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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

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.

Student / Dependent Enrollment

Note: For best results, please use your desktop or laptop computer. Student Center is not supported for mobile devices.
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 exclusion towards the back.
View your BROCHURE

 

2013 – 2014 School Year

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

HARD WAIVER STUDENT ENROLLMENT INSTRUCTIONS
If you are a…
Undergraduate student enrolled in 12 credit hours or more you are automatically enrolled in this insurance plan unless proof of comparable coverage is furnished.  You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders.

  • Annual Enrollment Deadline: 8/30/13
  • Spring/Summer Enrollment Deadline: 1/17/14

 

ENROLLÂ NOW

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 and you are now looking to enroll in the Student Injury & Sickness plan:
Please CONTACTÂ US

VOLUNTARY STUDENTS
If you are a…
Graduate student taking 9 or more credits hours you are eligible to enroll online or with an enrollment form. Please see Voluntary Students & Dependent Enrollment Instructions Below.
DEPENDENTS
Students who do enroll may also insure their eligible dependents. Please see Voluntary Students & Dependent Enrollment Instructions Below.
VOLUNTARY STUDENTS & DEPENDENT ENROLLMENT INSTRUCTIONS

  • Annual Enrollment Deadline: 8/30/13
  • Spring/Summer Enrollment Deadline: 1/30/14

 

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 or through My Account. Please see below.)

  • 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 start of the period you enrolled)

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If your non-school sponsored coverage is being terminated and you are now looking to enroll in the Student Injury & Sickness plan:
Please CONTACT US

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

CONTACT US

We are always happy to help in any way.

 

PRIVACY POLICY

 

School Links

School Links

 

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

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.

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.

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.

Customer Services

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

 

Send us an Email

 

Send us a letter

Â

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

 

 

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.

Legal


Contact


1-888-251-6253
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