Welcome to the Health Care 101 Center! We understand the busy schedule of both parents and kids, no matter what the age. With that in mind, here’s a no-frills, easy-access guide to health insurance benefits.
Insurance 101 is not meant to address your policy specifically (each one of these has its own list of exclusions and limitations). However, this is a generic overview of health insurance types and terminology. If you have a specific question about your policy please give us a call at 1-888-251-6253.
Trying to determine if you should purchase the health insurance plan? Download our tools below for a few tips
Welcome to the Policy Information Center! You will find everything you will need to know about your policy in your plan certificate such as eligibility, effective and termination dates, plan benefits, any exclusions or limitations, and instructions on how to file a claim.
Welcome to the Find a Doctor, Hospital, or Lab Center! Whether you’re looking for a doctor, hospital, laboratory, or even medical equipment and supplies, we have the information you need, all located right here.
Preferred Providers are the physicians, hospitals, and other health care providers who have contracted to provide specific medical care at negotiated prices. You should always confirm the Preferred Provider is part of the network, as this can change without notice by calling the Company at 1-888-251-6253 and/or by asking the provider.
The Preferred Provider for your plan is UnitedHealthcare Options PPO. If care is received from a Preferred Provider, any Covered Medical Expenses will be paid at the Preferred Provider level of benefits. Reduced or lower benefits will be provided when an Out-of-Network provider is used. By using a Preferred Provider you can also save yourself some out of pocket expenses. Use this link to search for participating physicians, hospitals, facilities, medical equipment, or supplies in your local area.
We recognize the increased need for appropriate mental health treatment for college students. We’ve partnered with United Behavioral Health (UBH) to ensure that you have access to UBH’s network of mental health care providers and facilities. UBH partners with more than 80,000 clinicians and more than 3,500 care facilities nationwide. Clinical excellence, innovation, and a relentless commitment to the most scientifically advanced health care solutions distinguish UBH as the national leader in behavioral health. To find a local Behavioral Health provider in your area, please click the link below:
Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.
We suggest you review the certificate for your rates, effective dates before starting the enrollment process. The plan’s benefits can be found in the certificate within the Schedule of Benefits section with the exclusions towards the back.
All international students, scholars or other persons with a current passport are required to enroll in this insurance Plan at registration.
Students must actively attend classes for at least the first 31 days after the date for which coverage is purchased. The 31 day requirement is waived for Summer if the applicant was enrolled in this plan in the immediately preceding Spring term. Home study, correspondence and online courses do not fulfill the Eligibility requirements that the student actively attend classes. The Company maintains its right to investigate Eligibility or student status and attendance records to verify that the policy Eligibility requirements have been met. If the Company discovers the Eligibility requirements have not been met, its only obligation is to refund premium.
Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age. Dependent Eligibility expires concurrently with that of the Insured student.
U.S. citizens are not eligible for coverage as a student or a Dependent
IMPORTANT INFORMATION FOR ALL STUDENTS AND DEPENDENTS
Open Enrollment Periods for all Dependents and Students: If you have eligible Dependents in the fall or are a student in the fall semester and eligible to purchase coverage and you choose not to enroll before the Annual/Fall Enrollment Deadline, you or your Dependents will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year.
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.　
Qualifying Life Event
Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.
Qualifying Life Events include:
Acquiring a new family member
Marriage/Civil Union
Divorce
Loss or change of Job
Expiration of Benefits
If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:
Proof of qualifying life event/proof of involuntary loss of coverage
Enrollment Form
Payment
All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.
Please Contact Us for cost and enrollment information as a Qualifying Life Event.
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If you have any questions about the enrollment process, please call 1-888-251-6253 or CONTACT US
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 onlineCreate 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.
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.
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.
Students must actively attend classes for at least the first 31 days after the date for which coverage is purchased. The 31 day requirement is waived for Summer if the applicant was enrolled in this plan in the immediately preceding Spring term. Home study, correspondence and online courses do not fulfill the Eligibility requirements that the student actively attend classes. The Company maintains its right to investigate Eligibility or student status and attendance records to verify that the policy Eligibility requirements have been met. If the Company discovers the Eligibility requirements have not been met, its only obligation is to refund premium.
Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age. Dependent Eligibility expires concurrently with that of the Insured student.
U.S. citizens are not eligible for coverage as a student or a Dependent
Student Waiver Instructions
Annual/Fall Waiver Deadline:Â 9/30/20
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
-Â Available Soon!
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 you experience a Qualifying Life Event during the year.
 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
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.
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.
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.
