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Student Affairs » Student Health » Student Health Insurance Accepting the 2008-2009 Premier Plan |
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Letter to Eligible Students Accepting the 2008-2009 Premier Plan During the Fall Open Enrollment PeriodJuly 2008 Dear Student: The Premier Plan offered by Georgetown University is underwritten by the United HealthCare Insurance Company (United). Because you are responsible for understanding your health benefits, carefully read the enrollment and benefit details, including the exclusions and limitations on page 26, in the Premier Plan Description of Benefits, Policy #2008-32-1, before making an enrollment decision. Coverage begins August 15, 2008, and remains in effect through August 14, 2009. Claims should be sent to United HealthCare Student Resources, P.O. Box 809025, Dallas, Texas 75380-9025. No Changes to the Premier PlanNo changes have been made to the 2008-2009 Benefit Design or companies servicing the Plan. The underwriter is United HealthCare Insurance Company; the Preferred Provider Network (Schedule 2) is United HealthCare Options PPO (which includes Georgetown University Hospital/Medstar, [GUH]); the pharmacy network is United Healthcare Network Pharmacy (contracted with MEDCO Pharmacy); and, the Claims Administrator is Student Resources. Also, review the Executive Summary of the 2008-2009 Premier Plan Negotiations for more detail. Again, carefully read the benefit details of the Premier Plan Description of Benefits. Accepting the Premier PlanStudents must attend classes for the first 31 days to remain eligible for the Premier Plan, unless they qualify to renew coverage under the continuation or leave of absence provisions. Early submission of your acceptance form enables the United HealthCare Network Pharmacy Card to be activated and claims to be promptly paid. If you are eligible to enroll in the Premier Plan and have been assessed the $1,710 on your student account for the annual health insurance, accept the plan online by clicking on Student Access+ Online Acceptance/Waiver by September 15, 2008. If an acceptance submission is not executed, submission of your name to the insurance agent will be delayed until late September, although your effective date will remain as August 15, 2008. Accepting the plan online is preferred, but faxing an acceptance form to the GU Student Health Insurance Office is another option. To expedite the processing of your election, please do not submit your election both online and on a form, unless requested by the GU Student Health Insurance Office. Key Points of the Premier Plan Benefit DesignTo reduce your out-of-pocket costs, access providers according to the following schedules:
To access your prescription card benefits:
To estimate your financial responsibility when seeking treatment, refer to page 12 of the Premier Plan Description of Benefits brochure for the applicable deductibles, co-payments, and co-insurance.
Referrals to Providers Under Other Reimbursement SchedulesPage 12 in the Description of Benefits Booklet summarizes the plan reimbursement schedules. Plan reimbursement differs according to which provider bills for a service, not which provider refers you for a service. Any provider may order services from or refer you to another provider. For example, the Student Health Center may order labs or x-rays from GUH hospital and the services will be billed by the hospital and paid under Schedule 2 rather than Schedule 1. The responsibility for reducing your out-of-pocket expenses falls on you, the patient. For additional information, call the contacts listed inside the front cover of the Premier Plan Description of Benefits booklet. Best wishes for your success in the new year. Sincerely,
Laura Hardman Crosby |
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