2010-2011 Vanguard University 06-BR-CA 04-923-1
Vanguard University / Vanguard Vanguard University (SHIP) Vanguard University UnitedHealthcare Insurance Company Metlife Dental Vanguard Vanguard 7 Vanguard University Vanguard University Vanguard (Student Life Department) 2010 9 3 2011 1 21 2010 8 5 2011 1 1 2011 1 2 2011 8 4 (12) $697 1-800-767-0700 (PenBen) 1-888-661-9922 Vanguard University
... 1... 1... 1... 1... 2... 3... 6 UnitedHealthcare... 6... 7... 7... 7... 7... 8... 8 X... 8... 8... 8... 8... 8... 9... 9... 10... 10... 10 AIDS... 10... 10... 10... 10... 11... 11... 12 Scholastic Emergency Services... 13... 13... 14
1-800-767-0700 www.uhcsr.com 7 31 2010 8 5 ( ) 2011 8 4 2011 1 2 ( ) 01/01/2011 / 08/04/2011 14 90 1
UMR Care Management 1. 1-877-295-0720 2. 1-877-295-0720 UMR Care Management 8:00 6:00 1-877-295-0720 2
$100,000 () ( ) $150 ( ) () 80% 60% $100,000 UnitedHealthcare Options PPO $25,000 100% max = PA = U&C = PA U&C 60% PA U&C 60% X () PA U&C 60% 4 PA U&C 60% Ingenix PA U&C 60% 50% 50% PA U&C 60% PA U&C 60% PA U&C 60% PA U&C 60% 3 PA U&C 60% 8 3
4 Ingenix PA U&C 60% 50% 50% PA U&C 60% PA U&C 60% PA U&C 60% X PA U&C 60% $1,500 PA U&C 80% PA / 72 $100 ( $100 / ) U&C 80% / $100 X / PA U&C 60% / PA U&C 60% PA U&C 60% X PA U&C 60% UnitedHealthcare (UHPS) 1 $10 / 2 Lunelle Depo-Provera $20 / 31 PA U&C 60% 8 $250 PA 100% U&C 100% PA U&C 80% PA U&C 60% $ 500 U&C 100% U&C 100% / / 40 PA 100% U&C 100%
PA U&C 60% 10 PA U&C 60% 5
UnitedHealthcare Options PPO 1-800-767-0700 ( ) 1-800-767-0700 UnitedHealthcare Options PPO PPO 1) 2) UnitedHealthcare (PDL) UnitedHealthcare ( 31 ) PDL PDL www.uhcsr.com (My Account) 1-877-417-7345 1 $10 2 $20 $750 6
www.uhcsr.com 1-877-417-7345 (HCG) RH A (PAPPA) () (hcg) () B HBsAg RPR HIV HIV-ab ( ) (AFP) hcg (AFP) hcg a 35 (CVS) 50 ( 1 ) B 1-800-767-0700 180 () $10,000 $10,000 $5,000 () $100 6 6 UnitedHealthcare StudentResources 14 UnitedHealthcare StudentResources 7
X X 1. ( ) X 2. X X 3. X $5,000 (1) (2) (1) (2) (3) (4) 8
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b) I II III IV AIDS (AIDS) ( ) (PSA) 10
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15. 16. (a) (b) (c) 17. 18. 19. 6 63 20. a) b) c) (Caution - limited by federal law to investigational use) d) e) f) g) Parlodel Pergonal Clomid Profasi Metrodin Serophene h) (1) 21. / ( ) () 22. 23. 24. 25. 26. 27. 28. ( ) 29. 24 / 12
Scholastic Emergency Services Scholastic Emergency Services (SES) SES 100 SES SES 911 SES SES SES * * * * * * * * * * * * www.uhcsr.com SES (877) 488-9833 ( ) (609) 452-8570 ( ) medservices@assistamerica.com SES 1. () 2. 3. 4. () 5. 6. SES SES SES www.uhcsr.com SES SES UnitedHealthcare StudentResources www.uhcsr.com (My Account) www.uhcsr.com (Create an Account) 7 www.uhcsr.com 13
1) 2) 3) 30 90 UnitedHealthcare Insurance Company UnitedHealthcare StudentResources P.O. Box 809025 Dallas, Texas 75380-9025 1-800-767-0700 customerservice@uhcsr.com claims@uhcsr.com / UnitedHealthcare StudentResources 805 Executive Center Drive West, Suite 220 St. Petersburg, FL 33702 727-563-3400 1-800-237-0903 info@uhcsr.com 2010-923-1 v2 14
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