In the months leading up to the start of a new semester, Open Enrollment is a focal point for many. This is the time that students can voluntarily enroll in their Student Health Insurance Plan (SHIP). It is important for this process to be as easy as possible so all students that need the plan get enrolled before Open Enrollment ends. There are many options offered to students to ensure a simple transition into their SHIP. Below are a few examples of the choices available to students during the Open Enrollment period.Continue reading
“This procedure/medication will require prior-authorization.” Words that no patient wants to hear when they are ready to proceed with a doctor-approved treatment plan for their medical concerns. However, it is one of the utilization management tools that insurance companies have developed to determine whether certain prescribed procedures, services, and medications are medically necessary, or whether there is an equally effective treatment available to the patient.Continue reading
Imagine opening your mail to find a surprise bill from a medical provider due to a denied claim. Now imagine that preauthorization for your child’s lifesaving procedure was denied. These are not situations that students, or anyone else, should have to worry about. A denial from the insurance company can be disheartening, but there are steps that can be taken to appeal the decision. Below is a high-level overview of the process for appealing an insurance claim.Continue reading
You’ve worked hard to negotiate competitive health insurance rates and benefits for your students.
You’ve worked relentlessly to educate them on how to use their insurance.
But then an upset student contacts you about an insurance claim they believe is inaccurate, or that they shouldn’t have received at all. It’s a difficult situation for everyone.
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