Aetna broker appointment
Questions about the policy, coverage or claims may be directed to: University Health Plans, Inc. Accredited for 18 straight years! Only college health centers in the U.
We want to serve you better. Please tell us how we are doing: All rights reserved Disclaimer Copyright Infringement. It provides coverage within the limits specified by the policy for: Hospitalization due to sickness or injury Emergency care Psychiatric care Out-patient services such as laboratory and X-ray procedures Referral to specialty providers Prescription medicines with a 2 tiered co-pay Some preventative services including immunizations The Claims Administrator: What is the difference between the Student Health Fee and insurance?
Why do I have to pay for both? What does the Student Health Fee cover? Primary care appointments with a clinician physician, nurse practitioner or physician assistant Women's health care services Psychiatric services and the Counseling Center Most in-office laboratory tests done within the SHC Health education counseling and programming Note: Some in-office lab tests, immunizations and medications purchased within the SHC are not covered by the health fee.
The SHC does not accept insurance for direct payment of these charges. If requested, you will be given a receipt which you may then submit to your insurance company for reimbursement. What does insurance cover? Referrals to specialty providers orthopedics, dermatology, etc.
What can I do to make sure my student is prepared? You are responsible for knowing the rules and complying with them. Agent Oversight routinely monitors agent performance against both CMS and internal standards and includes monitoring of: We now offer a telephonic SOA, which is an Interactive Voice Response IVR system that guides both you and the beneficiary through a short series of prompts to setup the required SOA prior to starting a sales presentation to a Medicare beneficiary.
Using the telephonic SOA: Verification Form Have Verification Form signed at every formal and informal event held. Upon your arrival to a venue, check-in so the venue knows you are onsite, have the form signed at that time. Keep a copy with you to help you stay compliant.
Educational Events CMS guidance regarding educational events. Referred beneficiaries must contact the plan, agent, broker or producer directly.
See attachment for specifics. This form is required by CMS. Complete the form prior to conducting an outbound call to a Medicare prospect.