2009 Medical Plans
The UM/Aetna Medical plans do not have pre-existing condition limitations. All of the plans offer the same benefit coverage. The UM Group ID is 811409. For a list of general exclusions, click here.
Medical Plan Highlights
Medical Plan Premiums
Medical Plan Comparison Chart
Important Forms and Claims Information
Urgent Care Centers
Walk-In Clinics
Registered Dieticians
UHealth Primary Care Physicians
Medical Plan Desk References
Contact Aetna
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2009 Faculty & Staff Monthly Medical Premiums
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Notes:
UMMG Medical Premiums
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If you receive a bill for covered services from an Aetna provider you must do the following: In-Network: Make a copy of your Aetna ID card (front and back) and a copy of the bill. Send a copy of both to the provider who is sending you the bill. This will alert the provider to bill the insurance company. Provide an explanation of the issue. Follow the same steps as above, but mail the information to the Aetna claims address below. Provide an explanation of the issue. Out-of-Network: Complete the claim form located below. Send Aetna a copy of your Aetna ID card and a copy of the itemized bill. When filing a claim you will need to provide: member ID, billed charges, patient date of birth, procedure code(s), diagnosis code(s), provider name and address or tax ID, and indicate on the bill if the charges were paid. Note: If you would like assistance with regard to medical claims issues from a University benefits representative, you must first complete the online HIPAA authorization. The Health Insurance Portability and Accountability Act (HIPAA) provides rights and protections for participants and beneficiaries in group health plans. HIPAA includes protections for coverage under group health plans that limit exclusions for preexisting conditions and prohibit discrimination against employees and dependents based on their health status. To complete the authorization, log on to www.miami.edu/myUM, click “employee”, then “benefits”, under “UMatter Benefits” click “HIPAA Authorization.”
Mailing Address for Aetna Claims: Aetna Aetna Medical Claim Form Provider Nomination Form Transfer of Coverage Form |
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The Medical Plan Desk References include important information such as costs for specific medical services, useful definitions, prescription drug plan guidelines, contact information, and more. In addition, included in each desk reference is a UMatter Preventive Care Wallet Card. Keep this card with the Aetna medical identification card for easy reference to your free preventive care services. Aetna Select 1 |
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Online: www.aetna.com |
to view a comparison of medical plan design details including copays, deductibles and the out-of-pocket maximums.To view the 2008 Medical Plan Web page, click here.
