Choosing a network pharmacy may help you save on costs. Find a local pharmacy that's convenient for you. $10 Copayment for Tier 1 $20 Copayment for Tier 2 Up to a 30 day supply per prescription filled at a UnitedHealthcare Pharmacy (UHCP) $10 Copayment for Tier 1 $20 Copayment for Tier 2 $20 Copayment for Tier 3 Up to a 30 day supply Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines are developed as needed, are regularly reviewed and updated, and are subject to change. This Prescription Drug List (PDL) is accurate as of Jan. 1, 2021 and is subject to change after this date. Please consult United Healthcare Student Resources for any benefit limitations on prescription drugs, mental health, chiropractic care, ambulatory care, dental accidents, elective abortion, anesthesiology, assistant surgeons and more. UnitedHealthcare members with health plans through an employer may use the UnitedHealthcare app to help manage their medications. Claim reconsideration does not apply to some states based on applicable state law. If you’ve ever needed prescription drugs, you know they can play an important role in keeping you healthy. Shop AARP Medicare Advantage, Medicare prescription drug, Medicare Supplement Insurance and Medicare Special Needs plans from UnitedHealthcare. These costs are decided by your employer or health plan. The Student Health Insurance Plan is provided through UnitedHealthcare Student Resources (UHCSR). No matter what, it’s helpful to know how your benefits work. Have questions about your UnitedHealthcare member identification (ID) card? Call the phone number on your health plan ID card. Some medications have quantity limits for quality and safety reasons. Box 809025 Dallas, TX 75380-9025 Phone: 1-866-948-8472 Email: GKClaims@uhcsr.com Website: www.uhcsr.com. Prescribed by a health care professional such as your doctor, For services performed by a network health care professional, For products and drugs filled at a network pharmacy. They represent a portion of the resources used to support UnitedHealthcare … UMR is a UnitedHealthcare company. This summary is applicable to fully insured and self-funded UnitedHealthcare Student Resources plans using the Medical Necessity Model and that also use United Behavioral Health (“Optum”) as their behavioral health vendor. Insurance for Graduate Students on an Assistantship This plan is provided to eligible graduate student assistants as a benefit. Get information on lower-cost prescription alternatives, if available, to help save members money. If you have a prescription for a certain kind of medication, you can look it up in your PDL to see how it’s covered. Let’s walk through some tips on how to use your pharmacy benefits for prescription drugs. But the Plan pays more — and you pay less — when you use UHCSR Preferred (PPO) doctors. Worldwide assistance services (medical evacuation and repatriation) UnitedHealthcare Global: Toll-free within the United States: 1-800-527-0218 When your plan requires you to try one or more medications before approving coverage for a different one. I was given a number and told that my doctor needed to contact United Health Care and authorize this prescription if I were to ever get my dexcom. Medications used to treat complex or rare conditions that you may need to get from a specialty pharmacy. Find a local dentist or dental care in your area. Student Medicover is committed to attacking the greatest healthcare challenges for international students – inflated prices, confusing terms, and complicated processes. A list of pharmacies for your spouse/partner and dependents ’ t covered prescription before you your. More — and you may have to pay the full retail price your. 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