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Below you will find useful information about the

Maricopa Community Colleges
International Student Health Insurance Plan

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Important Messages


Contact Information

Please note that even though this plan utilizes the Cigna PPO Network as the Preferred Provider Organization (PPO), Cigna is not the insurance company. Because Cigna is not the insurance company, all questions related to benefits and claims should be directed to Wellfleet Group at the number listed below.

To locate PPO providers, visit www.mycigna.com.
If you or your provider have any questions about what’s covered, please call Wellfleet Group.

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

For questions regarding enrollment or eligibility, contact Relation Insurance Services at
(800) 537-1777 or clientservices@relationinsurance.com.

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Contact Information

For questions regarding eligibility or enrollment, contact
Relation Insurance Services at (800) 537-1777 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.

PPO Network

How to search for a physician or facility

It is required that you visit the campus health center first to receive treatment or a referral for any treatment off campus. If you have received a referral, use providers in the PPO network whenever possible.

It is best to locate an in-network physician, urgent care center, and emergency room near you before you get sick. To find a PPO provider, visit the Cigna website (link below).

  1. Enter your Address and City, or Zip, then click on address to confirm. Click on Doctor by Type, Doctor by Name, or Locations and make your selection in the drop down.
  2. Click Continue as guest. Note: you will not be able to crate a Cigna account).
  3. Confirm your address and click Continue.
  4. Under “Please Select a Plan,” click Cigna, Choice Fund PPO (bottom).
  5. Select a doctor from the list.

Arrive 15 minutes early for your appointment. Bring your insurance ID card with you. Always verify the provider is part of the Cigna PPO 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
PO Box 15369
Springfield, MA 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.

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).