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.
To file an appeal, please include the following information:
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 1-888-251-6253 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.)
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:
For more information on Global Emergency Services, please review the Assistance and Evacuation Benefits section in your Brochure-Certificate.
This page is for those students who wish to opt-out (waive) out of the coverage under their school’s student insurance plan. The school’s student insurance plan can only be waived if the student has coverage under another acceptable insurance plan.
The first step to waive out of your school’s student insurance coverage is to verify that you are an eligible student.
2018-2019 Waiver Information
Are required to purchase this plan unless proof of comparable coverage is furnished.
Please Note: If you waive the insurance you will not be eligible to enroll until the following school year unless you experience a Qualifying Life Event.
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
J-1 and F1 Student Waiver Instructions
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
After you verify that you are required to waive and have other insurance you will need:
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:
OPEN ENROLLMENT PERIODS
If you have eligible Dependents in the Fall or are a student in the Fall semester and are eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline, your Dependents or you will not be eligible to enroll again until the start of the next fall unless they experience a Qualifying Life Event during the year
*Spring and Spring/Summer enrollment periods are for new incoming and renewing students and their dependents only.
ELI Student Waiver Instructions
Before you submit your waiver, please review the College of Charleston Checklist to make sure that your insurance meets the College of Charleston requirements.
After you verify that you are required to waive and have other insurance you will need:
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:
OPEN ENROLLMENT PERIODS
If you have eligible Dependents in the Fall or are a student in the Fall semester and are eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall 1/Fall 1 & 2 Enrollment Deadline, your Dependents or you will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year.
*Fall 2, Spring 1, Spring 1 & 2, Spring 2, and Summer enrollment periods are for new incoming and renewing students and their dependents only.
If you did not enroll during your open enrollment period and have since lost coverage under your original plan, you may qualify for a Qualifying Life Event upon providing proof of involuntary loss of coverage and payment within 30 days of losing coverage (example: marriage, divorce, loss of job, etc.)
The enrollment form, check or money order, and letter of creditable coverage must be received within 30 days of losing coverage. After 30 days the student 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 waiver process, please call 1-888-251-6253 or CONTACT US
We are always happy to help in any way.
Access your ID now by visiting My Account. From your My Account, you can print and download your 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 My Account. Permanent ID cards will be shipped 24 – 48 hours of your request.
Use My Account Mobile to access your ID card from your mobile device. 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.
Welcome to the Health Care 101 Center! We understand the busy schedule of both parents and kids, no matter what the age. With that in mind, here’s a no-frills, easy-access guide to health insurance benefits.
Insurance 101 is not meant to address your policy specifically (each one of these has its own list of exclusions and limitations). However, this is a generic overview of health insurance types and terminology. If you have a specific question about your policy please give us a call at 1-800-505-4160.
Trying to determine if you should purchase the health insurance plan? Download our tools below for a few tips
Health Advocate is an added bonus when you enroll in a UnitedHealthcare student medical plan. Your Health Advocate benefit, provided by Allegheny 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.
Healthcare Help | MedChoice Support | Medical Bill Saver | Contact Health Advocate
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.
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: 1-866-799-2670
Email: ANSWERS@HEALTHADVOCATE.COM
Web: HEALTHADVOCATE.COM/MEMBERS
Health Advocate can be accessed 24/7.
Welcome to the Sports Athletic Insurance Center! Follow the Instructions below to get started.
As soon as the injury occurs, contact the Athletic Director, Athletic Trainer or a designated person in the Athletic Department.
They need to document the injury and notify us with the injury details. This is one step towards a speedy turn-around time on your claim.
How to Submit a Sport Claim
Please see our easy guide below with detailed information on how to submit a sports claim or how to get reimbursed for a claim if you paid out of pocket.
Download our Athletic Claim Guide
What does my provider need to know?
Your provider will need to know where to send your claim, the phone number to call for benefits and to verify coverage, how they can submit your claim and what they should include. The Claim Submission Information Form will answer these questions. Please make sure to take this form with you when visiting your provider, as it supplies your provider with accurate instructions on how to submit the claim on your behalf.
Claim Submission Information Form
Can Someone Help Me?
If you would like someone from your Athletic Department or a parent 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 a PRA (Personal Representative Appointment) 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 for the entire school year.
Personal Representative Appointment Form/Yearly Authorization Form
Need More Help?
If you don’t see what you are looking for or would like to talk to a live representative, it will be our pleasure to personally assist you. We give you two options on how to contact us!
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.
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.
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
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
