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Health Insurance

 
 

For information regarding enrollment and fees please go to the Student Accounts webpage.

Links to various information about the Student Health Insurance can be found here:

Summary of Benefits;
Network providers (First Health) ;
Claim forms for services (SSIG - ACI);
Networked pharmacies (MEDCO);
Claim forms for medication (MEDCO);
Third Party Administrator (ACI);
Synopsis - Information and telephone numbers for the insurance company, networks, Third Party Administrators and the Health Care Advocate.

Understanding health insurance can be very difficult and complex at times. First there is the insuance company which underwrites the policy. This year the student health insurance company is Shared Services Insured Group (SSIG). Then there is a Third Party Administrator, known as the TPA. They process the claims, pay providers and reimburse patients for covered expenses. The TPA this year is Administrative Concepts Inc. (ACI). Last but not least there is usually a Healthcare Advocate, or liaison between the patient and the TPA. Your health care advocate is Hulse QM.

Most health insurance companies have contracts with 'networks'. Networks are groups of providers and pharmacies that agree to accept less payment for their services. The networks associated with the current student health insurance is First Health and MEDCO.

No claims forms will be required unless you are seeking reimbursement for out-of-pocket expenses. If you do need a claim form, you can find them on the links at the top of this page.

If you have a specific question about benefits or a claim which cannot be answered by the information found on the above links, please contact Hulse QM student Health Advocate, Carmen Terry at 1-800-287-0285 or e-mail cterry@hulseQM.com. Her business hours are Monday - Thursday 9:00 am - 3:00 pm. If you need assistance beyond this time, call Hulse QM main office number at 1-800-263-8146.

  If you have other insurance and belong to a Managed Care network such as a Health Maintenence Organization (HMO), you must notify them of the visit and charges by phone within a certain time (usually 24 hours) in order to be reimbursed for the expense. Each insurance carrier is different, so you should familiarize yourself with your specific policy guidelines for notification and reimbursement.   
 


 
 
   
Dickinson College,
PO Box 1773, Carlisle, PA 17013