Students Away at School? Have Peace of Mind With Coverage from HAP

There’s a lot to be concerned about when you have a child going away to school. When it comes to their health care, we can help.

HAP’s HMO and EPO plans cover students ages 17 to 25 under our Students Away at School program.* Students with PPO coverage have access to non-emergency services across the country using their out-of-network benefit coverage.

Prior authorization: With prior authorization, students have expanded coverage that includes services that are normally not covered out of their network.

Emergency services: Students are always covered for urgent or emergency care, including mental health services. They should go directly to the nearest hospital or urgent care center or call 911. They do not need authorization for urgent or emergency care.**

Care for students when they’re at school***

When students are at school – and outside of HAP’s service area – they need to get authorizations for covered services. This includes the following:

  • Non-emergency and minor illness or injury and these related services:
    • Follow-up visits
    • Outpatient imaging and lab tests
    • Short-term physical therapy for rehabilitation
    • Durable medical equipment (if included in your specific health plan)
  • Routine allergy injections, flu shots and immunizations
  • Required maintenance visits for chronic conditions (for example, asthma or acne)
  • Office visit to get a birth control prescription
  • Prescription drugs (according to your health plan)

To obtain authorization for treatment or services, the student should contact a HAP Students Away coordinator by calling (800) 422-4641 (TTY: 711) or email us at [email protected] For behavioral health concerns such as depression, anxiety, ADD or ADHD, call (800) 444-5755.

24/7 Telehealth

telehealth pinkeye POSTGetting care online has never been easier for your student. HAP has partnered with American Well® to provide members with telehealth services.

Licensed and board-certified doctors are available 24/7 for live, online visits via mobile phone, tablet or computer to treat non-emergency illnesses such as colds, flu, headache, rashes, sinus infections and pinkeye.

Learn more about Telehealth here.

Services they should get at home

While at school, students are only covered for certain services. That’s why it’s important to take care of their other medical needs while they’re at home.

They must get these routine services at a doctor or facility in HAP’s service area. Otherwise, they won’t be covered.

  • Complete physical examinations – including gynecology exams.
  • All elective surgery or hospitalization
  • Eye examination (e.g. eyeglasses, contact lenses).
  • OB-GYN services for pregnancy
  • Doctor office visits
  • Long-term physical or occupational therapy
  • Treatment for complex or chronic medical conditions. This includes, but is not limited to, radiation therapy, chemotherapy, stem cell transplants, organ transplants and extensive evaluations for diagnosis purposes. A chronic condition has a long duration or recurs frequently.
  • Testing for tuberculosis.
  • Vaccinations required by your school or only for travel purposes.
  • Sports medicine services.
  • Non-emergency dermatology services.

* Students Away at School Program doesn’t cover dependent children who live with a custodial parent, outside of our service area. Students with PPO coverage have access to nonemergency services across the country using their out-of-network benefit coverage.

**If students need extended inpatient care, HAP reserves the right to transfer them to an alternative facility within the HAP service area.

*** Some colleges or universities require a waiver letter for a student to opt out or waive coverage under their school’s student insurance plan. Your school may allow you to waive their coverage if you provide details about what is covered by your health plan. If you require a waiver letter, please call the Customer Service number on your ID card. You can also dial 711 for TTY service.

Categories: Get To Know Your Plan