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Important Messages


CORONAVIRUS IMPORTANT MESSAGE

Wellfleet is waiving out-of-pocket costs (copays, deductibles,
and coinsurance) for all COVID-19 treatment until
further notice.
Similar to a preventative visit, like your
annual physical, you’ll have no out-of-pocket costs
for your treatment.

Contact Information

For questions regarding enrollment or eligibility, contact Relation Insurance Services at
(800) 955-1991 or clientservices@relationinsurance.com.

For questions regarding claims or benefits, contact Wellfleet Group, LLC at
(877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

Helpful Videos


Use your insurance

Health Center

On-campus health services
for students

Visit the campus health center first before receiving any treatment off campus. If you receive a referral to be seen by an outside provider, keep the signed Referral Form until you are ready to submit your claim.

Location: Ladies’ Peace Palace, 1080 North 4th, Fairfield

Phone: (641) 472-7000, ext. 3411

Fall/ Spring Hours:
Monday – Friday: 9:30 a.m. – 4:30 p.m.

Closed weekends and school holidays. Consult the campus health center website for summer hours.

PPO Network

How to search for an
in-network provider

Use providers in the PPO network whenever possible.

It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick. To find a PPO provider, call (800) 678-7427 or visit the Multiplan website (link below).

  1. Click on “Find a Provider.”
  2. In the search box, enter “doctor” or “facility.”
  3. Enter your zip code, and click the magnifying glass.
  4. Select a provider from the list, and call to make an appointment.

Always check with the doctor or medical facility directly to confirm that they accept Multiplan Network before you receive treatment.

Pharmacy

Information about
Prescription Drugs

The Pharmacy Benefits Manager for this plan is Wellfleet Rx/ESI. Please see the Wellfleet/Express Scripts website (link below) to find a pharmacy near you, or call Member Pharmacy Help at (877) 640-7940.

Claims

Get your medical bills paid

In the event of either an Injury or a Sickness:

  1. Report to a Physician, Hospital or the School’s Student Health Services.
  2. Written notice of a claim must be submitted to the address below within thirty (30) days after the date of Injury or commencement
    of Sickness covered by the Policy, or as soon thereafter as is reasonably possible.
  3. Send all medical and hospital bills, along with the patient’s name and insured student’s name, address, Social Security number or student ID number and name of the University under which the student is insured, to the address below. A Company claim form is not required for filing a claim.

Wellfleet Group, LLC
P.O. Box 15369
Springfield, Massachusetts 01115-5369
(877) 657-5030, TTY 711
www.wellfleetstudent.com

Bills should be received by the Company within ninety (90) days of service. Keep copies of all the documents you submit. To
check the status of a claim you submitted, call (877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

 

Confidential Communication Request

If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.

Travel Assistance

When traveling away from
your school or outside the U.S.

Students covered under the student insurance plan are automatically enrolled in Wellfleet Travel Guard. Travel Guard offers many services to help students when traveling away from your school or outside the U.S., including medical emergencies during travel, help with lost luggage, documents, or medications, insightful pre-trip information, and more.

For additional information, see your Plan Summary or visit the Travel Guard website (link below).