Health and Wellness Center
2008-2009 Insurance
Basic Plan
All students taking 6 or more credits during fall, winter and spring terms are automatically enrolled in the Basic Insurance Plan. The plan is designed to be of benefit to the majority of students including those with other major medical insurance coverage. Premium for the Basic Plan is $37 a term. Coverage during summer term is elective and application for enrollment is up to the student.
Optional Supplemental Insurance Plan
A student must be enrolled in the Basic Plan in order to be eligible to buy the Supplemental Plan.
Key Elements and Responsibilities
Student Health and Wellness Center: Lead by the Risk Manager for the Oregon University System, SOU participates in a four institution group (WOU,OIT, EOU, SOU) for the review and selection of insurance plans for students. The SHWC provides assistance to students as needed in dealing with insurance issues.
This academic year the Student Insurance Plans are underwritten by Aetna Life Insurance Company.
Please check out
2007-2008 Insurance
All students enrolled in 6 or more credit hours are automatically enrolled in the Limited Student Insurance Plan. The Limited Plan has a per term premium of $26, and no deductible. The Limited Plan is designed to be of benefit to the majority of students. It is a "first dollar" policy, which means it is intended to be billed first when the student already has major medical insurance. It is intended to be of help with co-pays or deductibles of other polices for covered items. There is no prescription coverage under the Limited Plan. .
The SHWC does not bill any insurance. Students receiving care at the SHWC must request an itemized statement and submit the itemized statement with personal information as described below to obtain reimbursement for covered items.
Information about submitting claims
When you seek medical attention, most often, the provider will submit the claims on your behalf to AmeriBen Solutions (the claim administrator). Occasionally, you will need to submit claims yourself.
All you need to do is follow these simple instructions:
- Send all itemized medical and hospital bills (itemized bills will
include provider tax ID#, and diagnosis codes); and all itemized
pharmaceutical receipts (not cash
register receipts), showing prescription number, name of drug, date prescribed, and name of person for whom drug is processed. - Please include the patient's name and insured student's name, address, school
ID#, Somerton medical ID number (from your permanent ID card), and name of
the university under which student is insured with the bills. Claim forms are NOT required. - Send the above information to:
AmeriBen/IEC Group PO
Box 7186
Boise, ID 83707
For claims inquiries and benefit questions call: 1-800-953-1801.
A plan providing Optional Extended Major Medical benefits is also available for students and their dependents at additional cost. See the brochure for more information about the Extended Plan benefits.
For questions concerning the 2007-08 plan, please contact Wells Fargo 1-800-853-5899 or http://www.wellsfargo.com/studentinsurance. For claims information, 1-800-953-1801 or http://services.ameriben.com.
FORMS
- Enrollment
- Claim
- Insurance Brochure
Oregon Health Plan
The Student Health and Wellness Center is not a preferred provider on the Oregon Health Plan. Please call (541) 552-6137 if you have questions.
