2009 - 2010 Health Insurance
The Duke Student Medical Insurance Plan (SMIP) is underwritten by UnitedHealthcare StudentResources. A complete list of benefits and services is available at http://www.uhcsr.com/duke. Some of the more common forms are listed below:
2009-2010 Policy Brochure
2009-2010 Late Enrollment Form
If you need to add a new infant or a spouse who joins you here in the United States to the 09/10 SMIP after August 1, 2009, please use this form:
2009-2010 Mail-In Enrollment Form - Dependent Enrollment Form
All Insured Persons who have been continuously insured under the school's regular student Policy for at least 6 consecutive months and who no longer meet the Eligibility requirements under that Policy are eligible to continue their coverage for a period of not more than 6 months under the school's policy in effect at the time of such continuation. If an Insured Person is still eligible for continuation at the beginning of the next Policy Year, the insured must purchase coverage under the new policy as chosen by the school. Coverage under the new policy is subject to the rates and benefits selected by the school for that policy year.
2009-2010 Continuation Enrollment Form
If you wish to terminate your coverage, follow the link below:
2009-2010 Petition to Terminate Coverage
Claim Procedure:
1. Mail to the address below all medical and hospital bills along with the patient's name and Insured student's name, address, SR ID number and name of the University under which the student is insured. A Company claim form is not required for filing a claim.
2. Bills should be received by the Company within 90 days of service. Bills submitted after one year will not be considered for payment except in the absence of legal capacity.
The plan is underwritten by United HealthCare Insurance Company.
Submit all other Claims or Inquiries to:
UnitedHealthcare StudentResources
P.O. Box 809025
Dallas, Texas 75380-9025
1-866-548-8472
customerservice@uhcsr.com
claims@uhcsr.com
Email (Inquiries Only): info@uhcsr.com
Please use the form below for prescription drug claims.
2009-2010 Prescription Drug List
2009-2010 Prescription Drug Claim Form
File a Reimbursement Claim for Eyeglasses/Contacts (doc)
View Claim Status
The Dental Discount Plan continues through BASIX.
BASIX Dental Plan
Regular dental insurance can be purchased for an additional fee.
2009-2010 Dental Enrollment Form
2009-2010 Dental Benefit Summary
All Duke affiliated medical providers participate in UnitedHealthcare StudentResources. To locate other providers in the area or other locales in the United States, use this link:
UHC Choice Plus
If you will be traveling more than 100 miles from campus, including travel abroad, review the document in the link below prior to leaving. You may pick up your SES Travel Card at the Student Health Center on West Campus.
Travel Policy Information
- Under 26, the annual charge is $1,658/yr.
- 26 to 34, the annual charge is $1,795/yr.
- 35 to 44, the annual charge is $2,078/yr.
- 45 or over, the annual charge is $2,463/yr.
- Spouse, the annual charge is $2,875/yr.
- Child(ren), the annual charge is $1,634/yr.
- Family, the annual charge is $4,291/yr.
For more information on the 09/10 Duke SMIP:
09/10 Duke Student Medical Insurance Plan FAQ: http://healthydevil.studentaffairs.duke.edu/insurance/dukesmipfaq.html