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File a Prescription Claim

File a Prescription Claim

 

Welcome to the File a Prescription Claim Center! We understand the hassles that come along with filing your claims, which is why we want to make this process as quick and painless for you as possible. Below you will find all the information you will need to file a prescription claim.

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 Reimbursement Claim Form located below.

After filling out the necessary information, please read the acknowledgement carefully (located at the bottom of page1) and sign and date in the space provided.

To submit a 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 if not.

Please mail completed form and receipt(s) to:

OptumRx Claims Department

P.O. Box 29044

Hot Springs, AR 71903

 

File a Medical Claim

Welcome to the File a Medical Claim Center! We understand the hassles that come along with filing your claims, which is why we want to make this process as quick and painless for you as possible. Below you will find all the information you will need to file a medical claim.

Submit a Claim by Mail

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.

Medical Claim Form

Your doctor will need to fill out the second page of the form.

Mail Claim Forms to:
FIRSTSTUDENT
P.O. Box 809025
Dallas, TX 75380-9025

Submit a Claim Electronically

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: 1-800-505-4160 or

CONTACT US

Check Claim Status

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.

Call a Nurse

Welcome to the NurseLine / Student Assistance Center! Your comprehensive NurseLine / Student Assistance benefit supports you and your eligible dependents with a wide range of issues—all at no cost to you. Our experts can offer trusted advice 24/7 and assist with balancing school and personal responsibilities. We look forward to serving you!

 

NurseLine

Health questions and issues can come up anytime. With NurseLine, you and your family have unlimited access to a Registered Nurse day or night. You can rest easy, knowing there’s somewhere to turn for trusted advice when you need it most.

A Registered Nurse can help guide you to the right care at the right time, self-care measures to ease symptoms and treat non-urgent conditions, and dependable information about diseases and medications. NurseLine can help you take charge of your health.

NurseLine is the perfect resource for when you can’t reach your doctor and need immediate answers to your health questions. Call anytime 24/7.

Our experienced nurses are available 24/7 to:

  • Offer self-care information for non-urgent health issues
  • Direct you to the appropriate care for immediate attention
  • Explain health conditions and treatments
  • Answer questions about symptoms or medications
  • Recommend how to treat a fever in the middle of the night
  • Tell you if your symptoms mean you have the flu
  • Advise how to ease common problems like a sore shoulder
  • Inform you of side effects of your medications

 

Student Assistance Program

College life is exciting but it can also be stressful if you are balancing class with personal responsibilities. In addition, you may be facing more serious issues like family matters, depression or substance abuse that you can’t handle by yourself. Don’t let problems keep you from enjoying college and preparing for the future. Get the help you need today!

Health Advocate will provide you with the right tools to help you through some of life’s toughest challenges. Students can call Health Advocate’s toll-free number for confidential, short-term professional assistance, focusing on coping skills for a full range of emotional, family and other personal issues.

A Licensed Professional Counselor will…

  • Provide confidential, short-term, telephonic counseling
  • Offer referrals for long-term counseling or specialized care, as needed
  • Address stress, depression, family issues, substance abuse and more
  • Provide assistance with budgeting and other financial concerns
  • Research child care and elder-care resources
  • Be available via telephone 24/7 in a crisis

 

 

REMEMBER: Call 911 or go to the ER in an emergency.

 

Waive Your Schools Insurance

Welcome to the Waive Your Schools Insurance Center!

 

This page is for those students who wish to opt-out (waive out) of the coverage under their school’s student insurance plan, and have the fee removed from their student account. The school’s student insurance plan can only be waived if the student has coverage under another acceptable insurance plan.

 

Submitting a waiver, is as easy as 123! The first step to waive out of your school’s student insurance coverage is to verify that you are a “hard waiver” student.

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  • 2015 – 2016 SCHOOL YEAR

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PLEASE NOTE: If you do not enroll for the year during the annual open enrollment period, you will not be able to enroll later during the 2015-2016 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event.” After thirty days, you will no longer be eligible.

A Hard Waiver student for your school is:
All international students. If this is you, then you would be considered a hard waiver student. Hard waiver students are required to have health insurance to attend Penn State University.

  • Annual Waiver Deadline: 9/9/15
  • Spring/Summer Waiver Deadline: (New incoming students): 1/21/16
  • Summer 1 Waiver Deadline (New Incoming Students Only): 5/26/16
  • Summer 2 Waiver Deadline (New Incoming Students Only: 7/9/16

For those students who do not submit an approved waiver form before the deadline, you will be automatically charged and officially enrolled in the Student Health Insurance Plan. Once enrolled, there are no refunds or cancelations. (Please note, automatic enrollment will occur AFTER the waiver deadline.)

After you verify that you are a hard waiver student and have other insurance, here’s what you will need:

  • Your current health insurance plan ID card;
  • Your health insurance brochure or plan description (or you might want mom & dad’s phone number handy to help answer some of the waiver questions.) There might be a few questions about your current plan.
  • Your Student ID#

 WAIVE NOW

PLEASE NOTE: Once you have completed the waiver form, an email will be sent automatically to the email address you provided, notifying you of the waiver request decision. If you receive a:

  • Pending e-mail – Your waiver request has not been accepted; it is in a pending status. Please bring your insurance card and information to the Student Health Center. If you fail to do this before the deadline, you will be enrolled in the Villanova University sponsored health insurance plan and responsible to pay the cost of this coverage through your Villanova student account.
  • Approval e-mail – your waiver was approved. You should print this e-mail and save it with 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

 

You are a voluntary student if you are:
an undergraduate taking 3 or more credit hours, a graduate taking 1 or more credit hours or enrolled in a departmental 601, 610 or 611 course, a non-graduate assistant/graduate fellow student, a Hershey Medical student, a graduate assistant or graduate fellow, visiting scholar, student enrolled in the intensive English communication program or student who participates in the Co-op work experience program as part of your required academic program. If you are one of these students, you are exempt from the waiver process and you are not required to waive out of your school’s plan.

 

 

If you have any questions about the waiver process, please call   800-505-4160

or

CONTACT US

We are always happy to help in anyway.

PRIVACY POLICY

Enroll Now-Health Insurance

ENROLL NOW HEALTH INSURANCE

Welcome to the Student / Dependent Enrollment Center! We are here to help make enrolling as easy and as painless as possible.

We suggest you review your brochure and rates before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

 

View your Student Tools Brochure

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  • 2015 – 2016 SCHOOL YEAR
  • HARD WAIVER INTERNATIONAL STUDENT & DEPENDENT ENROLLMENT INSTRUCTIONS
  • VOLUNTARY DOMESTIC STUDENT & DEPENDENT ENROLLMENT INSTRUCTIONS

 

PLEASE NOTE: If you do not enroll for the year during the annual open enrollment period, you will not be able to enroll later during the 2015-2016 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event.” After thirty days, you will no longer be eligible.

HARD WAIVER INTERNATIONAL STUDENT ENROLLMENT INSTRUCTIONS
If you are a…
As an international student you are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.

 

ENROLL NOWÂ IN COVERAGE ON-LINE
(Hard waiver international students only)

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  • Annual Enrollment Deadline: 9/9/15
  • Spring/Summer Enrollment Deadline: (New incoming students): 1/21/16
  • Summer 1 (New Incoming Students Only): 5/26/16
  • Summer 2 (New Incoming Students Only: 7/9/16

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school.

If you have previously waived out of the insurance but your non-school sponsored coverage is being terminated due to a Qualifying Life Event and you are now looking to enroll in the Student Injury & Sickness plan, please:

CONTACT US

 

DEPENDENTS OF HARD WAIVER INTERNATIONAL STUDENTS ENROLLMENT INSTRUCTIONS
Hard Waiver Students who do enroll may also insure their eligible dependents

  • Annual Enrollment Deadline: 9/9/15
  • Spring/Summer Enrollment Deadline: (New incoming students): 1/21/16
  • Summer 1 (New Incoming Students Only): 5/26/16
  • Summer 2 (New Incoming Students Only: 7/9/16

 

  • DOWNLOAD DEPENDENT ONLY ENROLLMENT FORM

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If your dependents non-school sponsored coverage is being terminated due to a Qualifying Life Event and you are now looking to enroll in the Student Injury & Sickness plan or if you have any questions about the enrollment process, please:

CONTACT US

 

 

VOLUNTARY DOMESTIC STUDENTS AND THEIR DEPENDENTS ENROLLMENT INSTRUCTIONS

If you are a…
an undergraduate taking 3 or more credit hours, a graduate taking 1 or more credit hours or enrolled in a departmental 601, 610 or 611 course, a non-graduate assistant/graduate fellow student, a Hershey Medical student, a graduate assistant or graduate fellow, visiting scholar, student enrolled in the intensive English communication program or student who participates in the Co-op work experience program as part of your required academic program. you are eligible to enroll online or with an enrollment form. Voluntary Students who do enroll may also insure their eligible dependents. Please see instructions below to enroll.

  • Annual Enrollment Deadline: 8/14/15
  • Spring/Summer Enrollment Deadline: (Dependents of new incoming students): 1/14/16
  • Summer 1 (Dependents of new Incoming Students Only): 5/14/16
  • Summer 2 (Dependents of new Incoming Students Only: 6/28/16

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  • ENROLL ONLINE
    Have your credit card ready! (If you are already enrolled and only need to enroll your dependents, you will not be able to use this method. You must enroll your dependents with an enrollment form.

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  • ENROLL BY MAIL
    To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effectIve date of your coverage will be the period start date for the coverage period you enrolled.

If you or your Dependents non-school sponsored coverage is being terminated due to a Qualifying Life Event and you are now looking to enroll in the Student Injury & Sickness plan or If you have any questions about the enrollment process, please:

CONTACT US

We are always happy to help in anyway.

 

PRIVACY POLICY
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Brochures, Flyers & SBC

Welcome to the Review Brochures Center! You will find everything you will need to know about your policy in your plan brochure such as eligibility, effective and termination dates, plan benefits, any exclusions or limitations, your schedule of benefits, and instructions on how to file a claim.

2014 – 2015 School Year

Geneva College Flyer
Geneva College Brochure
Health Advocate for Geneva College Students
NurseLine & Student Assistance Program Flyer
Summary of Benefits and Coverages for Geneva College

2013 – 2014 School Year

2013-2014 Geneva College Flyer
2013-2014 Geneva College Brochure
2013-2014 Summary of Benefits and Coverages for Geneva College

 

Travel Assistance, Evacuation & Repatriation

As a UnitedHealthCare member you are eligible for global emergency and medical assistance services provided by UnitedHealthCare Global. This program immediately connects you to doctors, hospitals, pharmacies, and other services if you experience a medical emergency while traveling 100 miles or more from your permanent residence, campus location, or in another country.

UnitedHealthCare Global Brochure  Â

UnitedHealthCare Global Flyer

One simple phone call to the number on your UnitedHealthCare Global identification card will connect you to:

  • A global network of pre-qualified medical providers.
  • Experienced crisis management professionals.
  • A state-of-the-art Emergency Response Center with worldwide response capabilities.
  • Air and ground ambulance service providers.

UnitedHealthcare Global, in conjunction with First Student, provides you with a multitude of key services such as:

  • Worldwide Medical and Dental Referrals
  • Facilitation of Hospital Admittance Payments
  • Dispatch of Doctors/Specialists
  • Transfer of Medical Records
  • Continuous Updates to Family and Home Physician
  • Hotel Arrangements for Convalescence
  • Emergency Medical Evacuation
  • Transportation to Join a Hospitalized Participant
  • Return of Dependent Children
  • Repatriation of Mortal Remains
  • Replacement of Lost or Stolen Travel Documents
  • Transfer of Funds
  • Legal Referrals
  • Message Transmittals
  • And MORE

To access services please call:
(800) 527-0218 Toll-free within the United States
(410) 453-6330 Collect outside the United States
Services are also accessible via e-mail at operations@UHCGlobal.com.

When calling the UnitedHealthcare Global Operations Center, please be prepared to provide:

  • 1. Callers name, telephone and (if possible) fax number, and relationship to the patient;
  • 2. Patients name, age, sex, and UnitedHealthCare Global ID Number as listed on your Medical ID Card;
  • 3. Description of the patients condition; 4. Name, location, and telephone number of hospital, if applicable;
  • 4. Name, location, and telephone number of hospital, if applicable;
  • 5. Name and telephone number of the attending physician; and
  • 6. Information of where the physician can be immediately reached

For more information on UnitedHealthcare Global and the services they supply please check your policy brochure and MyAccount.

 

PLEASE NOTE:Â UnitedHealthcare Global is not travel or medical insurance but a service provider for emergency medical assistance services. All medical costs incurred should be submitted to your health plan and are subject to the policy limits of your health coverage. All assistance services must be arranged and provided by UnitedHealthcare Global.

School Links

School Links

 

I’m Sorry, this page is currently under construction and should be available within the next couple of weeks.

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