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Students Away at School
If your child (age 5 to 26) goes away to school outside our service area, we go with him or her.
Emergency Care for Students Away at School
Emergency care is covered. There’s no need for authorization. If there’s a serious illness or injury, your
child should call 911 or go to the nearest emergency room. If admitted to the hospital, your child, or
someone chosen on his/her behalf, must report the admission. Call Admissions using the number on the
back of your ID card within 48 hours. Without proper notice, claims for these services may be denied.
Urgent Care for Students Away at School
Urgent care, for treatment of minor injuries like a sprained ankle or treatment of the flu, is also
covered. This includes X-rays and lab tests following an illness or injury, done in an outpatient setting.
Looking for an urgent care center? Call Client Services to find out if there is an affiliated urgent care
center nearby. If there isn’t, your child should go to the nearest urgent care center. College health care
centers can also help with urgent care services.
Follow-Up Care
Follow-up care must be authorized by HAP before getting treatment. It may also need review by our
medical director. Call Client Services to find out if authorization is needed for follow-up covered care.
Coverage Criteria for Students Away at School Program
To be eligible for services, the following conditions must be met:
• The student must attend an educational institution outside of our delivery system
• The student is between the ages of 5 and 26
Here is a list of some covered services for students away at school. See your Subscriber Contract or
Health Insurance Policy for details:
1. Emergency and urgent care
2. Required maintenance visits for chronic conditions with the preapproval of our medical director
or designee
3. Follow-up office visit related to an acute illness/injury only with the preapproval of HAP’s
medical director or designee
4. Imaging provided in the outpatient setting and related to the acute illness or acute injury
5. Laboratory tests provided in the outpatient setting and related to acute illness or injury
6. Routine immunizations/vaccines according to the recommendations from the Centers for
Disease Control and Prevention (CDC)
7. Allergy injections
8. Prescription coverage as allowed under the member’s Prescription Drug Rider