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.
Health Advocate
Health Advocate is an added bonus when you enroll in a UnitedHealthcare student medical plan. Your Health Advocate benefit, provided by St. John’s College includes three important features: Healthcare Help, MedChoice Support, and Medical Bill Saver. This all-in-1 benefit is designed to help you and your enrolled dependents personally navigate the healthcare maze, make better decisions about your medical care and lower your medical bills.
What is Health Care Help?
You have unlimited access to a Personal Health Advocate (PHA), typically a registered nurse, supported by medical directors and billing and claims specialists. The PHA Can help you resolve a full range of clinical and insurance-related issues quickly and dependably, saving you time, money, and worry.
How Does it Work?
If you have a healthcare or insurance-related issue, call our toll-free number. You’ll be assigned a PHA who can help you with issues from finding qualified providers and services, to clarifying health coverage, addressing claims and billing concerns, to offering cost estimates for common medical procedures.
Reasons to Call
What is MedChoice Support?
MedChoice Support is an interactive, online tool that helps you weigh the pros and cons of procedures, treatments and medications, including the risks and potential outcomes to help you make the right decisions about your care.
How can it Help?
To access MedChoice Support, please click here. Annapolis, MDÂ Campus
To access MedChoice Support, please click here. Santa Fe, NM Campus
What is Medical Bill Saver?
The Medical Bill Saver feature provides skilled negotiators who will work with your providers to lower your out-of-pocket costs on your medical or dental bills over $400 not covered by your insurance. We can attempt to negotiate bills to help reduce the balances that apply to deductibles and coinsurance.
How can it Help?
All Three Features are available to students and their dependents who are enrolled in the UnitedHealthcare student medical plan. If you have a question about who is covered for service, simply call us.
Help is Only a Phone Call Away!
Phone Number: 1-866-695-8622
Email:answers@HealthAdvocate.com
Web: HealthAdvocate.com/members
Health Advocate can be accessed 24/7
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.
2015-2016 School year
| Uncategorized Brochure 3-12-15 |
| Uncategorized Flyer 2015-2016 |
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
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
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.
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:
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
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.
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.
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.
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.
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.
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.
Welcome to the Customer Service Center! We are excited to assist you with any and all questions you may have regarding your policy. From questions about benefits, claims concerns, to enrollment status, and more. Customer Service is here to help!
Customer satisfaction is our top priority. We recognize the importance of understanding your policy, and know how difficult it can be to navigate through your health insurance. This site is our solution to making your life easier, and providing the answers to your questions right away.
With a click of a button you will have all the information you need regarding your policy right at your fingertips!
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. We provide you with three options to contact us!
Speak to a Live Customer Service Representative
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Send us an Email
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Send us a letter |
| Call toll free1-800-505-41607 am – 7 pm CST | CONTACT US We pride ourselves on returning all emails! | FIRSTSTUDENT PO Box 809067 Dallas, TX 75380-9067 |
Welcome to the Waive Your School’s 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.
All hard waiver students are required to enroll/waive every fall or if you are a new incoming spring student, enroll/waive in the spring. Enrolling/waiving coverage in the previous school year does not exempt you from enrolling/waiving coverage in the next.
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Definition: A hard waiver student for your school is
An undergraduate student enrolled in 6 or more credit hours. Hard waiver students are required to show proof of insurance by completing an online waiver or by enrolling in the Student Health Insurance Plan by the deadlines listed below.
Students who do not submit an approved waiver form before the deadline will be automatically charged and 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.)
Completing the Waiver
After you verify that you are a hard waiver student and have other insurance, you will need:
to begin the waiver process
PLEASE NOTE: Once you have completed the waiver form an email will be automatically sent to you notifying you of the waiver request decision. If you receive a:
Definition: A voluntary student for your school is
A graduate student (enrolled in at least 1 credit hour). Voluntary students 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
 We are always happy to help in anyway.
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:
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, in conjunction with First Student, provides you with a multitude of key services such as:
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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:
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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.
Welcome to the File an Appeal Center! We are here to help you correctly submit your appeal, and ensure a faster turn-around time to have your claim reprocessed or reimbursement check mailed.
To file an appeal, please include the following information:
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 1-800-505-4160 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).
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:
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
