insurance
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WELCOME
Your exchange organization has enrolled you in an illness and injury health insurance policy, which is underwritten by Crum & Forster SPC and serviced by Total Scholastic Solutions. Please contact TSS Assist if you have any questions regarding your medical benefits, how to file a claim, or status of a claim you have filed. TSS Assist can also help you find a provider in the preferred provider organization (PPO) network (UnitedHealthcare) in the United States. Total Scholastic Solutions 27422 Portola Parkway, Suite 110 Foothill Ranch, CA 92610 USA Email: [email protected] Hotline: 1 800.817.4345* * For claims questions and if you need help to find a provider, please call the hotline. Carry your insurance ID card with you at all times. When you go to a Doctor’s office or to the Hospital, be sure to bring your insurance identification card. Always show your Insurance ID-Card on your phone to the doctor, view all important contact details and service hotlines, search for a doctor or hospital near your location and view the summary of your benefits. If you become ill or injured: How to find a medical provider within the PPO Network?
Your policy utilizes the UnitedHealthcare Options PPO Network. Medical providers who belong to this network are considered preferred providers and have a contract with your policy’s administrator to bill them direct for services rendered to their participants. This means for eligible expenses under your policy, a preferred provider will bill TSS Assist direct at the time of service and you would only be responsible for any deductible or copayment. You can search for a preferred network provider yourself via the link below or call TSS Assist for assistance at 1 800.817.4345* Pre-Authorization is required for certain services. Call 1-800-817-4345 Search for an Urgent Care or Walk-in Clinic at: UHC Provider Link or call Customer Service at: 1 800.817.4345 The following treatments and/or supplies must always be pre-authorized. Failure to Pre-Authorize will result in 50% reduction of eligible expenses up to $1,000 maximum penalty: • In-Patient Hospitalization • Outpatient Surgery • All CAT scans, MRIs, PET Scans • Air Ambulance (this service will be coordinated by the underwriter’s Air Ambulance Provider) • Specialty Treatments and Highly Specialized Drugs • Physical Therapy and Rehabilitation Services Medical emergency Notifications must be received within 48 hours of the Admission or procedure. Please submit a completed Pre-Authorization Request Form to TSS Assist a minimum of 5 business days prior to the scheduled procedure or treatment date. For more information, please call 1 800 817 4345
WELCOME
Your exchange organization has enrolled you in an illness and injury health insurance policy, which is underwritten by Crum & Forster SPC and serviced by Total Scholastic Solutions. Please contact TSS Assist if you have any questions regarding your medical benefits, how to file a claim, or status of a claim you have filed. TSS Assist can also help you find a provider in the preferred provider organization (PPO) network (UnitedHealthcare) in the United States. Total Scholastic Solutions 27422 Portola Parkway, Suite 110 Foothill Ranch, CA 92610 USA Email: [email protected] Hotline: 1 800.817.4345* * For claims questions and if you need help to find a provider, please call the hotline. Carry your insurance ID card with you at all times. When you go to a Doctor’s office or to the Hospital, be sure to bring your insurance identification card. Always show your Insurance ID-Card on your phone to the doctor, view all important contact details and service hotlines, search for a doctor or hospital near your location and view the summary of your benefits. If you become ill or injured: How to find a medical provider within the PPO Network?
Your policy utilizes the UnitedHealthcare Options PPO Network. Medical providers who belong to this network are considered preferred providers and have a contract with your policy’s administrator to bill them direct for services rendered to their participants. This means for eligible expenses under your policy, a preferred provider will bill TSS Assist direct at the time of service and you would only be responsible for any deductible or copayment. You can search for a preferred network provider yourself via the link below or call TSS Assist for assistance at 1 800.817.4345* Pre-Authorization is required for certain services. Call 1-800-817-4345 Search for an Urgent Care or Walk-in Clinic at: UHC Provider Link or call Customer Service at: 1 800.817.4345 The following treatments and/or supplies must always be pre-authorized. Failure to Pre-Authorize will result in 50% reduction of eligible expenses up to $1,000 maximum penalty: • In-Patient Hospitalization • Outpatient Surgery • All CAT scans, MRIs, PET Scans • Air Ambulance (this service will be coordinated by the underwriter’s Air Ambulance Provider) • Specialty Treatments and Highly Specialized Drugs • Physical Therapy and Rehabilitation Services Medical emergency Notifications must be received within 48 hours of the Admission or procedure. Please submit a completed Pre-Authorization Request Form to TSS Assist a minimum of 5 business days prior to the scheduled procedure or treatment date. For more information, please call 1 800 817 4345
