one.
If you would like to submit a paper claim for reimbursement for a prescription that you paid for out of pocket, please print a copy of the Generic Reimbursement Claim Form located below.
After filling out the necessary information, please read the acknowledgement carefully (located at the bottom of page) and sign and date in the space provided.
To submit a Generic Reimbursement Claim Form, please be sure your receipts are complete. In order for your request to be processed, all receipts must contain the information listed below:
Date prescription filled
Name and address of pharmacy
Doctor name or ID number
NDC number (drug number)
Name of drug and strength
Quantity and days’ supply
Prescription number (Rx number)
DAW (Dispense As Written)
Amount paid
This information can usually be found on the receipt which is stapled on the outside of the packaging or in some cases located inside. Your pharmacist can provide the necessary information as well.
To file an appeal, please include the following information:
1. A letter requesting an appeal to your claim(s), including your:
Name,
Address,
Phone number,
UnitedHealthcare Student ID number,
Date of service for your injury/sickness,
Claim number(s) (located on the top of your Explanation of Benefits), and
Email address.
2. Â A copy of your Explanation of Benefits for the claim(s) in question.
3. Medical Records including all test results from all providers visited for the specific injury/sickness that you are appealing.
Once we receive the documentation, your appeal will be reviewed and a written response will be mailed to you. The response will include what the findings were, if the appeal was approved or denied, and the reason for the final decision.
If you have a question about your claim denial, you may call our Customer Service Department at telephone number 1-888-251-6253 for further explanation to informally resolve your appeal. If you are not satisfied with our explanation of why the claim was denied, you or your authorized representative may request an internal review of the claim denial. (For more information about an authorized representative, please click on “forms†on the left.)
As a UnitedHealthcare member, you have access to a comprehensive and quality pharmacy benefit provided through the UnitedHealthcare Pharmacy Benefit Program. UnitedHealthcare uses OptumRx. (www.optumrx.com) for certain pharmacy benefit services including your mail order benefit.
Make Informed Decisions
When selecting a medication, you and your doctor should consult the UnitedHealthcare Prescription Drug List (PDL). The PDL includes most brand and generic medications approved by the FDA. Medications may be placed on different “tiers” based on their overall value, with Tier 1 being the most affordable tier option. Click below to download and review the current Prescription Drug List:
Payment, pricing, and coverage information about most prescription medications
Information about lower cost medication alternatives,
A list of participating retail pharmacies by ZIP code, and
Your prescription history
Choose a pharmacy that’s in the network
To get the most from your pharmacy benefit, you should use a participating retail pharmacy. There are over 60,000 retail pharmacies in our network, including both chain and independent stores located across the United States.
Use the Pharmacy Locator to find a participating retail pharmacy.
Welcome to the UHC My Account/PGH Global Account Center! You will have 24/7 online access to your UHC My Account and PGH Global Account which will provide you with the necessary tools needed to navigate your International Student Injury and Sickness Plan.
The information provided below will highlight the functions of each account and how they may be used to assist you throughout your coverage.
My Account is a secure website that will provide you with personalized benefits and health information. Â
With My Account, you’ll have 24/7 internet access to:
Review Claims status, correspondence, and Explanation of Benefits (EOB)
Request/print an ID card
Enter accident details online
Enter additional insurance information online
Log into My Account: Existing My Account users log in here. You can also look up your username or reset your password from here.
Create your My Account: You will be able to create your My Account 24-48 hours after your initial purchase of coverage. Be sure to use the email address you used to purchase coverage.
PGH GLOBAL ACCOUNT
Your PGH Global Account is a secure website that will allow you to easily renew your coverage online as well as provide you with detailed enrollment Information for current and past enrollments.
With your PGH Global Account, you’ll have 24/7 internet access to:
Renew your coverage Online
Current and Past Enrollment Records where you may view details of each enrollment such as:
Plan selected,
Coverage Dates,
Names of each induvial enrolled (Student & Dependent Information),
Payment Information
Plan Features
Download a Confirmation of Coverage Letter which you may submit to your school for waiver purposes if needed.
Have some peace of mind while traveling. We’ve heard great stories about GES saving the day for students who are studying or traveling in other states or other countries. When you’re at least 100 miles from home and you’re sick or hurt, GES steps in with immediate assistance and evacuation benefits. They can even help you get home if you need to be medically evacuated.
Some benefits of this service include:
Emergency Medical Evacuation
Dispatch of Doctors/Specialists
Medical Repatriation
Transportation after Stabilization
Transportation to Join a Hospital Insured Person
Return of Minor Children
Repatriation of Remains
May also include additional assistance services to support your medical needs, including worldwide medical referrals and medication/vaccine transfers.
Contact information is on the back of your SR ID card or in My Account
For more information on Global Emergency Services, please review the Assistance and Evacuation Benefits section in your Brochure-Certificate.
This page is for those students who wish to opt-out (waive) out of the coverage under their school’s student insurance plan. The school’s student insurance plan can only be waived if the student has coverage under another acceptable insurance plan.
The first step to waive out of your school’s student insurance coverage is to verify that you are an eligible student.
Are required to purchase this plan unless proof of comparable coverage is furnished.
Please Note:Â If you waive the insurance you will not be eligible to enroll until the following school year unless you experience a Qualifying Life Event.
Before you submit your waiver, please review the College of Charleston Checklistto make sure that your insurance meets the College of Charleston requirements.
J-1 and F1 Student Waiver Instructions
Annual/Fall Waiver Deadline: 8/31/18
*Spring & Spring/Summer Waiver Deadline: 1/18/19
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
After you verify that you are required to waive and have other insurance you will need:
Your current health insurance plan ID card,
Your health insurance brochure or plan description in ENGLISH
Once you have completed the waiver form, an email will automatically be sent to the email address you provided notifying you of the waiver request decision. If you receive a:
Approval e-mail – Your waiver was approved. You should print this e-mail and save it for your records.
Denial e-mail – Your waiver was denied. If you would like us to look this over or if you answered a question incorrectly, please contact us.
Pending e-mail – Your waiver is now pending for review. You need to send a copy of your policy in ENGLISH to waiver@pghglobal.com or by fax to 267-406-4191.
OPEN ENROLLMENT PERIODS
If you have eligible Dependents in the Fall or are a student in the Fall semester and are eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline, your Dependents or you will not be eligible to enroll again until the start of the next fall unless they experience a Qualifying Life Event during the year
*Spring and Spring/Summer enrollment periods are for new incoming and renewing students and their dependents only.
ELI Student Waiver Instructions
Fall 1 Waiver Deadline: 8/31/18
*Fall 2 Waiver Deadline: 10/26/18
*Spring 1 Waiver Deadline: 1/18/19
*Spring 2 Waiver Deadline: 3/15/19
*Summer Waiver Deadline: 6/7/19
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
After you verify that you are required to waive and have other insurance you will need:
Your current health insurance plan ID card,
Your health insurance brochure or plan description
Once you have completed the waiver form, an email will automatically be sent to the email address you provided notifying you of the waiver request decision. If you receive a:
Approval e-mail – Your waiver was approved. You should print this e-mail and save it for your records.
Denial e-mail – Your waiver was denied. If you would like us to look this over or if you answered a question incorrectly, please contact us.
Pending e-mail – Your waiver is now pending for review. You need to send a copy of your policy in ENGLISH to waiver@pghglobal.com or by fax to 267-406-4191.
OPEN ENROLLMENT PERIODS
If you have eligible Dependents in the Fall or are a student in the Fall semester and are eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall 1/Fall 1 & 2 Enrollment Deadline, your Dependents or you will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year.
*Fall 2, Spring 1, Spring 1 & 2, Spring 2, and Summer enrollment periods are for new incoming and renewing students and their dependents only.
 Qualifying Life Event
If you did not enroll during your open enrollment period and have since lost coverage under your original plan, you may qualify for a Qualifying Life Event upon providing proof of involuntary loss of coverage and payment　within 30 days of losing coverage (example: marriage, divorce, loss of job, etc.)
The enrollment form, check or money order, and letter of creditable coverage must be received　within 30 days of losing coverage. After 30 days the student will no longer be eligible to enroll in the plan until Fall of the following school year.
Please CONTACT USfor cost and enrollment information as a Qualifying Life Event.
If you have any questions about the waiver process, please call 1-888-251-6253 or CONTACT US
Access your ID now by visiting My Account. From your My Account, you can print and download your ID card.
Permanent ID Card
In keeping with our Go Green initiative, permanent ID cards will be available by request only. Should you wish to obtain a permanent ID card, you can request one to be shipped to you by accessing your My Account. Permanent ID cards will be shipped 24 – 48 hours of your request.
Access Your ID card on your Mobile device
Use My Account Mobile to access your ID card from your mobile device. Students must have a set up my account to be able to access mobile site.
It would be our pleasure to assist you with any ID Card need you may have. Please feel free to visit our Customer Service center with any other questions regarding your ID card.
