How Do I?

To get reimbursed for services rendered and paid for, send in your itemized receipt from your provider and a medical claim form, dental claim form or prescription claim form to Personal Insurance Administrators (PIA). Please note, the receipt will need to include a diagnosis code.

Mail your reimbursement request to:

• Personal Insurance Administrators
• P.O. Box 6040
• Agoura Hills, CA. 91376-6040

The insurance claim administrators, Personal Insurance Administrators (PIA), need authorization from Student Health and Counseling Services before claims are processed.

The underwriter, Nationwide Life Insurance Company, maintains the right to investigate submitted claims, and sometimes require additional information including claim forms as necessary for the proper adjudication of the claim, at its discretion.

It may be that you are lacking a referral from Student Health and Counseling Services or the service you had received is an insurance exclusion (see page 14 of your insurance brochure for details of exclusions and limitations).

It is also possible that the claim is a pre-existing condition (see page 15 of the insurance brochure for more information).

You have the right to request an independent medical review if healthcare services have been improperly denied, modified, or delayed based on medical necessity.

NOTE: Always keep a copy for your files of all forms submitted for claims.

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Students may extend coverage under the Student Insurance Plan for one term if on an approved leave of absence. Students are eligible to apply for the Scholars and Researchers Health Plan for one term only per lifetime. To apply, visit Apply to Enroll.

For more information about insurance options, see End of Coverage: Insurance Options.

Visit Apply to Enroll to apply for coverage for your adult or child(ren) dependent(s).

Registered UCSF students and researchers enrolled in the Student Insurance Plan pay a premium for the Student Insurance Plan as defined in the ‘fees’ page of their Student Portal.

If you are not a registered student or are not sure if you fit into this group, see Enrollment & Eligibility.

Submit payment as directed on your bill.

For insurance payments, the following will apply:

For medical bills:

Personal Insurance Administrators
P.O. Box 6040
Agoura Hills,CA 91376

For dental claims:

Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330

For more information, visit Medical Billing Process.

It depends what kind of care you need. If you need to see a primary care provider or make a travel appointment, call 415-476-1281 for an appointment.

If you would like to see a mental health provider for counseling, walk into either the Parnassus or Mission Bay clinic and ask to speak to a nurse.

If you are not sure if you need an appointment or not, and you would like to speak to a nurse, walk into either the Parnassus or Mission Bay clinic or call the nursing advice line at 415-476-1281, option 2.

Download a copy of the Student Insurance Plan brochure or visit the following:

• Medical Plan
• Mental Health
• Dental Care
• Vision Plan
• Prescription Plan
• Traveler's Insurance

For enrollment details, see Enrollment & Eligibility.

Student Request

• Immunization record: You may obtain immunization records at any time. To request immunization records, walk-in to SHCS with positive identification or fax the Medical Release form to SHCS (415-476-6137). There is no fee.

• Medical record: You may obtain a copy of your medical record at any time. To request records, complete and submit a Medical Release form. Submit the form to SHCS by walking it into one of our clinics, faxing it (415-476-6137) or mailing it. Please note, there is a $20 fee. If you are receiving your records by maill or fax, please send SHCS a check payable to 'UC Regents'. Please note that obtaining medical records can take some time (up to three weeks) because we may need to retrieve records from our storage facility off-site.

Dental care may be obtained from the dentist of your choice, however you will receive greater benefits when using network providers.

To find a network dentist visit Delta Dental.

Student Health and Counseling Services needs to authorize all visits before any payments will be made.

Claims are managed outside of SHCS, so make sure that your claim is submitted and received by Personal Insurance Administrators (PIA). To verify that your claim was received, call PIA at 1-800-468-4343. The insurance company also sends you Explanation of Benefits when claims are processed.

To see if you have taken all the appropriate steps necessary to get your bill paid, visit Medical Billing Process.

For complete and up-to-date information about waiving the Student Insurance Plan, visit Insurance Waiver.

To help you decide whether or not you should apply to waive the Student Insurance Plan, visit Should I Waive?.

TO APPLY, visit the online application tool. 

If you believe you need to see a specialist, your first step is to make an appointment with a primary care provider at Student Health.

All specialty-care visits need to be pre-authorized by a Student Health provider. If a specialty-care visit is not pre-authorized, your insurance will not cover it. This applies to specialty-care follow-up visits as well.

For details, see Specialty Care Coordination & Referrals.

To RSVP for a program or a workshop, please fill in the registeration form  or email SHS@ucsf.edu.

To make a primary care or travel appointment at Student Health, walk into either the Parnassus or Mission Bay clinic or call 415-476-1281.

To make a counseling appointment, walk into either the Parnassus or Mission Bay clinic and ask to speak to a nurse.