UNC Student Medical Insurance Plan 2008-09 FAQs

When does my coverage end?

How do I continue my coverage after my policy terminates?

How do I cancel my policy?

How can I locate in-network providers?

How do I file a medical claim?

How do I file a prescription claim?

Under which tier is my prescription categorized?

Does my policy cover me outside of North Carolina?

Does my policy include dental coverage?

Does my policy include vision coverage?

How do I claim the $100 reimbursement for glasses/contacts?

Additional Questions?

•  When does my coverage end?

The last day of coverage under the 2008-2009 UNC Student Medical Insurance Plan is August 14, 2009.

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•  How do I continue my coverage after my policy terminates?

There is not a way to continue the UNC Student Medical Insurance Plan if you are no longer an eligible student.   However, you may be eligible to apply for an individual or short-term plan.   You may review information for both of these policies here .   Please contact our office if you have questions about these plans.  

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•  How do I cancel my policy?

To terminate your coverage under the UNC Voluntary Student Medical Insurance Plan, contact Hill, Chesson & Woody by email or by phone to request a termination form.   Once you have completed the form, return it to our office by mail or by fax at (919) 313-2020.   We will process your request and issue a prorated refund for the unused portion of coverage for which you have paid.   Refunds are prorated on a daily basis.   Please note that you may only request a future termination date; you may not cancel a policy retroactively.

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•  How can I locate in-network providers?

You may locate in-network providers within North Carolina, outside of North Carolina, and on a worldwide basis by using the provider search tool here .  

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•  How do I file a medical claim?

If a provider is out-of-network and does not file a medical claim for you, you will be responsible for filing the claim.   There is an 18-month timely filing limit for medical claims.   You will need to print and complete the medical service claim form.   You will also need to attach an itemized receipt for the service that includes the subscriber name, subscriber number, provider name, provider identification number, procedure code(s), diagnosis code(s), and charged amount(s).   Please note that credit card receipts are not itemized receipts.   We highly recommend that you maintain a copy of the claim form and receipt for your records.

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•  How do I file a prescription claim?

You should present your insurance card each time you fill a prescription.   If the pharmacy does not file a prescription claim for you, you will be responsible for filing the claim.   There is a one-year timely filing limit for prescription claims.   You will need to print and fill out the prescription claim form.   You will also need to include an itemized receipt for your purchase.   Please see page two of the claim form to find a list of items that your receipt must include.   Please note that credit card receipts are not itemized receipts.   We highly recommend that you maintain a copy of the claim form and receipt for your records.

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•  Under which tier is my prescription categorized?

To determine what your prescription's tier is, you may enter the prescription name here. Please see the Summary of Benefits for information regarding your benefits for each tier.

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•  Does my policy cover me outside of North Carolina?

The UNC Student Plan is a worldwide policy, so you will have coverage wherever you travel.   The plan does have in-network providers around the world.   You may search for providers outside of North Carolina on our website or by calling 1-800-810-BLUE.   If you visit an in-network provider in another state, you will need to make sure the provider files the claim to the BCBS of the state in which services are received.   For example, if you see an in-network provider in Florida, the provider will need to file a claim to BCBS of Florida.   Providers should be sure to include the YPP alpha prefix when filing claims to the local BCBS.

If you are traveling outside of the U.S., your benefits will apply just as if you were in the U.S.   The only difference is that you will be responsible for making payment at the time of service.   You may then file a claim using an international claim form.   You will need to submit an itemized receipt for the service along with the international claim form.   We highly recommend that you maintain a copy of the claim form and receipt for your records.  

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•  Does my policy include dental coverage?

The UNC Student Medical Insurance Plan does not cover routine dental services.

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•  Does my policy include vision coverage?

The UNC Student Medical Insurance Plan provides coverage for one routine eye exam per member per policy year subject to the in-network deductible and coinsurance.   This benefit is only available when you see in-network providers.   To locate participating providers in your area click here .  

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•  How do I claim the $100 reimbursement for glasses/contacts?

To file a claim for the hardware reimbursement, complete the medical service claim form and submit it to Blue Cross Blue Shield of North Carolina with a copy of your receipt.   We recommend that you keep a copy of both the claim form and the receipt for your personal records.

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