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Need an ID Card – Saint Augustine’s University


Access your ID now by visiting My Account. From your My Account, you can print and download your ID card.


Permanent ID Card


In keeping with our Go Green initiative, permanent ID cards will be available by request only. Should you wish to obtain a permanent ID card, you can request one to be shipped to you by accessing your My Account. Permanent ID cards will be shipped  24 – 48 hours of your request.


Access Your ID card on your Mobile device


Use My Account Mobile to access your ID card from your mobile device. Students must have a set up my account to be able to access mobile site.


It would be our pleasure to assist you with any ID Card need you may have. Please feel free to visit our Customer Service center with any other questions regarding your ID card.

Enrollment & Waiver FAQ – Saint Augustine’s University



WAIVER QUESTIONS


1. What is an online waiver, and why do I have to submit one?

Some schools require students to have Health Insurance in order to attend. This is to protect you from having to interrupt your academic progress due to unexpected medical bills.  If your school requires you to have Health Insurance, you will have the option to either purchase the insurance offered through your school or if you are already covered under your own plan, provide proof of your coverage by completing an online waiver.   Your coverage must meet all of your school’s Insurance Requirements in order for your waiver to be approved.   If you do not complete a waiver or if your coverage does not meet your school’s requirements, you will be automatically enrolled in your school plan and charged on your student account. Please visit your school’s ‘Waive your school’s Insurance’ page on our website for instructions on how to complete a waiver.

Once the waiver process is completed an email will be sent to the school issued email address confirming the status of the waiver. Please be sure to follow instructions if additional information is requested.

2. Who is required to submit a waiver?

Not all students are required to submit a waiver. In order to confirm if you are required to complete a waiver, please visit the ‘Waive Your School’s Insurance’ page on our website and read the requirements listed under ‘Hard Waiver Student Eligibility’. If you meet these requirements, then you are required to submit a waiver and you will need to follow the instructions to complete the waiver prior to your school’s deadline.

3. Will my insurance be accepted?

The only way to know if your insurance will be accepted is to submit the online waiver. You will be sent an email to your school-issued email address within 24-48 hours confirming the status of your waiver once you complete the waiver online. Please visit your school’s ‘Waive your school’s insurance page” on our website for instructions on how to complete a waiver.

4. What happens if I don’t submit a waiver?

If you meet the requirements of a Hard Waiver Student you are required to submit a waiver either annually or by semester depending on the guidelines of your school, and you will be given ample time to do so. Students who do not submit a waiver by the deadline date are automatically enrolled into the insurance provided by their school at the end of the waiver period. Once enrolled coverage cannot be canceled. Students who missed the deadline are welcome to send in an appeal to our customer service department. To do so, please visit our Contact Us page to fill out the Contact Form. This will direct your email through to our Customer Service department.

5. I have an approved waiver, why is there still a charge on my account?

It can take up to 7 business days for the charge to come off your account after receiving your approved waiver email confirmation. If it has been more than 7 business days, please reach out to your school regarding the charge. We do not handle the billing on your student account in our office it is done through your school.

6. I don’t have my insurance information yet because I’m still in the initial application process. What should I do?

Please visit our Contact Us page to submit an email to our Customer Service Department. Please be sure to include as much information as possible regarding your current situation.

7. I submitted my waiver and additional information was requested (such as an ID Card, Letter of Eligibility, SBC etc). How can I submit this information?

Please fax this information to (267) 880-2301. Please be sure to include your first and last name, the name of the school you attend as well as your student ID number. If you do not include the above information we will be unable to review your waiver and your waiver will remain declined.

8. I submitted my waiver and it was declined. What should I do?

Your waiver may have been denied due to one of the following reasons:

  • Coverage could not be verified
  • Incorrect member ID, policy number, or DOB provided (you may have been transposed this information)
  • Incorrect spelling of the first or last name
  • Your policy is considered an Out-of-State Medicaid
  • Incorrect Insurance Company name was provided
  • Based on the information provided, your policy does not meet your school’s requirements.

You should have been sent specific instructions to your school issued email account with steps you may take if you feel your waiver was denied in error.

9. I submitted my waiver and also additional information was requested (such as an ID Card, Letter of Eligibility, SBC) and I have not received a response back yet. What should I do?

The re-verification of your waiver request may take up to 7-10 business days. Please allow 7-10 business days for a response prior to sending additional emails as this will cause a delay in our response time. Please be sure to check your junk or spam folder for a secure email. We appreciate your patience as we work to respond to all emails in the order in which our waiver department receives them.

10. What is Medicaid?

“Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.” (medicaid.gov/medicaid/index.htm)

11. I tried to submit my online waiver, but it is saying that the student record cannot be found. Now, what should I do?

  • Please make sure that you meet the eligibility requirements for your College/University. They can be found under the Waive Now under your school’s homepage under ‘Hard Waiver Student Eligibility’.
  • If you do meet the eligibility requirements for your University, have you just enrolled into your courses? If you have just enrolled, you will need to allow 5-7 business days from your enrollment date to be loaded into the system. If you have not yet enrolled, you will not be loaded into the system until you do so.
  • If you meet the eligibility requirements and are enrolled, please visit our Contact Us page and complete the Contact Form. This will direct your email through to our Customer Service department. In the ‘Comments’ portion, please be sure to explain that you are not able to log into the system to waive. Please include your Date of Birth and Student ID number as in the exact format that you are entering them in the comments section.

12. I currently have active coverage which meets the school’s requirements, however, I will be experiencing a Qualifying Life Event in the future which will cause me to lose this coverage at a later Date. Can I still waive the insurance at this time?

Please visit our Contact Us page and complete the Contact Form. This will direct your email through to our Customer Service department. In the ‘Comments’ portion, please provide this information.

13. I waived my coverage, but would now like to enroll. What should I do?

If the Enrollment/Waiver Period is still currently open, please visit our Contact Us page and complete the Contact Form. This will direct your email through to our Customer Service department. If the Enrollment/Waiver Period has closed, the only way to enroll would be is if you have experienced a Qualifying Life Event within the past 30 days. (Please see Question #14 on Qualifying Life Events Below for information on how to enroll).

14. I answered a Waiver Question Incorrectly which caused my waiver to be denied.  What should I Do?  

Please visit our Contact Us page and complete the Contact Form. This will direct your email through to our Customer Service department.

ENROLLMENT QUESTIONS


15. Am I eligible to enroll in the school sponsored injury and sickness plan?

To confirm your eligibility, please visit your school’s “Enroll Now – Health Insurance” page on our website. Eligibility requirements and enrollment instructions will be listed on this page.

16. My student account was charged for the insurance, when will I be in the system?

You will be automatically enrolled in the school-sponsored injury or sickness if you do not complete a waiver however automatic enrollment will not take place until after the Waiver Deadline Conversion Period. This process can take up to a few weeks after the close of the waiver period. If the Enrollment/Waiver Period is still open and you would like to receive your ID Card sooner, you do have the option to enroll yourself manually online into the plan. This will also prevent you from receiving future reminders about the waiver process. If the open enrollment period has closed and you need to see a doctor or get a prescription filled, please visit our Contact Us page and complete the Contact Form.

17. I waived my coverage, but have experienced a Qualifying Life Event and would now like to enroll.

Eligible students who lose their current coverage through no fault of their own may enroll in the school plan as a Qualifying Life Event. You must enroll within 30 days after losing Coverage in order to be eligible. Please visit our Contact Us page and complete the Contact Form. This will direct your email through to our Customer Service department. In the ‘Comments’ portion please be sure to include the date you will be losing coverage and a brief explanation of why coverage was lost.

18. What Classifies as a Qualifying Life Event?

A Qualifying Life Event means loss of current coverage through no fault of your own. You must enroll within 30 days of your Qualifying Life Event to be eligible. Examples of a Qualifying Life Event include job loss, divorce, aged out of parent’s plan, the death of a parent or legal guardian. If you feel you have experienced a Qualifying Life Event within the past 30 days and would like to enroll in the school sponsored plan, please visit our Contact Us page and complete the Contact Form.  In the ‘Comments’ portion you may request instructions on how to enroll. Please be sure to include the exact date you will be losing coverage and a brief explanation of why coverage was lost.

OTHER FREQUENTLY ASKED QUESTIONS


19. I am the parent/guardian of a student. Why am I not able to receive any information?

Our office complies with the Health Insurance Portability and Accountability Act (HIPAA). We are unable to release any information to anyone other than the student regarding their health insurance waiver. We do have a Personal Representative Authorization form (PRA Form) that can be filled out and signed by the student so that we may speak to a designated representative on their behalf. This form can be found under the ‘Forms’ page on our website.

20. How can I open an encrypted message?

  • The information provided in the email is encrypted to protect your Personal Health Insurance Information
  • Open the attachment in your email and select the use a one-time passcode option, a passcode will be sent to your email address.
  • Enter the passcode that corresponds with the reference code and click continue. Please note that the password will expire after 15 minutes. After that time, you will not be able to log back in with that passcode.
  • Mobile devices do not all support the encrypted message, please access the encrypted message from a desktop.

21. How can I obtain my 1095-B tax form?

1095 tax forms are available through your My Account. Please visit your school’s My Account page to create your account if you have not already done so, or log in to an existing account.  Once on My Account you can download your 1095 B tax form.  You can also reach customer service for assistance at 1-800-505-4160.

Prescription Drug Information – Saint Augustine’s University

 

Special 2021-2022 Update: Prescription Drug Program

We have recently added step therapy and prior authorization to our prescription drug program in an effort to reduce student costs and promote safe prescription use. Please review the following FAQ for more information about these new additions and how they will affect your plan.


OptumRx

As a UnitedHealthcare member, you have access to a comprehensive and quality pharmacy benefit provided through the UnitedHealthcare Pharmacy Benefit Program. UnitedHealthcare uses OptumRx. (www.optumrx.com) for certain pharmacy benefit services including your mail order benefit.

Make Informed Decisions

When selecting a medication, you and your doctor should consult the UnitedHealthcare Prescription Drug List (PDL). The PDL includes most brand and generic medications approved by the FDA. Medications may be placed on different “tiers” based on their overall value, with Tier 1 being the most affordable tier option. Click below to download and review the current Prescription Drug List:

Prescription Drug List

To determine if a medication is covered by your pharmacy benefit, its tier level, and available lower cost alternatives log in to My Account.

After you log into My Account, you can access:

  • Payment, pricing, and coverage information about most prescription medications
  • Information about lower cost medication alternatives,
  • A list of participating retail pharmacies by ZIP code, and
  • Your prescription history

Choose a pharmacy that’s in the network

To get the most from your pharmacy benefit, you should use a participating retail pharmacy. There are over 60,000 retail pharmacies in our network, including both chain and independent stores located across the United States.

Use the Pharmacy Locator to find a participating retail pharmacy.

Participating Pharmacy Chains

If you had to pay out of pocket for a prescription and need to receive a reimbursement please download the prescription claim form:

Filling prescriptions at pharmacies outside our network will increase your cost.

To get prescription drug information please call 1-855-828-7716.

Access the OptumRx Member FAQ for more information. Mail order benefits included only when applicable in your policy brochure.

Enroll Now – Health Insurance – Saint Augustine’s University


Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.


We suggest you review the brochure for your rates, effective dates and optional coverages 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.


2022 – 2023 Enrollment Information 


View your school’s CERTIFICATE

Hard Waiver Student Eligibility

  • All undergraduate students taking 9 or more credit hours

Are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.

Students must actively attend classes for at least the first 31 days after the date for which coverage is purchased. Home study, correspondence and online courses do not fulfill the Eligibility requirements that the student actively attend classes.


International Students

All registered International students are required to purchase this insurance plan at registration and the premium for coverage is added to their tuition billing.


Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

  • Spring/Summer Enrollment Deadline: 2/15/23

COMING SOON FOR SPRING/SUMMER 22/23!


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, after the waiver deadline.


If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.


Please note:
 If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2022-2023 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.


Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Please see the Enrollment Instructions below.

Deadlines:

  • Spring/Summer Enrollment Deadline:  2/15/23


Enroll by Mail 

  • Spring/Summer Dependent ONLY – Enrollment Form – Coming Soon!


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 dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.


Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Spring or are a student in the Spring semester and eligible to purchase coverage and you choose not to enroll for coverage before the Spring Enrollment Deadline of *February 15, 2023, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 15, 2023.


Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

  • Acquiring a new family member
  • Marriage/Civil Union
  • Divorce
  • Loss or change of Job
  • Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

  • Proof of qualifying life event/proof of involuntary loss of coverage
  • Enrollment Form
  • Payment


All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.


If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Waive Your School’s Insurance – Saint Augustine’s University


Welcome to the Waive Your School’s Insurance Center!

This page is for those students who wish to opt-out (waive) out of the coverage under their school’s student insurance plan. The school’s student insurance plan can only be waived if the student has coverage under another acceptable insurance plan.

The first step to waive out of your school’s student insurance coverage is to verify that you are an eligible student.


2022-2023 Waiver Information



Hard Waiver Student Eligibility

  • All undergraduate students taking 9 or more credit hours

Are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.


Please Note
:  If you waive the insurance you will not be eligible to enroll until the following school year unless you experience a Qualifying Life Event.


International Students

All registered International students are required to purchase this insurance plan at registration and the premium for coverage is added to their tuition billing.


Hard Waiver Student Waiver Instructions

Waiver Deadlines:

  • Spring/Summer Waiver Deadline:  2/15/23

COMING SOON FOR SPRING/SUMMER 22/23!


After you verify that you are a hard waiver student and have other insurance you will need:

  • Your current health insurance plan ID card,
  • Your health insurance brochure or plan description (or you might want mom & dad’s phone number handy to help answer some of the waiver questions). There might be a few questions about your current plan.


Once you have completed the waiver form, an email will automatically be sent to the email address you provided notifying you of the waiver request decision. If you receive a:

  • Approval e-mail– Your waiver was approved. You should print this e-mail and save it with your records.
  • Denial e-mail– Your waiver was denied. If you would like us to look this over or if you answered a question incorrectly, please contact us.

Please Note:  If you waive the insurance, you will not be eligible to enroll until the following school year, unless you experience a Qualifying Life Event.


Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Spring semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *February 15, 2023, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 15, 2023.


Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

  • Acquiring a new family member
  • Marriage/Civil Union
  • Divorce
  • Loss or change of Job
  • Expiration of Benefits


If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

  • Proof of qualifying life event/proof of involuntary loss of coverage
  • Enrollment Form
  • Payment


All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please CONTACT US for cost and enrollment information as a Qualifying Life Event.


 

If you have any questions about the waiver process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Customer Service – Saint Augustine’s University


Welcome to the Customer Service Center! We are excited to assist you with any and all questions you may have regarding your policy.

On the left hand side we have provided you with a number of links and downloads for immediate access to any questions you may have regarding your school’s student insurance plan.

If you don’t see what you are looking for, or would like to speak to a live representative, it will be our pleasure to assist you. 


Call Us

For questions regarding:

  • Benefits
  • Claims
  • Change of address
  • Requesting a new ID card
  • My Account assistance
  • General Policy Information

Please call 1-800-505-4160 to speak to a live customer service representative, toll free, 7 am – 7 pm CST.


Email Us
For questions and issues about the following:

  • Waiver questions
  • Enrollment questions
  • Life Status Changes

Please Contact Us.


To send a written correspondence
Please send written correspondence to:
FIRSTSTUDENT
PO Box 809067
Dallas, TX 75380-9067

 

 

 

Find a Doctor – Saint Augustine’s University


Welcome to the Find a Doctor, Hospital, or Lab Center! Whether you’re looking for a doctor, hospital, laboratory, or even medical equipment and supplies, we have the information you need, all located right here.

Preferred Providers are the physicians, hospitals, and other health care providers who have contracted to provide specific medical care at negotiated prices. You should always confirm the Preferred Provider is part of the network, as this can change without notice by calling the Company at 800-505-4160 and/or by asking the provider.

The Preferred Provider for your plan is UnitedHealthcare Choice Plus PPO. If care is received from a Preferred Provider, any Covered Medical Expenses will be paid at the Preferred Provider level of benefits. Reduced or lower benefits will be provided when an Out-of-Network provider is used. By using a Preferred Provider you can also save yourself some out of pocket expenses. Use this link to search for participating physicians, hospitals, facilities, medical equipment, or supplies in your local area.

We recognize the increased need for appropriate mental health treatment for college students. We’ve partnered with United Behavioral Health (UBH) to ensure that you have access to UBH’s network of mental health care providers and facilities. UBH partners with more than 80,000 clinicians and more than 3,500 care facilities nationwide. Clinical excellence, innovation, and a relentless commitment to the most scientifically advanced health care solutions distinguish UBH as the national leader in behavioral health. To find a local Behavioral Health provider in your area, please click the link below:

Forms – Saint Augustine’s University


To view or print the PDF files, you’ll need a free utility called Adobe Reader. If you already have Adobe Reader and still have trouble opening these forms you might need to download the most recent version of Adobe Reader.



Personal Representative Appointment Form (PRA)/Yearly Authorization Form

If you would like a parent or another specific person to assist you with filing your claim(s) and to be able to discuss details of your claim(s) with our claim department, you will need to complete and sign this form. The Yearly Authorization Form gives us permission to discuss any and all medical conditions with your Personal Representative throughout the school year. This form is filled out once and is good for every injury/sickness for the entire school year.

 

Specific Case Authorization Form

If you would like a parent or another specific person to assist you with filing your claim and to be able to discuss details of your claim with our claim department, you will need to complete and sign this form. The Specific Case Authorization Form gives us permission to discuss only one specific medical condition with your Personal Representative, as you would specify on the form.

 

Enrollment Form – N/A for Catawba College

This is the form that you will use to sign up for the School Injury and Sickness plan. It will show you the rates, coverage periods, and any optional coverages available to you.

 

Medical Claim Form

This form can help you get reimbursed for all covered medical benefits which you have already paid out of pocket. Please keep in mind when you are requesting reimbursement:

  • Clip, do not staple, all bills to the completed form.
  • Make sure all bills or itemized receipts indicate a diagnosis code, procedure code, date of service, cost, and the provider’s tax ID number.
  • Mail claim to: UnitedHealthcare StudentResources P. O. Box 809025 Dallas, TX 75380
  • OR Fax claim to: 469-229-5625

 

Claim Information Form

Please download this form if you’ve received a request from us for more information regarding a claim submitted by your doctor or if you would like to speed up the claim process. By providing the injury/sickness information we are able to process your claim accurately and efficiently.

Mail to:

UnitedHealthcare StudentResources
PO Box 809025
Dallas, TX 75380-9025

Or fax to: 
469-229-5625

 

Pharmacy Claim Form

This form is used for reimbursement of prescription drugs. If you did not present your ID card when you purchased your prescription out of pocket, you will need to submit this form for a refund. Along with this form for prescriptions filled at a network pharmacy, please attach the paid prescription receipt and the paid cash receipt to:

OptumRx Claims Department

P.O. Box 29044

Hot Springs, AR 71903

 

Privacy Policy

Updated as of 1-1-17* This form describes how we will obtain your written authorization prior to use or disclosure of your health information. We are required by law and committed to protecting the privacy of your health information. This form explains how we may use information about you and when we can disclose that information to others. You also have rights regarding your health information that are described in this notice.

Health Care 101 – Saint Augustine’s University


Welcome to the Health Care 101 Center! We understand the busy schedule of both parents and kids, no matter what the age. With that in mind, here’s a no-frills, easy-access guide to health insurance benefits.

Insurance 101 is not meant to address your policy specifically (each one of these has its own list of exclusions and limitations). However, this is a generic overview of health insurance types and terminology. If you have a specific question about your policy please give us a call at 1-800-505-4160.

Trying to determine if you should purchase the health insurance plan? Download our tools below for a few tips

Healthcare 101

Insurance Glossary of Terms