Students and parents of students who have Premier, Premier Plus, and Premier One
coverage often have questions about what to do for medical care, either as a college
student or as a secondary school student (high school). As students become more
independent, managing their own health becomes important. Health Tradition has outlined
several basic areas students should know about their healthcare coverage. After
students reach eighteen years of age, they are an adult for purposes of privacy
of medical information and conducting health plan business. This privacy sometimes
becomes effective at a younger age. Authorization
is required for parents to conduct any business for students over 18 years old or
make any inquiries regarding their care or claims.
Medicaid/BadgerCare members—please
click here.
Before you leave for school you should know several things about your health insurance
policy.
Some Helpful Tips:
Out-of-Area Benefit
Covered services for students out-of-area include urgent and emergency care. Premier
Plus members have additional services covered with higher member cost-sharing amounts.
Premier members require prior authorization for any other service that is not urgent
or an emergency, including follow-up services to an emergency or urgent care visit.
Please refer to your Certificate of Coverage and your Summary of Benefit information
for more details.
Customer Service
For questions on eligibility, medical or pharmacy benefits or services that may
require prior authorization, contact Customer Service at 1-877-832-1823 (toll-free).
This information is on the back of your ID card for easy reference.
Authorized Representative
To allow another person to inquire about your claims, referrals or care on your
behalf, Health Tradition needs an authorization signed by the student granting specific
and limited permission. The specific rules are available in your
member materials. This form is called "Authorization for Disclosure of Information".
MMSI Services Web Site
Students can access their claims, view eligibility information, request a membership
card and find a physician near you through a secure connection at MMSI Services.com.
Eligibility
You are covered up to age 19 unless in school full-time. Beginning at age 19, each
year you will receive a request for an update on your student status. Please complete
this form indicating your status or non-status as a student and mail it back to
Health Tradition. If a letter is mailed to you inquiring of your student status
and is not returned, your claims will not be paid until this information is reported.
Ask Mayo Clinic
Ask Mayo Clinic nurses are available 24 hours a day, 365 days a year for
confidential answers to your healthcare questions. The registered nurses will provide
you with reliable information or direct you to another resource. The Ask Mayo
Clinic phone number is on the back of your ID card as well as in your Member Handbook.