Medical and Mental Health Claims Aetna Student Health In-Network The provider will submit your bill to Aetna Student Health on your behalf.The provider will send you a bill for any remaining balance after the insurance has paid their portion. Claims must be filed within one year of the date of service. Out-of-Network You pay the provider upfront and then file a claim by mail or electronically to Aetna for reimbursement. A check payment will be mailed to your campus or department mailbox. Claims must be filed within one year of the date of service. International Services received outside of the U.S. are paid at the out-of-network levelYou pay the provider upfront and then file a claim by mail or electronically to Aetna for reimbursement. A check payment will be mailed to your campus or department mailbox. Claims must be filed within one year of the date of service. EPN (Mental Health- Exclusive Provider Network) The provider will submit your bill to Aetna Student Health on your behalf. Questions about your claim? For claim status, or to inquire where a claim payment was mailed, contact Aetna Member Services by phone at 1-877-437-6511 (U.S.) or 1-617-218-8400 (international) or via their website. Prescription Claims Optum Rx Pharmacy/Retail The pharmacy will process your prescription through the Optum Rx plan at the time of medication pick-up.After the prescription has been processed through the plan, you would then pay any remaining cost to the pharmacy at the time of pick-upIf your prescription is not processed through the plan at the time of your pharmacy pick-up, you would pay the full cost of the prescription upfront to the pharmacy and file a claim with Optum Rx for reimbursement of the expense. Claims must be filed within one year of the date of service. Mail Order To have your prescriptions delivered via mail, complete the OptumRx Mail Order form You would pay the cost of the prescription when the mail order delivery is received. There will be a bill from Optum Rx included with the medication delivery.You may also opt to pay the cost of the prescription prior to delivery via your Optum Rx member account. International You would pay the cost of the prescription upfront and then file a claim with Optum Rx for reimbursement of the expense.Claims must be filed within one year of the date of service. Questions about your claim? For claim status or claim payment information, contact Optum Rx Member Services by phone at 1-877-615-6319 (U.S.) or their website. Dental Claims Cigna Dental In-Network The provider will submit your bill to Cigna on your behalf.The provider will send you a bill for any remaining balance after the insurance has paid their portion. Claims must be filed within one year of the date of service. Out-of-Network If you are enrolled in the Cigna DMO plan, there is no out-of-network coverage.If you are enrolled in the Cigna DPPO plan: You would pay the provider upfront and then submit a claim to Cigna for reimbursement. Claims must be filed within one year of the date of service. International If you are enrolled in the Cigna DMO plan, there is no international coverage.If you are enrolled in the Cigna DPPO plan: You would pay the provider upfront and then submit a claim to Cigna for reimbursement. Claims must be filed within one year of the date of service. Questions about your claim? For claim status or claim payment information, contact Cigna Member Services by phone at 1-800-244-6224 or their website. Vision Claims VSP Vision Care In-Network The provider will submit your bill to VSP on your behalf.The provider will send you a bill for any remaining balance after the insurance has paid their portion. Claims must be filed within one year of the date of service. Out-of-Network You would pay the provider upfront and then submit a claim to VSP for reimbursement. Claims must be filed within one year of the date of service. International You would pay the provider upfront and then submit a claim to VSP for reimbursement. Claims must be filed within one year of the date of service. Questions about your claim? For claim status or claim payment information, contact VSP Member Services by phone at 1-800-877-7195 or their website. Filing a claim for billable services provided by University Health ServicesFor billable services done at UHS (such as immunizations, crutches, IUDs), the cost is charged upfront to your student account. Claims must be filed within one year of the date of service.You would pay the charge via your student account and then file a claim with the Aetna Student Health plan for reimbursement of that expense. Your UHS walkout statement will be required with your claim request. Contact UHS if you cannot locate your walkout statement.You may submit your claim to Aetna electronically, by mail, or by fax.Reimbursement will not be applied directly back to your student account.A check payment will be mailed to your campus or department mailbox. For claim status, or to inquire where a claim payment was mailed, contact Aetna Member Services via phone or web. Manage your health. OptumRx Reimbursement Drug Claim Form Cigna Dental Claims
