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Below you will find useful information about the

University of California – Irvine
UC Extension International Programs Health Insurance Plan

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Use your insurance

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.

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.

Claim forms
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. Always retain copies for your records. Fax your completed Aetna Claim Form receipts to (859) 455-8650 or mail it to:

Aetna Student Health Claims
P.O. Box 981106
El Paso, TX 79998

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 (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

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.