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File an Appeal

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:

  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)
    • Email address
  2. 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 1-800-505-4160 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 Prescription Claim

MEDCO

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 also provide the necessary information.

Please mail completed form and receipt(s) to:

Medco Health Solutions, Inc.

P.O. Box 14711

Lexington, KY 40512

 

Does not have MEDCO

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 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 if not.

Please mail completed form and receipt(s) to:

FIRSTSTUDENT

P.O Box 809025

Dallas, TX 75380-9025

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

Student / Dependent Enrollment

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 the 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 brochure

2013 – 2014 School Year

IMPORTANT INFORMATION: Open Enrollment Periods for all eligible Students and Dependents: If you are eligible to purchase the annual coverage and you choose not to enroll before the Annual Enrollment Deadline, you will not be eligible to enroll again until the following school year unless you experience a “Life Status” change during the school year.

STUDENT ELIGIBILITY
If you are an……
Full-Time undergraduate students enrolled in 12 or more credit hours are automatically enrolled in this plan unless proof of comparable coverage is furnished. No action needs to be taken in order to enroll in the College-sponsored plan.

  • Annual Enrollment Deadline: 9/30/13
  • Spring/Summer Enrollment Deadline: 2/28/14

Please note: You will be automatically enrolled and charged for the Washington and Jefferson College student injury and sickness insurance plan if you fail to complete a waiver by the published deadline. The premium for the plan will be added to your tuition bill. Once enrolled, there are no refunds or cancellations except entry into the armed forces. Automatic enrollment will not take place until after waiver deadline.

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DEPENDENT ENROLLMENT INSTRUCTIONS

Eligible students who do enroll may also insure their eligible dependents. Please see information to enroll below.

  • Annual Enrollment Deadline: 9/30/13
  • Spring/Summer Enrollment Deadline: 2/28/14
  • ENROLL BY MAIL

Download an enrollment form and submit by mail. The mailing address is listed on the back of the Enrollment Forms.

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

CONTACT US by e-mail

Dental, Vision and Other Discount Services

Dental, Vision and Other Discount Services

 

Included with your student health insurance policy is the UnitedHealth Allies discount card. We’re confident that the UnitedHealth Allies program can help you stretch your health care dollar on:

Dental Care

Save from 10% to 35% on a range of dental services including routine cleaning, x-rays, even cosmetic dentistry, such as teeth whitening.

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Vision Care

Pay no more than $40 for an annual eye exam, save 10% to 20% on eyeglasses from participating eye care professionals and retail vision chains and fittings for contact lenses (not included in annual eye exams).

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Wellness products and services

Be healthier and save money with discounts of 10% to 50% on weight management, fitness memberships and equipment, relaxation resources, natural products and vitamins and supplements. For a complete UnitedHealth Allies brochure on Dental Care, Vision Care and Wellness Products and Services please click on the link below:

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UnitedHealth Allies is not insurance. UnitedHealth Allies provides discounts at certain health care providers for medical services. UnitedHealth Allies does not make payments directly to the providers of medical services. The program member is obligated to pay for all health care services but will receive a discount from those healthcare providers who have contracted with the discount plan organization.

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 Collegiate Assistance Center!

It’s Simple – It’s Convenient –
Just call our toll-free number 24 hours a day – 7 days a week

Nurseline

Now you can talk with a Registered Nurse any time, day, or night. A caring professional can help you make informed decisions about your health. Collegiate Assistance Program can give you information and support when you:

  • Aren’t sure if you have a serious medical problem?
  • Want to learn how to take care of a new or chronic condition?
  • Need information about medications, tests, or procedures?

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Asking Questions

Staying Healthy starts by asking questions. No question is too simple or complex when you need answers. Our Registered Nurses are there for you.

“I noticed a strange rash on my arms recently that won’t go away. What should I do?”

“I’ve has a bad cold for several days. What else can I do to treat it at home?”

“I fell yesterday and my ankle still hurts. Should I go to the Emergency Room?”

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Complex Decisions

Some health problems are more complicated than others. Our nurses can help you understand risk factors and treatment options.

“I was just prescribed a new medication and now I feel dizzy sometimes. Could that be
a side effect?”

“I have been drinking more frequently and am afraid I may have a problem. Should I talk
to someone about this?”

“I’m worried I may be pregnant. What should I do?”

“I’m embarrassed to talk to my family doctor about sexually transmitted diseases. What
other options do I have?”

Collegiate Assistance Program focuses on Early Intervention and Prevention. Research shows that people who are more informed make better decisions and have better results.

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Telephone/Online Counseling

Facing stressful or emotional issues? Our Master’s Level Clinicians are available 24/7 to listen carefully and help direct you to the right resources for your situation.

“I can’t sleep at night and have been really stressed. Should I see someone?”

“I feel tired all the time and I have trouble getting out of bed sometimes. Could I be
depressed?”

“I feel worthless and sometimes think about hurting myself. What should I do?”

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Legal and Financial Services

You may also turn to our Collegiate Assistance Program for non-clinical issues such as mounting credit card debt, divorce, child custody matters and shelter from abusive relationships.

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Innovative Web-Based Services

Our website for students, www.liveandworkwell.com offers a wealth of information and helpful resources to develop self-improvement strategies.

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Please note:
Collegiate Assistance Program is not a substitute for medical attention. If you have an emergency medical condition, please call 911 or your local emergency services number.

Waive Your School’s Insurance

Note: For best results, please use your desktop or laptop computer. Student Center is not supported for mobile devices.Â

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.

2014 – 2015 School Year

PLEASE NOTE: If you do not enroll for the year in the fall semester, you will not be able to enroll later during the 2014-2015 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.Â

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You are a Hard Waiver Student, if you are:
A domestic undergraduate matriculated student, an international student or a law school student. If you are one of these students, you are considered a hard waiver student. Hard waiver students are required to have health insurance to attend Villanova University. You must complete an on-line waiver by:
  • Annual Waiver Deadline: 9/13/14
  • Spring/Summer Waiver Deadline: 1/24/15 (For New Incoming Students Only)
  • Summer Waiver Deadline:Â (Summer enrollment is voluntary. No waiver is needed.)
Â
waive nowFor 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 cancellations. (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.
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. Â 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, pleaseÂ
You are a voluntary student if you are:Â Â Â Â Â Â Â Â Â Â
A domestic non-matriculating undergraduate degree seeking students taking 6 credit hours or more on campus, a domestic graduate student taking 6 credit hours or more on campus, a Domestic PhD Student, or a PhD-thesis continuation student. 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

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.

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