Medical Insurance Form Uf

Enrolling in the uf insurance plan enrollment deadline.

Medical insurance form uf. There are times when students health or well being access to health services or payment. The online insurance verification form does not replace the insurance waiver. At the time of service you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. Unless otherwise noted all sections are required.

United healthcare student resources uf insurance requirement visit uf s health compliance website for. Medicare has a coordination of benefits clause. Tips for waiver completion if you have medicaid medicare or tricare or your insurance does not have numbers for the fields requested enter 99999 or n a in the field s. Online insurance verification form online insurance verification form online insurance verification form.

Complete the electronic online insurance verification form below. Jpg gif png pdf tiff. Patient financial services will contact you if there is an issue with any information provided. The policy year begins on august 14 and terminates on the same date the next year.

For more information and to complete the official uf forms visit healthcompliance shcc ufl edu. Follow instructions below to submit insurance information to the student health care center only. Private insurance verification uf insurance plan. Important forms information patient data form consent and authorization must be signed by parent guardian if student under 18 current shcc patients.

An official stamp and an official signature from one of these entities must be included for this document to be approved. Payment for services at the student health care centercurrent patients. Uf health is a collaboration of the university of florida health science center shands. As of may 2016 uf health compliance handles all university of florida requirements regarding immunizations and health insurance.

Why does uf require proof of health insurance. Uf health is a collaboration of the university of florida health science center shands. Visit uf s health compliance website for current information and deadlines related to the university insurance requirement. Uf health shands hospital and the university of florida are approved medicare providers.

Basic instructions have a doctor s office clinic or health department fill out the form. Upload an image of the front and back of the patient student insurance card here. Here at the university of florida preserving our students health and wellness is paramount. Physical address 1908 stadium rd yon hall rm249 gainesville fl 32611 phone 352 294 2925.

The age range of college students accounts for the largest group of uninsured and under insured individuals in the nation.