The PPO Network for this plan has changed to AETNA.
This plan utilizes the Aetna Open Access Student MC Preferred Provider Network. To learn more about the network or find a provider, view the Aetna DocFind® online provider directory by visiting the link below. While you are allowed to visit any provider of your choosing, if you use an in-network PPO doctor or facility, you will pay less money out-of-pocket.
Contact the provider prior to your visit to confirm their membership in the network.
Click the “How to get your Aetna Student Health ID Card” link below for instructions on how to visit your school specific web page and get your ID card.
THE AETNA NAME AND LOGO ARE REGISTERED TRADEMARKS.
If the Provider does not file the claim directly with Aetna Student Health, then you can file the claim by submitting an Aetna Claim Form along with an itemized bill and proof of payment (if you paid for the service) immediately after treatment to us. Always retain copies for your records.
For prescription drug claims, to receive reimbursement, you will need to submit a claim form and the prescription receipt to Aetna. Fax your completed Aetna Prescription Drug Claim Form and receipts to 1-888-472-1128 or mail it to:
Aetna Pharmacy Management
P.O. Box 52444
Phoenix, AZ 85072-2444
Personal health information requests
We need your permission to release your Personal Health Information. Print out the PHI Request 67902-5 form and fax it to (860) 907-3017 or mail it to:
Aetna Legal Support Services
151 Farmington Avenue, RT65
Hartford, CT 06156-9998
The Pharmacy Benefit Manager for this plan is Aetna Pharmacy Management (Formulary: Aetna Premier Plus). Only prescriptions filled at Aetna pharmacies are covered. For more information, visit the Aetna website, or view the formulary, by clicking on the links below.
Domestic graduate students may enroll voluntarily in SHIP by completing a form below by the deadline date each term, or the annual deadline, if purchasing a full year of coverage. Once you have filled in the form, mail it, along with payment, to the address below:
P.O. Box 240042
Los Angeles, CA 90024
Involuntary Loss of Coverage
You may enroll in SHIP mid-year if you waived out but later lose your other coverage due to no fault of your own, such as cover age that terminates due to a loss of employment (by you, your spouse, or your parent) or by reaching an age limit set by the plan. This does not include coverage that has been voluntarily or inadvertently terminated by you, for example, by missing an enrollment deadline. To enroll in the plan mid-year after an involuntary loss of coverage, you must notify the Student Services Office on campus and submit proof of loss of coverage within 31 days of termination of prior coverage. Premium costs will be prorated based on number of full months remaining in the term. Contact Ascension Customer Service at (800) 537-1777 for an enrollment form or additional information.
Student Health Services (SHS) is committed to promoting the physical health and wellness for all students served by the Claremont University Consortium. Our well-trained team of doctors, nurse practitioners, and medical support staff provides full-service care including laboratory and basic imaging, dispensary, and immunizations. We are an appointment-based clinic. Appointments scheduled in advance are offered at no charge to students. Labs, imaging and limited prescriptions are available at reasonable fees.
Phone: (909) 621-8222
Address: Tranquada Student Services Center, 1st floor, 757 College Way, Claremont, CA 91711
A referral is required from Student Health Services prior to seeking treatment off campus, except under the following circumstances:
- For treatment for Emergency Medical Condition (a referral is required for follow-up care);
- For obstetrical and gynecological treatment;
- For pediatric care;
- For Preventive Care;
- For prescription drugs;
- For Mental Health treatment;
- When Student Health Services is closed, including when classes are not in session during official school breaks and holidays;
- When you are more than 25 miles from campus;
- For Dependents insured under the Plan.
This plan offers several additional benefits, including a discount for vision services, a 24/7 health information line, natural health discounts, and a maternity program. Please see the flyers below for more information on these discounts and services.
View a glossary of commonly used insurance terms, provided by the Department of Health and Human Services.