The coordination of payment between Medicare and this Plan can be set up under the Medicare Crossover arrangement. If you elect the Medicare Crossover arrangement, Medicare will automatically file claims information with UnitedHealthcare, the insurance company. Medicare Crossover forms are available in the Benefit Plans Office. However, for expenses (such as ambulance service) which are not considered eligible under Medicare, you must file a claim to receive benefits.
Claims for reimbursement of eligible expenses should be submitted within 90 days from the date of service. If this information is not received within 1 year and 90 days from the date of service, the claim will be denied.
Claims for prescription drug expenses should be filed under the prescription drug program.
If you need assistance in filing a claim, or if you have questions relating to plan coverage, call UnitedHealthcare at 1-800-436-7295.