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File an Appeal

Welcome to the File an Appeal Center! We are here to help you correctly submit your appeal, and ensure a faster turn-around time to have your claim reprocessed or reimbursement check mailed.

To file an appeal, please include the following information:

  1. 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)
    • Email address
  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 1-800-505-4160 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).

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

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 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!

NurseLine

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.

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.

Our experienced nurses are available 24/7 to:

  • 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

 

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 elder-care resources
  • Be available via telephone 24/7 in a crisis

 

 

REMEMBER: Call 911 or go to the ER in an emergency.

 

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  Student Tools Brochure

 

  • 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 NOW IN COVERAGE ON-LINE
(Hard waiver international students only)

 

  • 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

 

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

 

  • 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.

 

  • 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
 

 

School Links

School Links

 

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

Health Advocate

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

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

  • Find the right doctors, hospitals
  • Schedule tests, appointments
  • Secure second opinions
  • Untangle Claims, billing errors
  • Navigate your insurance plan
  • Explain conditions, treatments
  • Help you make informed decisions

 

MedChoice Support

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?

  • Step-by-step guidance for healthcare decisions, using evidence-based information, on topics from surgery to alternative treatments
  • Personal assessments gauge feelings and decisions
  • Downloadable summary to share with your healthcare team

To access MedChoice Support, please click here.

 

Medical Bill Saver

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?

  • Negotiation can result in 25-50% savings
  • Easy-to-read, personal Saving Result Statement, summarizing outcome and payment terms
  • Provider sign-off on payment terms and conditions

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.

 

Contact Health Advocate

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

 

 

File an Appeal

Welcome to the File an Appeal Center! We are here to help you correctly submit your appeal, and ensure a faster turn-around time to have your claim reprocessed or reimbursement check mailed.

To file an appeal, please include the following information:

  1. 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)
    • Email address
  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 1-800-505-4160 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).

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.

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