Uf Medical Insurance Form

The online insurance verification form does not replace the insurance waiver.

Uf medical insurance form. As of may 2016 uf health compliance handles all university of florida requirements regarding immunizations and health insurance. There are times when students health or well being access to health services or payment. Follow instructions below to submit insurance information to the student health care center only. Basic instructions have a doctor s office clinic or health department fill out the form.

Those patients who lack insurance coverage or are unable to pay their portion of the healthcare services they receive may qualify for financial assistance based upon their income level. Graduate students on appointment as graduate assistants may choose to participate in the gatorgradcare health plan an injury and sickness insurance plan underwritten by bluecross blueshield of florida. Here at the university of florida preserving our students health and wellness is paramount. Uf health shands provides financial assistance to the patients it serves in accordance with federal regulations.

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. Why does uf require proof of health insurance. For more information and to complete the official uf forms visit healthcompliance shcc ufl edu.

Enrolling in the uf insurance plan enrollment deadline. United healthcare student resources uf insurance requirement visit uf s health compliance website for. Physical address 1908 stadium rd yon hall rm249 gainesville fl 32611 phone 352 294 2925. The policy year begins on august 14 and terminates on the same date the next year.

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. Patient financial services will contact you if there is an issue with any information provided. The age range of college students accounts for the largest group of uninsured and under insured individuals in the nation. Complete the electronic online insurance verification form below.

Payment for services at the student health care centercurrent patients. Private insurance verification uf insurance plan. Unless otherwise noted all sections are required.