If you have an emergency while traveling at least 100 miles from your primary residence or when traveling in a foreign country, call On Call International as soon as possible by dialing 1-866-525-1956 (within the United States) or 1-603-328-1956 (outside the United States). In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. You can find it on the Member page of your school-specific site. That includes more than 567,000 primary care doctors and specialists and more than 5,400 hospitals. J- Do you know what the premium covers? The ACA, or health care reform, has led to big changes in health benefits. STEP 1 - Get an itemized medical bill from the provider -- in English, if at all possible -- before you leave the country you're in. For language services, please call the number on your member ID card and request an operator. Read Video Transcript Here The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. This information is neither an offer of coverage nor medical advice. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Your student health insurance brochure has detailed information about what additional services require precertification. Rena- I think I have a cold and I need to go to the doctor tomorrow. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Ive also been asked to bring a family health history with me. You get access to Aetna's nationwide network of participating doctors, hospitals, pharmacies, and specialists throughout the country. In MD and NJ, student medical insurance is underwritten by Aetna Health and Life Insurance Company (AHLIC).Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. For specific questions regarding your school's health insurance plan (including any applicable referral requirements), please close this browser and review the current brochure details. The School application is not available at this time. I got an email from my health plan about my doctors visit last week and Im a bit confused. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Academy of Fine Arts Nuremberg; Academy of Fine Arts Munich; University of Television and Film Munich (HFF) University of Music and Performing Arts Munich It can be hard to know where to go for support. 400,000 medical plan student members and their dependents. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Student Health Plan | University Health Services And we give you the support you need to make the health care process easier to understand . Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company and its applicable affiliated companies (Aetna). Your insurance company usually emails or mails them to you after a provider visit. Penn Student Insurance Plan (PSIP) | Wellness at Penn Back to School Website Links to various non-Aetna sites are provided for your convenience only. Aetna Student Health serves approximately:**. Selfinsured plans are funded by the applicable school, with claims administered on services provided by Aetna Life Insurance Company. J- The Aetna Student Health plan covers medical and behavioral health as well as your prescriptions. Does my health insurance plan cover pregnancy? Links to various non-Aetna sites are provided for your convenience only. Click 'Select School' from the menu and select your school. Using your member ID # or last 4 digits of your student ID, you can register on AetnaVision.com to see your vision benefits. But $16 is no problem. 47 specialized hospitals, departments and institutions harbouring excellent research and education provide patient care at the highest medical level with approximately 10.000 employees. Your dependent is eligible for coverage as a partner if. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Brendan: No, since it wasnt a life threatening issue I decided to go to a CVS Minute Clinic since it was still open. Advantages . If your doctor's office is closed and you do not know whether your condition is life threatening, you can call one of the Nurse Health Lines listed below. And there are people you can talk to when you have to make important decisions, such as worldwide travel assistance. Your Aetna Student Health Plan allows you to choose where to receive care from a network provider*, or a provider outside the network. And theyll cost far less than a visit to a hospital emergency room. In most cases, a student health insurance plan will include a worldwide travel assistance service offering unlimited emergency medical evacuation services. Use this convenient tool to easily locate Aetna participating network providers. With Aetna Student Healthyou can access a national network of doctors, hospitals and specialists. The *Division of Clinical Pharmacology, Medizinische Copayment (Copay) - a fixed amount you pay for health care services at the time of your visit with a healthcare professional. You can find a complete listing of participating Preferred Providers and Pharmacies are available through the internet by accessing DocFind, our online directory. Detailed information about the UVA Aetna Student Health Plan can be found on the website or by calling UVA's Aetna Student Health Customer Services Department at 1 (800) 466-3027. CPT is a registered trademark of the American Medical Association. Referrals: Student Health Insurance - Northwestern University Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna). Visit the Massachusetts Division of HealthCare, Finance and Policy. Treating providers are solely responsible for medical advice and treatment of members. Aetna Student Health is a full-service insurance broker and administrator that provides high quality, innovative and competitively priced health insurance programs for college and university students. The Plan is available for University of Notre Dame students and their eligible dependents. Insurance | Boston Medical Center Emergency Medical Evacuation - Should adequate medical facilities not be available locally, On Call International will evacuate you, by whatever means medically necessary, to the nearest medical facility capable of providing you with appropriate care. Foreign Hospital Admission Guarantee - On Call International will assist you in gaining access to emergency medical care by validating your health insurance coverage. California license number: OB84599. Aetna Health members, log-in securely to your account to access all of your health and benefits information, or get your user name and/or password if you've forgotten it. See all legal notices. Jenny- You might have to pay something tomorrow at the doctors office, it depends on what your copay is. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. J- Oh ok that makes sense- so first I pay my premium to become eligible for coverage, and pay my health care costs until I reach my deductible and then the insurance plan will kick in. I know my grandma had cancer but I cant remember which type. The EOB tells you want to expect let me take a closer look. They will assess your symptoms and let you know how you should proceed for care. We are one of the largest and most respected health care organizations in the United States we offer an extensive nationwide network of physicians, hospitals, and pharmacies to higher education institutions across the nation. Welcome:Aetna Student Health Let's get started! View the criteria on the results page. Unlisted, unspecified and nonspecific codes should be avoided. I even have my ID card on the app so I can just show it on my phone at the doctors. Insurance Office | Columbia Health Aetna Student HealthSM gives you access to care by working closely with your school and with a network of doctors, hospitals, pharmacies and specialists throughout the country. J: Great. What if the foreign hospital refuses to accept my insurance and requires me to pay in full at the time of services? This Agreement will terminate upon notice if you violate its terms. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. The cost to see a doctor out of network is at least 50% higher . AD&D coverage is underwritten by Fairmont Specialty dba United States Fire Insurance Company (USFIC). For additional language assistance. **Aetna Student Health internal enrollment systems, 2016. J- Do they take insurance at CVS Minute Clinics? To find out if a provider is in Aetna's network, go to the Aetna Student Health Website and search by provider name, type or location. The bill should include: Mail the bill to: Brendan: they were able to evaluate my symptoms and suggested I seek treatment right away and not wait till the health center opened tomorrow. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Contact your school's Health Center or Insurance Office. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. California license number: OB84599. You can request precertification by contacting Aetna Student Health. Go to Provider Search Simple Ways to Use Our Provider Search Tool Save or see any provider -- it's your choice Option 1 Visit your campus health center or a network provider** ), Patient's name (This is especially important if the patient is the student's spouse or dependent), Student's identification number or Social Security number. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Follow these steps: Enter the ASAM Guideline Code from your denial letter in the box below and submit. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Brendan: Hey everyone. A detailed listing with separate charges for each service provided. Contact customer service at 1-877-480-4161 if you need immediate assistance. In MD and NJ, student medical insurance is underwritten by Aetna Health and Life Insurance Company (AHLIC).Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. I am going to put that number in my phone right now. Student Health Services is in-network with your AHP plan. For more information, please call 1-877-480-4161(TTY: 711). California license number: OB84599. J- I did since Im an international student I signed up before I got to campus. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. If a replacement card is needed due to loss, the student can call Aetna Student Health directly at 1-877-437-6535 and speak to a customer service representative to get a new card sent to . What are the insurance requirements for international students in Massachusetts? Aetna Student Health SM gives you access to care by working closely with your school and with a network of doctors, hospitals, pharmacies and specialists throughout the country. Were here for you with resources for your journey. Jenny: No there are other pharmacies you can use you can go to Aetna.com to search for locations near you. State Specific Information - Aetna Will On Call International transport a family member or friend to be at my side? Bio M is a community partner of the German Accelerator Life Sciences, located in Cambridge/Boston (USA), that provides consulting and mentoring on business development, financing, market entry and regulatory issues in the USA on behalf of the German Federal Ministry of Economics and Energy. Also, On Call International can protect you in the event of an emergency by getting you to appropriate medical care when there may not be good local medical facilities. No. You should go to the ER only when you experience a severe accident or suffer from intense pain visit an ER immediately if your condition is life threatening, or if you need urgent care when other clinics are closed. Authorization for Release of Protected Health Information (PHI) (third party authorization) Find out what you need to know about your school health insurance plan. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Jenny- Make sure you do that before the open enrollment period ends. But can I only go to the student health center? National Health Service Programs from other countries are not considered comparable. Dependent Eligibility Verification - Aetna Student Health Use this convenient tool to easily find Aetna participating network providers. There is no guarantee that you can extend coverage past your original enrollment period. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). PDF 2021-2022 Student Health Insurance Plan Highlights Find out what you need to know about your school health insurance plan. PDF Arizona State University Jenny- Oh thats great she will be in-network for your plan. Some of the many services include: Medical Consultation and Evaluation - Your call to the On Call International Global Response Center will be handled by professionals who will refer you to qualified doctors and medical facilities throughout the world. Persons with a hearing or speech disability can use 711 for Telecommunications Relay Service (TRS). If it is not an emergency, your plan may have a referral requirement through the health center. On Call International provides a wide array of services to assist you in the event of an emergency. BRENDAN- I am going to do that today before my next therapy appointment so I have it. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Rena: When you go to the doctor in the US they request your family health history- asking questions about who in your family has had cancer, diabetes, high blood pressure, heart disease and other conditions. Studentenwerke: Study in Bavaria You can request a new plastic ID card or print a copy of your ID card by searching for your school-specific website and clicking "Print Your ID Card.". Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. What do I do if I am sick and need to go to the hospital? On Call's medical team will monitor your condition by reviewing medical reports and consulting with your attending physician. Rena: Its helpful to have a PCP who can refer you to a specialist when you need it. Language services can be provided by calling the number on your member ID card. In case of a conflict between your plan documents and this information, the plan documents will govern. Persons with a hearing or speech disability can use 711 for Telecommunications Relay Service (TRS). For plan specific and network provider questions, please contact Aetna Student Health directly at 1-877-375-7908 or click here to visit the website. J- We were just talking to Rena about her doctors appointment and the schools insurance plan. To maximize your savings and reduce your out-of-pocket expenses, you are encouraged always to select a Preferred Provider; these providers have agreed to accept negotiated rates as payment for . Health benefits and health insurance plans contain exclusions and limitations. In MD and NJ, student medical insurance is underwritten by Aetna Health and Life Insurance Company (AHLIC).Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. Testing & treatment information We're here to help If you don't see your testing and treatment questions here, let us know. Get started Select your college or university School list loading. But if they are out of network you may not have coverage to see them and have to pay for the whole visit out of pocket. Brendan: It is. The member's benefit plan determines coverage. So your students can meet their academic goals. (sneezes) Im doing ok but I have a bit of a sinus infection. For example, On Call can coordinate and pay to return you home with a medical escort if the treating physician and On Call's medical team recommend that that is the safest way for you to travel. Insurance Basics | Aetna Student Health Will I receive a separate ID card for the travel assistance services? J- Oh ok that makes sense, so they can work with my therapist to make sure I am getting the care I need? Im on my parents plan right now. Pre-existing conditions may be limited or completely excluded from a short-term policy. Rena- We were just talking about the open enrollment for insurance, have you signed up yet? While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Phoenix, AZ 85072-2444 Personal health information requests Please note these forms are fillable and have digital signature capabilities when opened in Adobe Reader. Use our handy tools and interactive videos to get answers. Copyright 2015 by the American Society of Addiction Medicine. Some services however do require prior authorization. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Aetna Member Log-in Also, remember to take your On Call International card with you and call if you need medical, travel or security advice or assistance. Jenny: A PCP is important because they are the doctor you know best and they can help coordinate care with specialists and mental health providers so that you have one person that can help you navigate the health care system. Why do I need a PCP anyway? You will need to pay the provider and then file a claim for foreign medical assistance with Aetna Student Health. You may also add a dependent outside of the enrollment period when you experience a "change in life status" (marriage, birth, divorce or loss of a job). Not legally married to another person or part of. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Specific claims questions regarding PSIP can be directed to Deborah Olson, Aetna Student Health, at debolson@upenn.edu or by calling 215-746-0808. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Persons with a hearing or speech disability can use 711 for Telecommunications Relay Service (TRS). Self insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. USC Student Health Insurance At-A-Glance Accessibility Services:If you are a person with a disability who needs assistance using our websites, our Customer Service Representatives can assist you. For AHP, one of the great things about receiving your care at Student Health Services is we consider your copayment already paid through the Student Health and . Return of Mortal Remains - On Call International will render every possible assistance in the event of a death while traveling. And you may have to pay your copay at the doctors appointments as well. You can access the On Call International assistance services 24 hours a day, 365 days a year during your policy effective period. SHP is a PPO plan and you do not need a referral to see a provider. Look to us for answers. What are the Visa requirements for international students? Jenny: No they dont have a pharmacy at the Health Center. The Plan is underwritten by Aetna Life Insurance Company (Aetna). I wanted to check and see how much coverage I have for my treatment for this year. You are now being directed to the CVS Health site. JENNY- Brendan if you havent registered on AetnaStudentHealth.com yet they will mail the EOB to you. Does the Aetna Student Health plan cover visits with my therapist too or just my medical appointments? All Aetna Student Health Members can use this site to easily locate Aetna participating network providers.