The Student Health Plan provides medical and prescription coverage in New Jersey, throughout the U.S., and outside of the U.S. Medical and mental health benefits are administered by Aetna Student Health. Prescription (medication) benefits are administered by Optum Rx. Your Aetna and Optum Rx ID cards are accessible digitally. For a summary of coverage and benefits, you may refer to the Student Health Plan. The plan year runs annually from August 1st through July 31st. Coverage Information Aetna Student Health - International Travel Travel outside of the U.S. is covered at the out-of-network rate after the plan deductibleAn out-of-pocket expense you would need to pay during a 1 year coverage period before your plan begins to pay at an in-network or out-of-network rate.* has been met for that given plan year. Eligible medical expenses are subject to a $200 deductible per plan year.After your $200 annual medical deductible has been met, the Student Health Plan will then cover expenses at the 70% out-of-network rate. For medical expenses incurred outside of the U.S., you would be responsible for your deductible and the 30% out-of-network coinsuranceYour out-of-pocket share for the costs of a covered health care service*. *Deductible: An out-of-pocket amount owed during a coverage period (usually one year) for covered health care services before your plan begins to pay at the in-network or out-of-network rate.*Out-of-network Coinsurance: Your share (for example, 30%) of the allowed amount for covered health care services to providers who do not contract with your health plan. Optum Rx- International Travel Prescription medications obtained outside of the U.S. are covered the same level as if they were obtained in the U.S. The prescription plan has a $100 deductibleAn out-of-pocket expense you would need to pay during a 1 year coverage period before your plan begins to pay at an in-network or out-of-network rate. per plan year. Once the deductible has been met, the plan would pay at the copay level. Aetna Student Health- Filing International Claims Electronic: follow the instructions for electronic submissionMail or fax: use the Aetna Student Health Claim Form and send it directly to AetnaFor claim status or any other claim information, contact Aetna Member Services or register an online account with Aetna.Aetna Member Services: 1-877-437-6511 (if inside the U.S.) or 1-617-218-8400 (if outside the U.S.) Optum Rx - Filing International Claims For international claims, you would pay the cost of the medication upfront and then file a claim with Optum Rx for reimbursement of the expense.Optum Rx Member Services: 1-877-615-6319 Manage your health. International Travel and Medical Benefits Information Proof of Coverage Documentation
