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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

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

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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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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.

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

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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.

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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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.

Back to Top

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?”

Back to Top

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.
Back to Top

Innovative Web-Based Services

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

Back to Top

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 Schools Health Insurance

Waive Your School’s Insurance

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

 

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.

2013 – 2014 School Year

IMPORTANT INFORMATION: Open Enrollment Periods for all eligible Students: 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 year.

A hard waiver student for your school is:
All traditional undergraduate students, resident students, student athletes, and all
international students (including ELA and CIP 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 Harcum College. You must complete an on-line waiver or enroll in the University’s policy, by:

  • Fall Waiver Deadline: 9/30/13
  • Spring Waiver Deadline: 2/14/14
  • Summer Waiver Deadline: 7/11/14

Waive nowÂ

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).

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

  • Pending e-mail – your insurance information is being verified and you should receive a second e-mail within a few days.
  • 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 youanswered a question incorrectly, CONTACT US

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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.

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