Health Center FAQs
FAQ’s about the BCBS Student Health Insurance Plan
Q. What is the name of my insurance company and where do I go for more information about the plan?
A. Blue Cross Blue Shield of Massachusetts (BCBS) is your insurance provider and University Health Plans (UHP) provides administrative support. You can visit www.universityhealthplans.com/bentley to access information about your plan such as, plan benefits, links to find medical providers and look up prescriptions. You will also be able to access BCBS’s Member Central at https://myblue.bluecrossma.com/ where you can create an account to access your insurance information, view personal claim status, check account balances, and find the costs of past tests and doctor’s visits.
Q. How do I get my insurance identification number?
- Go to: www.universityhealthplans.com/bentley
- Click on the “Insurance ID Card” link located on the left side margin (MAKE SURE YOU HAVE ENROLLED IN THE PLAN OR YOUR MEMBER ID WILL NOT BE AVAILABLE)
- Input your name, Bentley ID #, and your date of birth then click “Lookup membership ID”
- Your Member ID with BCBS will appear. Please use this Member ID to access care or pick up a prescription.
******For students that are newly enrolling in the BCBS plan, your Member ID is available online 3-5 days following the day of enrollment. If you need to seek treatment or fill prescriptions before your Member ID is available, contact University Health Plans at (800) 437-6448. Reimbursement forms for prescriptions, immunizations, and medical visits are available at the Bentley University Health Center. Remember to keep all your receipts.
Q. If I get sick what do I do?
A. Refer to the Bentley University website www.bentley.edu/health for information about our hours and services.
You can also choose to receive medical care outside of the Health Center. If you choose an in-network preferred provider you will be required to pay a $20 office visit copay and/or 10% coinsurance for some services. If you choose to go to a provider outside of the BCBS preferred network, you will not receive a network discount and will be responsible to pay a 20%-30% co-insurance. In addition, you will be responsible for the difference between the allowed charged defined by Blue Cross Blue Shield and the provider’s actual billed charge. Students are encouraged to stay within the preferred network so they do not incur additional medical expenses.
Q. How do I find a Blue Cross Blue Shield preferred provider?
- You can access the provider directory and estimate costs on BCBSMA’s website at https://member.bluecrossma.com/fad. Choose “PPO or EPO” as your network.
- Visit the BlueCard® National Provider Finder website at http://provider.bcbs.com. Enter XXP as the prefix or check PPO/EPO as your network
- You can also call the call the Physician Selection Service at 1-800-821-1388, for help finding a provider.
Q. What if I am in a car accident?
A. You will be asked for a description of the accident, information on any other insurance coverage that you may hold and possibly a police report. A letter from BCBS will be sent to you requesting the pertinent information. After completing the required paperwork you will send the information back to BCBS and the claim will then be processed.
Q. Will it cost me money to be seen in the Health Center?
A. Visits with the Health Center are free. Laboratory services are 100% covered when you are on the Bentley Student Insurance Plan. For prescriptions, whether on or off campus, you will be charged a copayment (your portion of the cost) by the pharmacy.
Q. Do I need my insurance card for visits with the Health Center?
A. You should have your insurance card and a credit card in the event laboratory tests or prescriptions are written for you. You will also need it to receive care at any other medical facilities you visit off campus. You can look up your insurance member information at www.universityhealthplans.com/bentley.
Q. Why do I need a credit card?
A. To pay for your portion towards the costs of any prescriptions ordered or office co-payments for medical visits outside of the Health Center.
Q. How do I get a prescription filled?
A. If the prescription was written for you by a medical provider at the Health Center and is faxed by 2:00 p.m. to OSCO Drug in Belmont, it will be delivered to the Health Center by 4:00 p.m. If you are unable to pick up a prescription yourself, you may have a friend pick it up for you. Please pick up your prescriptions the same day. If you don’t take something prescribed for you for your illness starting on the correct day, it puts your health at risk. IF YOU DO NOT PICK UP YOUR PRESCRIPTIONS within one week, the medication will be disposed of. The pharmacy is unable to take the medication back therefore you will be not credited if you didn’t pick up the medication. You need to pick up your prescription at the Health Center before 5:00 p.m. on Mon, Wed, and Thurs, on Tues by 6:00 p.m. and Friday by 4:30 p.m.
A. If you get a prescription from a medical provider outside of the Health Center, you can take it to any pharmacy of your choice. The Health Center is unable to arrange for delivery for prescriptions written by medical providers outside the Health Center or for pharmacies other than OSCO in Belmont. The Bentley Shuttle does pass the Osco Drug pharmacy located in the Shaw’s supermarket at 545 Trapelo Road in Belmont.
Q. If the Health Center is closed (nights and weekends) where do I go for medical care and how do I get there?
A. If you live on Campus, the Campus Police provides transportation and can drop you off and pick you up from the Newton Wellesley Urgent Care or Newton Wellesley Emergency Room, if you are not experiencing any life-threatening emergency. Waltham Taxi is another option and their number is 781-647-1117. You can also take the Bentley shuttle to Waverly Square and get a bus to Mount Auburn Hospital or into Harvard Square where you can take the red line to Massachusetts General Hospital as well as other major Boston hospitals. Campus police does not transport for routine follow-up medical appointments.
Q. Is telehealth a covered benefit under the Student Health Insurance Plan?
A. Yes, you can see licensed doctors and providers using live video visits on your device through BCBSMA’s Well Connection. You can receive medical care 24/7, or schedule behavioral health appointments when they are convenient for you. Well Connection doctors can review your medical history and diagnose, treat and prescribe medication is necessary. Download the app or visit www.wellconnection.com for more information. Telehealth benefits cover live video visits with Well Connection doctors and providers, as well as local doctors and providers in the BCBSMA network who offer live video visits through another video service/platform.
Q. What do I do if I have a medical emergency and the Health Center is closed?
A. If you are experiencing a Medical Emergency On‐Campus call Campus Police 781-891-3131. They are open 24 hours a day, 7 days a week. Campus police can assist you with transportation to one of the local urgent care walk‐in clinics or hospital emergency rooms.
For more information about health care options when the Health Center is closed and local pharmacies go to www.bentley.edu/health and click on “Emergencies & Off Campus Care”.
Q. If I live off campus how do I get medical help?
A. You need to call 911, if it is a TRUE LIFE THREATENING EMERGENCY and you need to be taken immediately to an emergency room.
If it is not an emergency but you need to be seen and the Health Center is closed you can go to Newton-Wellesley Urgent Care, 9 Hope Ave in Waltham or Mt. Auburn Walk in Clinic, 300 Mt. Auburn St., Cambridge during the day, 7 days a week. You can view their hours on their websites or call 617‐243‐5590 for Newton Wellesley Urgent Care and 617-449-5065 for Mt. Auburn Walk in clinic. These visits require a $20 copay and most lab and other tests are covered at 100%. The hospitals closest to Bentley are Newton-Wellesley Hospital in Newton and Mount Auburn Hospital in Cambridge. Emergency rooms, which are for life-threatening illness and injury are open 7 days a week, 24 hours a day.
Q. Do I need a referral to be seen outside of Bentley?
A. NO – the Student Health Insurance Plan is a PPO plan and you do NOT need a referral. You can locate an in-network Blue Cross Blue Shield’s provider by using the provider search at https://member.bluecrossma.com/fad. You can pick doctors based on their gender, language spoken, specialty, and location. If a medical provider or a pharmacist wants more information about coverage for your insurance plan, they can call BCBS Provider Selection Services at 1-800-821-1388. This number is also on your insurance card.
Q. What do I do about mail in my mailbox from Blue Cross and Blue Shield?
A. Please check your mail box and open any mail that you receive from BCBS. After BCBS has received a claim (bill) from a medical provider, they will send you an EOB (Explanation of Benefits). THIS IS NOT A BILL. This will show you what BCBS paid to a medical provider or facility. Other mail you receive from them might include a request asking for more information about your medical situation. It is important that you fill out this form and return it to the insurance company as they will not pay any claims without this information. Information about the status of any claims can be found by logging in to Member Central at https://myblue.bluecrossma.com/ or locating Member Central in the “Blue Cross Blue Shield Info” tab located on the left-hand side of the page at www.universityhealthplans.com/bentley.
BCBS also mails required mandatory tax documents every January. All plan participants will receive the federal 1095-B. Massachusetts residents will receive the 1095-B and the Massachusetts 1099-HC form. The information on these forms is used to provide proof of insurance coverage when you file your tax return.
Q. What do I do if I start to receive medical bills?
A. You may receive bills from providers, for example; ambulance, ER doctors, hospital, and radiology or laboratory. Make sure that these providers/facilities have your correct insurance information and they have sent your claim to Blue Cross Blue Shield (BCBS). BCBS will confirm receipt of the claim by sending you an Explanation of Benefits (EOB) in the mail. You can also view the claims received by BCBS by logging into Member Central at https://myblue.bluecrossma.com/
You also need to check to see if the bills have already been paid by the insurance company BEFORE you make any payments. Remember you may owe them a copayment or coinsurance. If you do not understand the bills, you can call the Customer Service number listed on the bill or contact University Health Plans at 1-800-437-6448 or firstname.lastname@example.org, for help in reviewing any statements. You can also call BCBS Member Services at 1-888-753-6615. If you receive medical care because of an auto accident, you will receive a letter in the mail from BCBS asking for additional information. Please complete this form in a timely manner so your claim can be processed.
Q. How do I get a card and set up an account with BCBS?
A. BCBS mails your ID card to your address on file. You may go on line to www.universityhealthplans.com/bentley access and print your ID information. If you have already received your ID card in the mail, you can go online and create an account on BCBS’s Member Central at https://myblue.bluecrossma.com/. Once you have an account set up you can manage your medical bills and print out a member profile that includes all your insurance information.
Q. Are routine eye exams, glasses or contact lenses covered under the plan?
A. One routine vision exam every 24 months is covered under this plan. Glasses and contact lenses are not covered. Additional vision insurance is available. Please visit www.universityhealthplans.com/bentley or contact University Health Plans at 1‐800-437-6448 or email@example.com to learn more.
Q. Is Dental covered under the plan?
A. Only the removal of wisdom teeth. Additional dental insurance is available. Please visit and www.bentley.edu/health or www.universityhealthplans.com/bentley for more information or contact University Health Plans at 1‐800-437-6448 or firstname.lastname@example.org to learn more.
All full-time students can be seen in the Health Center for Health, regardless of insurance. Most services within the office are covered by your tuition. Any laboratory tests sent out from the center for are billed to your insurance company. If you are referred to a specialist, a walk-in clinic or an emergency room, they will bill your insurance and you will be responsible for any co-pays or deductibles. Most insurance companies charge students for a certain portion of their bill. You are responsible for these charges. Please call your insurance company before accessing care off campus in order to know what your insurance plan covers.
Call University Police immediately at 781-891-3131. All University Police officers are first responders and can help you with emergencies at any time, 24 hours per day, seven days per week.
If the center is closed and you have a non-urgent minor illness or injury (such as a sore throat, sprained ankle, or pink eye), there are nearby health clinics and emergency rooms. Remember, you will need your insurance card and if your specific insurance plan requires a referral. You may also need a referral from your family doctor or nurse practitioner.
If you have an emergency, call University Police at 781-891-2201; they respond 24 hours per day, seven days per week and can arrange transportation to a local urgent care center or hospital if needed.
To maintain the safest environment for our patients and staff during the COVID-19 pandemic, we are requiring all patients to call before coming to the Health Center. We will set up a time for you to speak with a medical clinician by phone or virtually.
No. Usually, students can get appointments and a returned phone call for the same day.
We have a registered nurse, nurse practitioners and part-time physicians. You can ask for whatever type of provider you wish to see. You also have a choice of male and female providers.
You will need your insurance card for lab tests and prescriptions and for any referrals outside of the health center. You will need a debit or credit card to pay for any co-pay on prescriptions that our providers call in.
Bentley's Health Center has partnered with Capsule to provide students with free prescription delivery.
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Most of your health care needs can be taken care of at the Health Center; however, specialist care is available off-campus. Your provider in our office will try to get you the earliest possible appointment with a specialist. You will need to use your own insurance to cover the specialist appointment and you may need to pay a co-pay or deductible to the specialist’s office. You may also need to call your family doctor or nurse practitioner to obtain a referral before seeing a specialist.
No. No information is shared by us with anyone including staff, faculty, family or friends without your express written permission. Information about your care will only be given to someone with your specific written approval, except as required by law and in cases of danger to yourself or others.
There is no charge for the medical visit with the clinician. If you have any laboratory tests performed, the costs of those tests will be billed to your insurance. Insurance companies often do not cover lab tests at 100 percent. You are responsible for any additional charges not covered by your insurance company. It is important that you bring to your appointment your current health insurance card. We would also suggest that you call your insurance company prior to the appointment to determine if they require lab specimens to go to a specific laboratory company. The two major lab companies are Quest and LabCorps.
We see patients for urgent issues, such as illnesses and injuries, as well as routine visits, including STI testing, PrEP, pap smears, and contraception. We do not manage long-term or chronic health conditions, but are happy to work with your primary care provider or specialist to help maintain your health while you are away from home.
During COVID surges, we may temporarily have to stop or limit routine visits, but our goal is to get back to regular care as quickly as possible.