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
Welcome to the Find a Doctor, Hospital, or Lab Center! Whether you’re looking for a doctor, hospital, laboratory, or even medical equipment and supplies, we have the information you need, all located right here.
Preferred Providers are the physicians, hospitals, and other health care providers who have contracted to provide specific medical care at negotiated prices. You should always confirm the Preferred Provider is part of the network, as this can change without notice by calling the Company at 800-505-4160 and/or by asking the provider.
The Preferred Provider for your plan is UnitedHealthcare Choice Plus PPO. If care is received from a Preferred Provider, any Covered Medical Expenses will be paid at the Preferred Provider level of benefits. Reduced or lower benefits will be provided when an Out-of-Network provider is used. By using a Preferred Provider you can also save yourself some out of pocket expenses. Use this link to search for participating physicians, hospitals, facilities, medical equipment, or supplies in your local area.
We recognize the increased need for appropriate mental health treatment for college students. We’ve partnered with United Behavioral Health (UBH) to ensure that you have access to UBH’s network of mental health care providers and facilities. UBH partners with more than 80,000 clinicians and more than 3,500 care facilities nationwide. Clinical excellence, innovation, and a relentless commitment to the most scientifically advanced health care solutions distinguish UBH as the national leader in behavioral health. To find a local Behavioral Health provider in your area, please click the link below:
To file an appeal, please include the following information:
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), and
Email address.
A copy of your Explanation of Benefits for the claim(s) in question.
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.)
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 CONTACT US
Welcome to the NurseLine / Student Assistance Center! Your comprehensive NurseLine / Student Assistance benefit supports you and your eligible dependents with a wide range of issues—all at no cost to you. Our experts can offer trusted advice 24/7 and assist with balancing school and personal responsibilities. We look forward to serving you!
Health questions and issues can come up anytime. With NurseLine you and your family have unlimited access to a Registered Nurse day or night. You can rest easy knowing there’s somewhere to turn for trusted advice when you need it most.
A Registered Nurse can help guide you to the right care at the right time, self-care measures to ease symptoms and treat non-urgent conditions, and dependable information about diseases and medications. NurseLine can help you take charge of your health.
Offer self-care information for non-urgent health issues.
Direct you to the appropriate care for immediate attention.
Explain health conditions and treatments.
Answer questions about symptoms or medications.
Recommend how to treat a fever in the middle of the night.
Tell you if your symptoms mean you have the flu.
Advise how to ease common problems like a sore shoulder.
Inform you of side effects of your medications.
NurseLine is the perfect resource for when you can’t reach your doctor and need immediate answers to your health questions.
Call anytime 24/7 1-866-799-2670.
Student Assistance Program
College life is exciting but it can also be stressful if you are balancing class with personal responsibilities. In addition, you may be facing more serious issues like family matters, depression, or substance abuse that you can’t handle by yourself. Don’t let problems keep you from enjoying college and preparing for the future. Get the help you need today!
Health Advocate will provide you with the right tools to help you through some of life’s toughest challenges. Students can call Health Advocate’s toll-free number for confidential, short-term professional assistance, focusing on coping skills for a full range of emotional, family, and other personal issues.
A Licensed Professional Counselor will…
Provide confidential, short-term, telephonic counseling.
Offer referrals for long-term counseling or specialized care, as needed.
Address stress, depression, family issues, substance abuse and more.
Provide assistance with budgeting and other financial concerns.
Research child care and eldercare resources.
Be available via telephone 24/7 in a crisis.
Call anytime 24/7 1-866-799-2670.
REMEMBER: Call 911 or go to the ER in an emergency.
Welcome to the Customer Service Center! We are excited to assist you with any and all questions you may have regarding your policy.
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.
Call Us
For questions regarding:
Benefits
Claims
Change of address
Requesting a new ID card
My Account assistance
General Policy Information
Please call 1-800-505-4160 to speak to a live customer service representative, toll free, 7 am – 7 pm CST.
Create your My Account: You will be able to create your My Account 24-48 hours after your initial purchase of coverage.Be sure to use the email address you used to purchase coverage.
Forgot Username/Password:If you have forgotten your username or password, we’re happy to remind you. Follow the link and enter the information requested. If a match is found, you will be emailed the information to the email address you provided when setting up your account.
My Account Mobile: UnitedHealthcare Student Resources and First Student are proud to announce you can now launch our My Account site from our mobile version! The new site puts students’ critical student insurance coverage information in the palm of their hands. On the run, no problem. You can now check the status of a claim, locate a provider or pharmacy nearby and even access your I.D. card at your convenience.The mobile site can be accessed on the iPhone 3 and 4, HTC, Samsung and Motorola Droid phones and the Blackberry v6.0. Supported browsers are Firefox, Chrome and Opera Mini. Of course, users of non-supported mobile devices and browsers can access the full My Account site at www.firststudent.com.
Included with most student health insurance policy is the UnitedHealth Allies discount card. To see if Student Health Allies is included with your plan, please review your brochure or check your permanent ID 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.
Vision Care
Pay no more than $40 for an annual eye exam, and 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).
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:
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.
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. 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.
Must enroll or waive the school-sponsored insurance plan each academic year.
It is important for you to make an informed health assessment each year. Make sure you are not left without appropriate health coverage – it could hinder your academic progress.
PLEASE NOTE: If you are an International Student or Visiting Scholar, you are automatically enrolled in this insurance plan at registration.
International Students
International Students
Visiting Scholars
Are automatically enrolled in the insurance plan at registration.
Hard Waiver Student Waiver Instructions
You may waive coverage under this plan if:
You have health insurance that meets all of the College plan requirements
It is approved by the College
You are a U.S. Citizen
You will need to provide information about your coverage in the waiver section.
Waiver Deadlines:
Annual Waiver Deadline: 9/1/16
Spring/Summer Waiver Deadline: 1/31/17
Important: If you do not enroll for or waive coverage by the designated deadline you will be automatically enrolled in the school-sponsored plan and charged the applicable premium. Once you are enrolled the coverage cannot be cancelled except for certain life changing events and only if the policy has not been utilized.
If you do not enroll in or waive the student health insurance by 8/15/16 you may have a hold placed on your account.
Students who do not respond by 9/1/16 will be automatically charged for the student health plan.
The College reserves the right to audit all waivers in order to ensure compliance with the College insurance requirements. Please be sure to have a copy of your insurance policy as you may be asked to provide this documentation.
Waiver of the College’s sponsored plan does not impact your ability to utilize the services of the Dickinson College Student Health Center.
In Order to Complete the Waiver Card Below, You Will Need the Following:
Your current health insurance plan ID card.
Your health insurance brochure or plan description.
Please refer to the Dickinson College Policy Brochure to help you complete your assessment.
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:
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, please contact us.
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.
Open Enrollment Periods
IMPORTANT INFORMATION FOR ALL STUDENTS: Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Fall Enrollment Deadline of *September 1, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.
*For new dependents or new students in the Spring semester, your open enrollment deadline is January 31, 2017.
Qualifying Life Event
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 paymentwithin 30 days of losing coverage. (example: marriage, divorce, loss of job, etc) The enrollment form, check or money order, and the 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 Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075 for cost and enrollment information as a Qualifying Life Event.
If you have any questions about the waiver process, please call 800-505-4160 or CONTACT US
