This plan has incorporated into the coverage access to a network of medical professionals, including doctors and hospitals, known as the Preferred Provider Organization (PPO), offered through First Health Network. 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.
To locate a provider, visit the First Health Network Website below. Contact the provider prior to your visit to confirm their membership in the network.
The Pharmacy Benefit Manager for this plan is Express Scripts. Walgreens, CVS, Target, Wal Mart and many other retail stores are in the Express Scripts Network. For additional retail pharmacies, call
(800) 447-9638 or visit their website by clicking the link below.
Additionally, please see the Preferred Formulary list and a list of preferred drug exclusions related to this plan.
A mail order discount is available for maintenance medications (taken on a regular basis); pay two copays for each 90-day supply when using the mail order discount program. To sign up, go to the Express Scripts website (link below) and set up an online account. You can also download a mail order form through the link below that you can print out and mail in with a prescription.
Specialty medications are available only through Accredo, an Express Scripts Specialty Pharmacy. For more information, please view the Accredo Information Sheet below.
Information about getting your medical bills paid
AN SHS REFERRAL IS REQUIRED FOR BENEFITS TO BE PAID (unless an exception to the referral requirement applies). Please see the Referral Requirement on page 10 of the Plan Brochure for further details.
If you do receive treatment off campus, see below for information on how to file a claim.
If your provider files the claim on your behalf:
- The claims administrator still requires certain information from you. You will need to fill out a form indicating whether or not you have other insurance coverage. You will need to do this only once per academic year. You can find the Other Insurance Coverage form in the links below.
- You will receive an Explanation of Benefits that outlines what the insurance company paid and what is your responsibility to pay, if applicable.
- The claims administrator will contact you if they need other information; otherwise, they will pay the claim as indicated on the EOB. Do not ignore calls or letters from the claims administrator, as this may delay payment of your claim.
- If you have any questions about your claim, contact Personal Insurance Administrators, Inc., an Ascension Company, at (800) 468-4343, Monday–Friday, 6:30 a.m. to 5:00 p.m. (4:00 p.m. on Fridays) PT.
If the provider does not file a claim directly with the insurance company on your behalf, you will need to submit a claim for reimbursement for the portion of the charges the company is responsible for paying by completing these steps:
- Download a claim form below and fill it out completely.
- Include your policy number (as shown on your ID card) on the claim form.
- Attach the health center referral form (if applicable) and any bills for X-rays, laboratory charges, etc.
- Send your claim form, referral form (if applicable), and all bills pertaining to this claim to Personal Insurance Administrators, Inc., an Ascension Company, at the address below. Try to have all itemized bills attached to the same claim form.
Personal Insurance Administrators, Inc.
P.O. Box 6040
Agoura Hills, CA 91376-6040
- If you have questions about the status of your claim after it has been submitted, please call Personal Insurance Administrators, Inc., an Ascension Company, at (800) 468-4343, Monday–Friday, 6:30 a.m. to 5:00 p.m. (4:00 p.m. on Fridays) PT.
If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with the University, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.
If you have general questions about the Student Health Insurance Plan (SHIP) at Woodbury University, please view the FAQs below. We have provided answers to frequently asked questions for international and domestic students.
If you have questions about the waiver process or need help using the waiver portal, please view the Waiver FAQ.
Get help while you are traveling
As a student participating in this Student Health Insurance Plan, you are automatically enrolled as a member in the Travel Guard travel assistance program.
Travel Guard is a comprehensive program providing you with 24/7 emergency medical assistance—including emergency evacuation and repatriation—and other travel assistance services when you are outside your home country.
These services include advice and information regarding travel documentation, immunization requirements, political/environmental warnings, and information on global weather conditions. Travel Guard can also provide information on available currency exchange rates, local bank/government holidays, and ATM and customer service locations to clients. Travel Guard also provides emergency message storage, relay, and translation services.
How to contact Travel Guard:
- Inside the U.S. and Canada: Dial (877) 249-5362 toll-free.
- Outside the U.S. and Canada: Request an international operator, ask the international operator to connect to an AT&T operator, and have the AT&T operator place a collect call to Houston, Texas, at (715) 295-9625.
Information you will need to provide to Travel Guard when you call:
- Advise Travel Guard who you are insured by.
- Provide your Policy number (CAS9151580).
- Advise Travel Guard regarding the nature of your call and/or emergency. Be sure to provide your contact information at your current location in the event Travel Guard needs to call you back.
View a glossary of commonly-used insurance terms, provided by the Department of Health and Human Services.