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Find a Doctor – Quinnipiac University

Please use this link below to search for preferred doctor, medical specialist, hospital or lab or receive cost estimates for you or any member covered under this plan.

Find preferred providers*

* Your actual costs could vary. Check with your provider to confirm the cost and your health plan for benefits. You are responsible for costs that are not covered and for getting any referrals if required by your health plan. Neither payments nor benefits are guaranteed.

Note: Provider networks change periodically. To ensure that a provider is participating in the network, please confirm with your provider before making an appointment.

Behavioral health

Please use the link below to search for behavioral health provider or facility.

Find behavioral health providers

Virtual Services

Your plan gives you free access to virtual Medical and Mental Health care.

Sign in to your My Account to learn more.

 

Forms – Quinnipiac University

Claim form* Standard form to provide notice of medical/prescription and/or provide details on requests for additional information.

 

Authorization to use or disclose health information This form allows an insured to provide specific instructions to UnitedHealthcare Student Resources International for use or disclosure of protected health information for a particular purpose.

 

Personal Representative Appointment* This document allows an insured to appoint a personal representative to act on their behalf in the matters of health insurance with UnitedHealthcare Student Resources International.

 

*You can submit the form online by signing in to My Account.

 

Travel Assistance, Evacuation & Repatriation – Quinnipiac University

 

Global Emergency Services (GES)

Have some peace of mind while traveling. We’ve heard great stories about GES saving the day for students who are studying or traveling in other states or other countries. When you’re at least 100 miles from home and you’re sick or hurt, GES steps in with immediate assistance and evacuation benefits. They can even help you get home if you need to be medically evacuated.

Some benefits of this service include:

  • Emergency Medical Evacuation
  • Dispatch of Doctors/Specialists
  • Medical Repatriation
  • Transportation after Stabilization
  • Transportation to Join a Hospital Insured Person
  • Return of Minor Children
  • Repatriation of Remains
  • May also include additional assistance services to support your medical needs, including worldwide medical referrals and medication/vaccine transfers.
  • Contact information is on the back of your SR ID card or in My Account

 

For more information on Global Emergency Services, please review the Assistance and Evacuation Benefits section in your Brochure-Certificate.

Claim Center – Quinnipiac University

Below you will find all the information you need to file claims, request a claim review, and to check your claim statuses.

Request a claim review


Sign in to your My Account, identify the claim you would like reviewed, select Request a Claim Review and follow the on-screen prompts.

Check claim status


Please visit My Account to create or sign in. Once logged in, go to Claims Summary to check the status of the claim submitted by you or your provider.

Submit claims via:


Online

Create or sign in to My Account

Mail

UnitedHealthcare Student Resources
P.O. Box 809025
Dallas, TX 75380-9025

Fax

Attn: Claims Department
469-229-5625

File a Claim – Quinnipiac University

You can submit claim via My Account, mail or fax. Review details in Claim Center.

Below information provides details of what is needed to submit a medical or prescription claim.

File a medical claim


To file your medical claim for consideration, please provide the following information. All submitted documents must be legible.

    • A copy of your medical ID card as well as the patient information, if different than the primary insured.
    • Medical claims – must be an itemized bill listing each service provided, diagnosis, the service date, and the cost per service. The provider’s name, tax ID number, address and phone number should also be included. Grouped services are not considered an itemized bill. Claims missing any of the requirements listed above will be denied for reimbursement until the required information is submitted.
    • Proof of payment – if payment was made by check, please provide a copy of the front and back of the cancelled check. For all credit card payments, the credit card statement showing the cardholder’s full name, institution name and payment information for each date of service is required. If payment was made with an ATM or Debit card, the bank statement showing the accountholder’s full name, institution name and payment information of each date of service is required. We will call the provider of services to verify all cash payments.
    • Be sure to include your current mailing address.

File a prescription claim


To file your prescription, claim for consideration, please provide the following information. All submitted documents must be legible.

    • A copy of your medical ID card as well as the patient information, if different than the primary insured.
    • A copy of the prescription label showing the patient name, prescribing doctors name, drug name, date dispensed, quantity and purchase price for each prescription
    • Proof of payment – if payment was made by check, please provide a copy of the front and back of the cancelled check. For all credit card payments, the credit card statement showing the cardholder’s full name, institution name and payment information for each date of service is required. If payment was made with an ATM or Debit card, the bank statement showing the account holder’s full name, institution name and payment information of each date of service is required. We will call the provider of services to verify all cash payments.
    • Be sure to include your current mailing address.

Note: If the claim is for Optum Rx, please visit the Optum Rx Web Portal to submit your prescription claims.

Enroll/ Waive Now -Health Insurance – University of Montevallo


Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the certificate for your rates, effective dates before starting the enrollment process. The plan’s benefits can be found in the certificate within the Schedule of Benefits section with the exclusions towards the back.


2024-2025 Enrollment Information


View your school’s CERTIFICATE


Student Eligibility

All International Students regardless of Credit Hours are required to purchase this insurance plan unless proof of comparable coverage is furnished. Eligible students who do enroll may also insure their Dependents.

Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age.

U.S. citizens are not eligible for coverage as a student or a Dependent


Student/Dependent Enrollment Instructions

Enroll/Waiver Deadlines:

  • Annual : 8/1/24 – 7/31/25 – Deadline 8/30/24
  • Fall: 8/1/24 – 12/31/24 – Deadline 8/30/24
  • Spring: 1/1/25 – 5/4/25 – Deadline 1/31/25
  • Summer: 5/5/25 – 7/31/25 – Deadline 5/30/25

 

TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:



Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements. 

TO WAIVE YOUR SCHOOL PLAN WITH COMPARABLE COVERAGE  PLEASE CLICK ON THE FOLLOWING LINK



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 waiver request has not been accepted; it is in a pending status. Please check you email for all updates to your waiver status.
  • Approval e-mail– Your waiver was approved. You should print this e-mail and save it with your records. Please note, each semester you will be required to do a waiver.
  • 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.

 

 

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Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

  • Acquiring a new family member
  • Marriage/Civil Union
  • Divorce
  • Loss or change of Job
  • Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

  • Proof of qualifying life event/proof of involuntary loss of coverage
  • Enrollment Form
  • Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.


 If you have any questions about the enrollment process, please call 1-888-251-6253 or submit your question by completing the form on contact page.