Office of the Dean of Students

Group #0190388 for the 2008-2009 policy year.
 
View 2008-2009 Student Brochure
View 2007-2008 Dependent Brochure
Questions about the policy can be directed to:
For enrollment questions: tcollins@uccs.edu, Main Hall 322, 719-262-3258
For policy Customer Service and claims questions: Ameriben, 1-800-626-5520

• Brochures, enrollment forms are available in Main Hall 322.
   
• Express Scripts Colorado Pharmacy Listing - May 2005.pdf
• View PPO List for 2008-2009

Eligibility:
Degree-seeking Undergraduate students taking 9 or more credit hours; Graduate students taking 6 or more credit hours; full-time intern students; students enrolled in certain approved certificate-seeking programs at UCCS are eligible to enroll in the Student Plan.  Enrollment for the insurance plan is limited to Fall Semester only, except for new students in the Spring or Summer Semesters.  Students enrolled for Fall insurance may then also enroll for subsequent semesters.  Separate dependent coverage is also available.  The insurance program affords reduced rates for students at the Student Health Center, and it primarily subsidizes major medical expenses according to the schedule of benefits stated in the insurance brochure.
Deductible:

• Student Only: $250 per policy year on Plan Option A
• Student Only: $3,000 per policy year on Plan Option B
• Student Prescription Plan: $50 per policy year

Coverage: (for most services)

• In-Network: up to 80% of Allowable Charges for most services
• Out-of-Network: up to 50% of Allowable Charges for most services

Preferred Providers for 2008-2009:  

• To find physicians participating in the Great West PPO Network, visit https://www.mygreatwest.com/default.aspx or call 800-626-5520.

Student Premiums and Effective Dates of Coverage for 2008-2009:
 

Frequently Asked Questions:
Q. How do I register for the student health insurance?
A.  Once you have registered for fall classes, you may pick up an application and brochure in the Dean of Students Office in Main Hall 322.  To request one by mail, contact UCCS Student Insurance via email with your street address or call (719) 262-3258. The enrollment deadline for each term is the semester census date (see chart above). Payment must be made in full at the time of enrollment.
Q. When does my coverage begin?
A. As long as you submit your enrollment form by the semester census date and meet eligibility requirements, you are covered as of the first day of classes.
Q. Can I register for the insurance mid-semester?
A. Only if you are involuntarily terminated from a prior insurance plan, and less than 30 days have elapsed without coverage. However, the premium for the term cannot be pro-rated, and coverage will begin when the enrollment form and certificate of credible coverage are submitted to the Student Insurance Coordinator
Q.  I am a student athlete – will I be covered while I am participating in any interscholastic, intercollegiate, or professional sports?
A.  No.
Q. I want coverage during the Summer, but I will not be taking classes at that time. Do I have any options?
A. There are two possibilities:

• If you enroll in the insurance plan for the spring semester, you are allowed to re-enroll in the summer term as well, even if you do not register for summer classes.
• If you enroll in the insurance plan for the Spring/Summer term, you need only register for the required amount of credits in the spring. Your coverage will continue throughout the summer, even if you do not register for summer classes.
• Note: The Student Health Center is only open to enrolled students. Therefore, if you do not register for summer classes, you will not be able to use their services. Also, the SHC has limited hours during the summer; call 262-4444 for more information.

Q. How do I obtain a list of providers?
A. Do the following:

• For the 2008-2009 plan visit https://www.mygreatwest.com/default.aspx.

Q. How do I make an appointment to see a health care provider?
A. If you are a registered student and have our insurance plan, then we recommend you first contact the Student Health Center (262-4444), because your deductible will be waived, and only a small co-pay applies. If it is closed, or refers you off-campus or you are an insured dependent of the student, then make an appointment with a network provider. As a precaution, always verify that a doctor's office participates in our health plan.
Note: If you have a true emergency, go to the nearest emergency room - you will be covered as if you were in-network.
Q. How are prescriptions handled for the 2008-2009 plan?
A.  After registering, you will receive a prescription plan card in the mail. See the policy brochure for benefit information. If need to fill a prescription before receiving your card, please visit the Office of the Dean of Students in Main Hall 322 for a temporary card. Participating pharmacies can be found at www.expressscripts.com. The group number is #0004038.
Q. How do I submit a claim?
A. It depends on the provider. Most offices bill the insurance company directly. If you receive the bill directly from the doctor's office, do the following within 90 days of receiving treatment:

1. Make copies of your bills for your own records.
2. • The patient's name
   • The insured student's name (if different), address, Social Security Number
   • "University of Colorado at Colorado Springs"
3. Attach the following information to your original bills:

 3.    Mail your original bills and patient information to:
        Ameriben Solutions
        P.O. Box 7186
        Boise, ID 83707
        Prescription claims are sent to:
        Express Scripts, Inc.
        P.O. Box 66773
        St. Louis, MO 63166-6673
        Attn: Claims Department
        Rx #AM2A
Q. How do I check the status of a claim?
A. Call Ameriben Solutions at 800-626-5520 or visit www.ameriben.com. Reference group #0004038.

Last Updated: 6/08