State University and Community College System of Tennessee    

2007 - 2008 Domestic Student Insurance


The State University and Community College System of Tennessee

Tennessee Technology Centers
2008-09 Student Injury Insurance Plan

The student injury plan has been developed just for the students enrolled in the Tennessee Technology Centers.

 

30 most frequently asked questions

brochure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     

1. How do I enroll in the Plan?

2. What are the maximum benefits and how much does it cost?

3. How do I pay?

4. What coverage periods are available?

5. Can I enroll after the 31 day open enrollment period and are the premiums pro-rated?

6. If I elect not to purchase the annual coverage, will I receive notification to re-enroll for continuous coverage?

7. What happens if I do not re-enroll during the 31 day grace period?

8. Will I receive a receipt?

9. Will I receive an identification card?

10. Will I receive a copy of the policy?  c

11. Can I get a refund?

12. Does the plan provide maternity benefits?

13. Does the plan cover pre-existing conditions?

14. Does the plan include deductibles?

15. Does the plan pay for outpatient prescriptions?

16. Can I choose any physician and hospital?

17. Has the company received my premium payment?

18. How do I verify coverage?

19. How do I file a claim?

20. How do I check the status of my claim? c c

21. How do I get another identification card?

22. If I purchase the annual coverage and graduate prior to the September 2, 2008 expiration date will I be covered through September 2, 2009 expiration date?

23. What should I do if the student health center is closed or I am away from school?

24. Does this plan cover health related conditions when I am out of the country?

25. How do I know if an injury is covered?

26. Is pre-certification of hospital admissions required?

27. Does the insurance plan include a prescription drug, dental and vision plan?

28. Does the plan include a prescription drug card?

29. Does the insurance plan include wellness benefits?

30. Does the plan included Medical Emergency Expense benefits?

Do you need additional assistance?

 

 

1. How do I enroll in the Plan?

Determine your eligibility.

2008 - 09 Injury Insurance Plan

Basic Plan Benefits:   $ 2,000 Maximum

The premiums are affordable and your acceptance is guaranteed.

2008 - 09 Premiums

Student  24 Hour Coverage              

Annual           $53

Trimester     $19

Student  School Time Coverage              

Annual           $27

Trimester     $10

 

 

  3. How do I pay?
4. What coverage periods are available?
    The plan may be purchased for your specific coverage periods.

2008 - 2009 Injury Plan

Coverage Period

 

Summer

05-01-09 to 09-02-09

 

 

5. Can I enroll after the 31 day open enrollment period and are the premiums pro-rated?
    Yes. You are eligible to enroll after the open enrollment period.
    Premiums are not pro-rated. Please note the premiums are charged by coverage period. If you enroll after a coverage period has begun, you must still pay the full premium. There is no provision in the policy for "pro-rating" of premiums.
 6. If I elect not to purchase the annual coverage, will I receive notification to re-enroll for continuous coverage?

7. What happens if I do not re-enroll during the 31-day grace period?
    If the premium is not paid within the 31-day grace period, coverage will lapse at the end of the coverage period. If premium is subsequently paid, a new effective date of coverage will be established and the pre-existing condition exclusion will be active.
     
8. Will I receive a receipt?
9. Will I receive an identification card?
10. Will I receive a copy of the policy?
11. Can I get a refund?

the insured enters or becomes active in the armed services of any country Then the company will issue a pro-rata refund for the period not covered by the policy. Claims filed for payment will also determine the amount of refund.

 

12. Does the plan provide maternity benefits?
13. Does the plan cover pre-existing conditions?
14. Does the plan include deductibles?
No
 
15. Does the plan pay for outpatient prescriptions?
No.
 
16. Can I choose any physician and hospital?
17. Has the company received my premium payment?
 back to FAQ
18. How do I verify coverage?
 

19. How do I file a claim?

1) Report the Student Health Center for treatment or referral, or when not in school, to their physician or hospital

2) Mail to the address below all medical and hospital bills along with the patient’s name and Insured’s name, address, Social Security number and the name of the college or university under which the student is insured. A company claim form is not required for filing a claim

GM-Southwest 
PO Box 6000
Frisco TX  75034

1-800-550-4870 option 1

3) File claim within 30 days of Injury or first treatment for Sickness. Bill should be received by the Company within 90 days of services to be considered for payment or as soon as reasonably possible. Bills submitted after one year will not be considered for payment except in the absence of legal capacity.

GM-Southwest     
PO Box 6000       
Dallas, TX 75034

1-800-550-4870 option 1

 

20. How do I check the status of my claim?

back to FAQ

21. How do I get another identification card?
22. If I purchase the annual coverage and graduate prior to the September 2, 2008 expiration date, will I be covered through the September 2, 2009 expiration date?
    Yes. Coverage will terminate on the last day of the period for which premium has been paid.
 
23. What should I do if my student health center is closed or I am away from school?
24. Does the plan cover health related conditions when I am out of the country?
    Yes. The plan provides coverage 24-hours a day anywhere in the world.
25. How do I know if a particular injury is covered?
26. Is pre-certification of hospital admissions required?
  back to FAQ
27. Does the insurance plans include a prescription drug card?

No. The student insurance plan does not include a prescription drug card.

 

  28.  Does the plan include vision and dental benefits?

      The insurance plan does not provide vision benefits.

The insurance plan includes a dental benefit for injury to sound natural teeth in the amount of $100 per tooth.

  29. Does the insurance plan include wellness benefits?

No. The plan does not provide wellness benefits.
 
  30. Does the insurance plan include Medical Emergency Expense benefits?
    Yes. Expenses for a covered medical expense include use of the emergency room and supplies up to $50 maximum and $25 for non-fracture.
  back to FAQ
If you are unable to find your question and answer, assistance with other inquiries may be obtained by contacting Health Benefit Concepts, Inc.

        

 

 

 

 

 

Hit Counter