It can help you get your prescriptions filled more easily and help you control costs too. For people 65+ or those who qualify due to a disability or special situation, For people who qualify for both Medicaid and Medicare, Plans for people before age 65 and coverage to add on to other health insurance, Additional plans like student or life insurance, Learn how to sign in to your account if you get insurance through your employer, View individual and family plans near you, Managing medications (Prescription Drug Lists), Check your Prescription Drug List (PDL) often to stay ahead of changes in coverage, Talk to your doctor about lower-cost alternatives if a medication is too expensive. OptumRx is an affiliate of UnitedHealthcare Insurance Company. We are health enthusiasts providing affordable and reliable health insurance, excellent customer service, and … Please consult United Healthcare Student Resources for any benefit limitations on prescription drugs, mental health, chiropractic care, ambulatory care, dental accidents, elective abortion, anesthesiology, assistant surgeons and more. If you have a prescription for a certain kind of medication, you can look it up in your PDL to see how it’s covered. I was given a number and told that my doctor needed to contact United Health Care and authorize this prescription if I were to ever get my dexcom. You can also view a general list of pharmacies using the OptumRx Pharmacy Network Search. It describes benefits we offer to all members in all states. Prescription Drugs: *UnitedHealthcare Pharmacy (UHCP) $15 Copay per prescription for Tier 1 $35 Copay per prescription for Tier 2 $70 Copay per prescription for Tier 3 up to a 31-day supply per prescription (*Mail order Prescription Drugs through UHPS at 2.5 times the retail copay up to a 90 day supply.) This directory includes care providers who serve our Commercial, Medicaid / Community Plan (excludes United Healthcare Community Plan of Rhode Island ) and Medicare members. Claim reconsideration does not apply to some states based on applicable state law. The largest amount of medication your plan will cover per copayment or period of time. ©2020 United HealthCare Services, Inc. Careers - Opens in a new window. Lost your member ID card? 20PPOSB-315-2 Page 3 of 6 UnitedHealthcare StudentResources maximums and Copays as described in the plan certificate. Fringe Benefits: 12 days paid time off (includes sick and vacation leave). Your 2020 Prescription Drug List Traditional 3-Tier Effective Jan. 1, 2020 UnitedHealthcare's pharmacy programs allow you to get the medication you need at a low cost. If you are subject to a pre-existing condition investigation, please contact the United Healthcare Student Resources directly with questions: (800) 996-4698 or ww… Choosing a network pharmacy may help you save on costs. ... Talk to your UnitedHealthcare representative for more details. You can ask about a lower cost alternative if the drug your doctor chooses is too expensive or isn’t covered. Some medications have quantity limits for quality and safety reasons. You’ll find the detail about most prescription drug benefits by looking at your plan’s Prescription Drug List (PDL), also called a Formulary. Get information on lower-cost prescription alternatives, if available, to help save members money. This summary is applicable to fully insured and self-funded UnitedHealthcare Student Resources plans using the Medical Necessity Model and that also use United Behavioral Health (“Optum”) as their behavioral health vendor. Student Medicover is committed to attacking the greatest healthcare challenges for international students – inflated prices, confusing terms, and complicated processes. UMR is a UnitedHealthcare company. Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines are developed as needed, are regularly reviewed and updated, and are subject to change. If the customer has a UnitedHealthcare Student Resources plan, but uses a third-party behavioral health vendor, then UnitedHealthcare, River Valley, Oxford, and Student Resources medical plans with a pharmacy benefit subject to the Traditional 3-Tier PDL. This Prescription Drug List (PDL) is accurate as of Jan. 1, 2021 and is subject to change after this date. You can sign in to your health plan account and look under your pharmacy and prescription coverage information to see your plan’s PDL. Plan Administration UnitedHealthcare StudentResources 2301 West Plano Parkway, Suite 300 Plano, TX 75075 Mail your claims to: UnitedHealthcare StudentResources P.O. This PDL applies to members of our UnitedHealthcare and Student Resources medical plans with a pharmacy benefit subject to the Traditional 4-Tier PDL. When your plan requires you to try one or more medications before approving coverage for a different one. The information is a summary and is subject to change, as of December 12, 2020. PharmD and eligibility for pharmacy licensure in MN required; experience in a community pharmacy setting a plus. Prescription Drugs Mail order through UHCP at 2.5 times the retail Copayment up to a 90-day supply. UnitedHealthcare Student Resources: UnitedHealthcare Student Resources P.O. To better understand the procedures and protocols we follow to help to ensure your privacy, please review the following information: Starting Nov. 1, 2017, notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. A second-year specialty residency will be considered for individuals who have completed a general practice residency (with stipend adjustment). PDLs may change. If you don’t use a participating network pharmacy, you may have to pay the full retail price for your prescriptions. Student Health Insurance Administration. Students - Customer Service: 1-800-767-0700 MAIL. Call the phone number on your health plan ID card. At UMR, we are very sensitive to privacy issues. Call the phone number on your health plan ID card. Labs must register their tests to participate as part of the Genetic and Molecular Lab Testing Notification/Prior Authorization process. At times, a similar drug can work just as well — like if there’s a generic version of the drug. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. Worldwide assistance services (medical evacuation and repatriation) UnitedHealthcare Global: Toll-free within the United States: 1-800-527-0218 Doctors: You may receive care from any doctor or hospital. Insurance for Graduate Students on an Assistantship This plan is provided to eligible graduate student assistants as a benefit. StudentResources administration skills have been honed over decades of managing student health insurance plans. A referral from a Student Health Care Center provider may be necessary when using the UF insurance plan. Check current prescription coverage and price, including out-of-pocket prescription costs for UnitedHealthcare members at their selected pharmacy with the PreCheck MyScript Solution within your EMR or on Link. With some plans, you have the choice to fill your prescriptions at a participating network pharmacy or with home delivery by mail. Prescription Drugs $10 Copay for Tier 1 No Benefits Highlights of Coverage offered by UnitedHealthcare StudentResources 20PPOSB-451-1 Page 3 of 6 UnitedHealthcare Student Resources Maybe you take regular medications — or maybe you’ve only needed medication for specific treatments. Medications used to treat complex or rare conditions that you may need to get from a specialty pharmacy. The General UnitedHealthcare Plan Directory allows you to search for doctors, clinics and hospitals by selecting from the UnitedHealthcare family of health plans offered. Find a Pharmacy Find a Dentist. Student health plans can be a valuable solution for college-bound students and their families. But the Plan pays more — and you pay less — when you use UHCSR Preferred (PPO) doctors. Upon request, you can purchase coverage for your spouse/partner and dependents. Have questions about your UnitedHealthcare member identification (ID) card? Refer to Care Provider Dispute Resolution (CA Delegates OR HMO claims, OR and WA Commercial Plans) section for more information. $10 Copayment for Tier 1 $20 Copayment for Tier 2 Up to a 30 day supply per prescription filled at a UnitedHealthcare Pharmacy (UHCP) $10 Copayment for Tier 1 $20 Copayment for Tier 2 $20 Copayment for Tier 3 Up to a 30 day supply Our Drug Cost Estimator lets you see what you can expect to pay for Medicare Part D prescription drugs. A Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers. Want to access your card online? You can view list of pharmacies for your plan by signing in to your health plan account. Shop AARP Medicare Advantage, Medicare prescription drug, Medicare Supplement Insurance and Medicare Special Needs plans from UnitedHealthcare. The Student Health Insurance Plan is provided through UnitedHealthcare Student Resources (UHCSR). Let’s walk through some tips on how to use your pharmacy benefits for prescription drugs. Ordering care providers will complete the notification/prior authorization process online or over the phone. Find a local dentist or dental care in your area. No matter what, it’s helpful to know how your benefits work. If you have medications you take regularly, watch your PDL and track changes to stay ahead of possible changes in cost. OptumRx may be included in your health plan benefits because it offers members coverage through a large network of retail chain and independent pharmacies, as well as through its mail service pharmacy known as OptumRx Home Delivery and the Optum Specialty Pharmacy. Find a local pharmacy that's convenient for you. By that time it … You may be able to order up to a 3-month supply of medication you regularly take — and there’s usually no charge for standard shipping within the U.S. You can enroll in just a few steps when you sign in to your health plan account or call the number on your member ID card. No Benefits Your estimated coverage and copayment/coinsurance may vary based on the benefit plan you choose and the effective date of the plan. UnitedHealthcare members with health plans through an employer may use the UnitedHealthcare app to help manage their medications. Box 809025 Dallas, TX 75380-9025 Phone: 1-866-948-8472 Email: GKClaims@uhcsr.com Website: www.uhcsr.com. Your privacy is important to us! They represent a portion of the resources used to support UnitedHealthcare … Learn about our prescription benefits and health networks now. Prescription Drugs Prescription Drugs covered under the Preventive Care Services benefit will be paid at the benefit levels shown under Preventive Care … When your doctor prescribes medication, look at your list and talk about the cost. Claim Reconsideration and Appeals Process. Try it now to understand your coverage options. If you need to seek medical care or get a prescription before you receive your insurance card, please … Prescribed by a health care professional such as your doctor, For services performed by a network health care professional, For products and drugs filled at a network pharmacy. If your prescription medication benefit includes home delivery, you can avoid monthly trips to the pharmacy and you may save money too. Get answers to your questions here. A requirement that your doctor explains why you need a certain medication before your plan decides how and if it will be covered. It’s a list of medications and how they’re covered by your plan. These costs are decided by your employer or health plan. For people 65+ or those who qualify due to a disability or special situation, For people who qualify for both Medicaid and Medicare, Plans for people before age 65 and coverage to add on to other health insurance, Additional plans like student or life insurance, Learn how to sign in to your account if you get insurance through your employer, View individual and family plans near you, Managing medications (Prescription Drug Lists), Specialty medications not eligible for coupons, Advantage Tier 3 Prescription Drug List for UnitedHealthcare, Neighborhood Health Plan, River Valley, All Savers, and Oxford medical plans, Advantage Tier 4 Prescription Drug List for UnitedHealthcare, Golden Rule, UnitedHealthOne, Oxford, All Savers, Neighborhood Health Plan and River Valley medical plans, Access Tier 3 Prescription Drug List for UnitedHealthcare, Neighborhood Health Plan, River Valley and Oxford medical plans, Access Tier 4 Prescription Drug List for UnitedHealthcare, Neighborhood Health Plan, River Valley and Oxford medical plans, Traditional Tier 3 Prescription Drug List for UnitedHealthcare, River Valley, Oxford and Student Resources medical plans, Traditional Tier 4 Prescription Drug List for UnitedHealthcare and Student Resources medical plans, Essential Tier 4 Prescription Drug List for UnitedHealthcare, All Savers, Golden Rule, Neighborhood Health Plan and River Valley medical plans, Your Right to Request an Exclusion Exception, Standard Tier 4 PPO Prescription Drug List CDI Version, Standard Tier 4 HMO and PPO Prescription Drug List DMHC Version, Large Group Tier 3 PPO Prescription Drug List CDI Version, Large Group Tier 3 HMO and PPO Prescription Drug List DMHC Version, Large Group Tier 4 PPO Prescription Drug List CDI Version, Large Group Tier 4 HMO and PPO Prescription Drug List DMHC Version, Access Tier 3 PPO Prescription Drug List CDI Version, Access Tier 3 HMO and PPO Prescription Drug List DMHC Version, Access Tier 4 PPO Prescription Drug List CDI Version, Access Tier 4 HMO and PPO Prescription Drug List DMHC Version, Essential Tier 4 Prescription Drug List DMHC Version, Essential Tier 4 Prescription drug List DMHC Version, UHC Advantage Tier 3 Prescription Drug List, UHC Advantage Tier 4 Prescription Drug List, UHC Traditional Tier 3 Prescription Drug List, Oxford Advantage Tier 3 Prescription Drug List, Oxford Advantage Tier 4 Prescription Drug List, Oxford Traditional Tier 3 Prescription Drug List, Oxford Access Tier 3 Prescription Drug List, Traditional Tier 3 Prescription Drug List, Traditional Tier 4 Prescription Drug List, Advantage Plan Drugs Requiring Preauthorization, Traditional Plan Drugs Requiring Preauthorization, River Valley Pharmacy program 90/100 day list, Advantage and Essential Zero Cost Share Preventive Medications, Traditional, Access and Enhanced Zero Cost Share Preventive Medications, SignatureValue Zero Cost Share Preventive Medications, Advantage and Essential HMO and PPO Zero Cost Share Preventive Medications, Traditional, Access and Enhanced HMO and PPO Zero Cost Share Preventive Medications, Traditional and Access Zero Cost Share Preventive Medications, Emergency Contraceptive Services Only drug list, CT/DC/DE/IL/MA/MD/OR/WA Contraceptive Services Only drug list, Preventive Medication List: Core (1/1/2021), Preventive Medication List: Core (9/1/2020), Preventive Medication List: Core Plus (1/1/2021), Preventive Medication List: Core Plus (9/1/2020), Preventive Medication List: Expanded (1/1/2021), Preventive Medication List: Expanded (9/1/2020), Preventive Medication List: Federal Guided (1/1/2021), Preventive Medication List: Federal Guided (9/1/2020), Preventive Medication List: Universal (1/1/2021), Preventive Medication List: Universal (9/1/2020). 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