Out-of-Area Coverage for Students
Posted on August 10, 2023
At Health New England, we support young people gaining a higher education.
In addition to worldwide emergency care coverage, for members enrolled in HMO plans with dependents attending and residing at schools outside of Health New England’s service area, the following services are covered:*
• Emergency or urgent care visits
• Follow-up visits after an ER or urgent care visit
• Non-routine medical office visits (includes diagnostic lab and X-ray)
• Allergy injections
• Outpatient behavioral health visits
• Outpatient short-term rehabilitation services
For members enrolled in non-HMO plans with an out-of-network benefit, these services are covered at the out-of-network benefit level.
For a printable version of this information, click here.
*All services require prior approval and are subject to the terms of your Explanation of Coverage (EOC) or Summary Plan Description (SPD). Routine care, medical evacuation and repatriation are not covered.
TELADOC OPTION
If covered dependents are unable to see their primary care provider for non-emergency care, they have access** to U.S. board-certified physicians 24/7/365 through Teladoc®. Behavioral health services** are also available through Teladoc. Copays may apply depending on plan. More information about Teladoc can be found at healthnewengland.org/teladoc.
If you have any questions, please call Member Services (413) 787-4004 or (800) 310-2835. Our representatives are available Monday through Friday, 8:00 a.m. to 6:00 p.m.
**Applies to fully funded groups and Health Connector members. Not all self-funded employer groups participate in the Teladoc Medical Care or Behavioral Health benefit. Please check your plan materials for details.
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