Coverage for dependents

Peace of mind with the Students Away at School Program

We provide full coverage for your children and other dependents as part of your employer-provided plan.

Children ages 5 to 26 on your plan who are off at school are covered through our Students Away at School Program. They’re protected whether they’re studying down the road or across the country.

What the Students Away at School Program doesn’t cover

We require your dependents to receive the following types of care from their primary care doctors or an in-network facility:

• Doctor’s visits or treatments without prior authorization
• Elective, or nonemergency, hospitalizations and surgeries
• Occupational and physical therapy without prior authorization
• Outpatient care for mental health and substance abuse
• Pregnancy-related OB-GYN services
• Routine physical and gynecology exams

Please note: We don’t cover dependents who live with a parent outside our service area under the Students Away at School Program. Visit our Contact Us page or call us toll-free at (800) 422-4641 (TTY: 711) to determine if your child is eligible for coverage.

Make the most of the Students Away at School coverage

Because we don’t cover routine doctor’s visits while your child is away at school, make sure to schedule these appointments during holidays, summer breaks or other times when your child is home.

Dependents should carry their HAP ID cards at all times. Our mobile app, HAP OnTheGo, lets members view their HAP ID cards on their Apple or Android smartphones and send the cards to doctor’s offices, hospitals and pharmacies as needed.

Claims and reimbursements

Health care providers outside the HAP network may not accept your child’s HAP ID card. If this happens, you or your child may need to pay for services from these providers.

Make sure your child requests an itemized bill or receipt for these services. Itemized bills must include:

• Date of service
• Details of services given, such as procedure codes
• Diagnosis code
• Dollar amount charged
• Provider’s name, address and tax ID number

Send this itemized bill to us, along with your child’s name, address and HAP ID number. We’ll reimburse you for the full covered amount, minus any copays you or your child is responsible for.

Send your claims to:

Need additional information?

Talk to your employer for plan details, or contact us.