Register for Camp

Archives

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 Uncategorized Brochure

Â

  • 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)

Â

  • 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

Â

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

Â

  • 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.

Â

  • 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
Â

Â

Forms

 

Welcome to the Forms Center! If you need it we have it. When you want to get things done quickly and easily, we provide the tools to do it.

Claim Information Form

Please download this form if you’ve received a request asking for more information regarding a claim submitted by your doctor, or if you would like to speed up the claim process. By providing the injury/sickness information we will be able to process your claim more accurately and efficiently.
Mail to:
UnitedHealthcare StudentResources
PO Box 809025
Dallas, TX 75380-9025

Or fax it to:
469-229-5625

Back to Top

Continuation Enrollment Form

This is the form that you will use to continue the School Injury and Sickness plan. It will show you the rates, coverage periods and any optional coverages available to you. This enrollment form allows you to continue your coverage up to three (3) months.

download continuation enrollment form

Back to Top

Enrollment Form

This is the form that you will use to sign up for the school Injury and Sickness plan. It will show you the rates, coverage periods and any optional coverages available to you. To download the current enrollment form, please visit the Student/Dependent Enrollment Center.

Back to Top

Medical Claim Form

This form can help you get reimbursed for all covered medical benefits which you have already paid out of pocket. Please keep in mind when you are requesting reimbursement:

  • Clip, do not staple, all bills to the completed form.
  • Make sure all bills or itemized receipts indicate a diagnosis code, procedure code, date of service, cost, and the provider’s tax ID number.
  • Mail claim to: UnitedHealthcare StudentResources P. O. Box 809025 Dallas, TX 75380
  • OR Fax claim to: 469-229-5625

 

Back to Top

Pharmacy Claim Form

This form is used for reimbursement of prescription drugs. If you did not present your ID card when you purchased your prescription out of pocket, you will need to submit this form for a refund. Along with this form for prescriptions filled at a network pharmacy, please attach the paid prescription receipt and the paid cash receipt to:

 

OptumRx Claims Department

P.O. Box 29044

Hot Springs, AR 71903

 

 

Back to Top

Privacy Notice

This form describes how we will obtain your written authorization prior to use or disclosure of your health information. We are required by law and committed to protecting the privacy of your health information. This form explains how we may use information about you and when we can disclose that information to others. You also have rights regarding your health information that are described in this notice.

Back to Top

Specific Case Authorization Form

If you would like a parent or another specific person to assist you with filing your claim and to be able to discuss details of your claim with our claim department, you will need to complete and sign this form. The Specific Case Authorization Form gives us permission to discuss only one specific medical condition with your Personal Representative, as you would specify on the form.

Back to Top

Travel Assistance

Anytime you travel more than 100 miles from your home or to another country and experience a medical emergency, you can make a single phone call to the Operations Center for help! You call will be answered by a medically-certified crisis managers, who can put in motion a vast number of emergency resources to solve any problem, 24/7.

Back to Top

UnitedHealth Allies Discount Services

This program provides discounts on a wide variety of health care services from a nationwide network of health care professionals and facilities. This booklet describes the products and services available to you at discounted rates. There is no additional charge to you for the discount program.

Back to Top

Yearly Authorization Form

If you would like a parent or another specific person to assist you with filing your claim(s) and to be able to discuss details of your claim(s) with our claim department, you will need to complete and sign this form. The Yearly Authorization Form gives us permission to discuss any and all medical conditions with your Personal Representative, throughout the school year. This form is filled out once and is good for every injury/sickness for the entire school year.

Back to Top

To view or print the PDF files, you will need a free utility called Adobe Reader. If you already have Adobe Reader and still have trouble opening these forms, you might need to download the most recent version of Adobe Reader.

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.

Â

  • 2015 – 2016 SCHOOL YEAR

Â

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

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

Welcome to the School Links Center. For your convenience, we have compiled a couple of links that we think you will find helpful throughout the school year.

  • Stetson University’s website is a great resource for obtaining information to manage your college career. To access your school’s home page and learn more about what your school has to offer, please click here.

Prescription Drug Information

Prescription Drug Information

2014-2015 School Year

Welcome to the Prescription Drug Information Center! 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.

Welcome Brochure

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:

 

 

 

 

To determine if a medication is covered by your pharmacy benefit, its tier level and available lower cost alternatives, log in to “My Account“.

After you log into MyAccount, you can access:

  • Â Payment, pricing and coverage information about most prescription medications
  • Â Information about lower cost medication alternatives
  • A list of participating retail pharmacies by ZIP code
  • Â Your prescription history

 

Choose a pharmacy that is 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.

Participating Pharmacy Chains:

Participating Pharmacy Chains

If you had to pay out of pocket for a prescription and need to receive a reimbursement please download the prescription claim form:

 

 

Filling prescriptions at pharmacies outside our network will increase your cost.

To get prescription drug information please call 1-855-828-7716.

Access theOptumRx Member FAQ for more information. Mail order benefits included only when applicable in your policy brochure.

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.

Need an ID Card

Access your ID now by visiting MyAccount. From your MyAccount, 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 MyAccount. Permanent ID cards will be shipped 24 – 48 hours of your request.

Access Your ID card on your Mobile device

Use MyAccount Mobile to access your ID card from your mobile device.

*Note: 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.

Find a Doctor, Hospital, or Lab

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 800-505-4160 and/or by asking the provider.

The Preferred Provider for your plan is UnitedHealthcare Choice Plus 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 that distinguish UBH as the national leader in behavioral health. To find a local Behavioral Health provider in your area, please click the link below:

 

Legal


Contact


1-888-251-6253
© Copyright UnitedHealthcare, All Rights Reserved 2026