Domestic
Travel (including Canada, Mexico and U.S. Possessions)
Emergencies
If you are
traveling domestically or are in a temporary domestic residence,
medical services for medical emergencies and urgent care will be
covered as an in-network benefit. Oxford requires notification
within 48 hours of an emergency hospital admission. All urgent
care requires pre-certification. Please call "Oxford on-Call,"
at 800-201-4911, available 24 hours a day/7 days a week.
Routine Medical
Care
If you are
traveling domestically or are in a temporary domestic residence
and decide to seek non-emergency medical care, any covered
services will be processed in-network if you use an Oxford or
United Healthcare Choice Plus physician. If you use a physician
not affiliated with either network, the charges will be
processed as an out-of-network benefit up to the Usual,
Customary and Reasonable Charges, subject to coinsurance and
deductibles.
Please note:
Oxford policies and procedures, including referrals and
precertification for some procedures, remain in effect, so you
should continue to seek appropriate referrals and
precertification as necessary when using an Oxford physician.
If you obtain care without appropriate referrals for an Oxford
in-network service, any covered services will be processed under
your out-of-network benefit up to the Usual, Customary and
Reasonable Charges, subject to coinsurance and deductibles. If
you want to use a United Healthcare physician, a referral is not
required but precertification for certain procedures is still
required. If you have questions about referrals and
precertification, please phone the Oxford customer service
number on the reverse side of your membership card.
International
Travel (except for Canada, Mexico and U.S. Possessions)
Emergencies
If you are
traveling or in a temporary residence abroad, medical services
for medical emergencies and urgent care will be covered as an
in-network benefit. Oxford requires at least 48 hours
notification after an emergency hospital admission. All urgent
care requires pre-certification. When calling internationally,
phone Oxford at 001-813-558-2447, or "Oxford on Call" at 001-
203-459-7980, regarding pre-certification. The 800 number is
not available for international calls.
Routine Medical
Care
Oxford is not
licensed to insure for routine, non-emergency medical care
abroad. You will not be reimbursed for the costs of any routine
care that you incur while abroad. If you are planning to live
and work abroad on a grant or sabbatical leave, please be aware
that health coverage through Oxford is limited to emergency
care. You may wish to explore in advance of your trip whether
routine healthcare is available through institutional or
governmental plans in the host country. In addition, Barnard
now offers Gateway Premier international medical coverage;
information is available in Human Resources.
Prescriptions
are not covered by your insurance while you are traveling or
living abroad. To assure you have adequate quantities of any
medication before you travel, phone Medco Pharmacy Member
Services at, 800-905-0201, (available 24 hours a day/ 7 days a
week, except Thanksgiving and Christmas), and request a
"vacation override renewal." You will then need to pick up this
prescription at your local pharmacy before your trip.
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Should you have
any questions about medical services while traveling or in a
temporary residence, we suggest you phone Oxford directly at the
800 number on the back of your insurance card. (If you are
traveling or in residence abroad, phone 001-813-558-2447). You
may also, of course, phone this office during the work week and
speak with the Manager of Benefit Programs, Sollette Baker, at
212-854-7345. The information in this memo is always available
on the Human Resources web site at
http://www.barnard.edu/hr/adminbenefits.html#travelhealth
