Using Your LewerMark Insurance
A card you must show at the doctor’s office to prove you have insurance.
What is an insurance ID card?
A contract between you and an insurance provider that covers a portion of your medical costs, including doctor visits, hospital stays, and prescriptions.
What is Health Insurance?
For most common health issues like colds, flu, or checkups, UCA students should usually go here first.
What is the Student Health Center?
This place fills prescriptions and sells medications.
What is a pharmacy?
You have a sore throat and mild fever during the week. It’s not too serious.
What is the Student Health Center?
An online tool from LewerMark Insurance that helps students find doctors and clinics that accept their insurance.
What is the provider search / provider directory?
The amount you must pay each year before your plan starts to pay for covered medical expenses.
What is a Deductible?
This place treats minor illnesses and injuries quickly without an appointment.
What is urgent care?
A doctor writes this so you can get medicine from a pharmacy.
What is a prescription?
You sprain your ankle on Saturday when the Student Health Center is closed, but it is not life-threatening
What is urgent care?
If you need help understanding your coverage or filing a claim, you contact this department at your insurance company.
What is customer service / member services?
This is the fixed amount you might pay for a doctor visit, such as $25.
What is a Copay?
You should go here immediately for serious or life-threatening problems.
What is the emergency room (ER)?
These medicines can be bought without a doctor’s prescription, like pain relievers.
What are over-the-counter (OTC) medications?
You have severe chest pain or trouble breathing and need immediate help.
What is the Emergency Room (ER)?
You visit a doctor outside your insurance network and must pay first, then request reimbursement from the insurance company. What do you do?
What is File a claim?
This term describes doctors and hospitals that have contracts with your insurance company and cost less to visit.
What is in-network?
If the Student Health Center doctor thinks you need specialized care, they may send you to this type of doctor.
What is a specialist?
This list shows which medications your insurance plan helps pay for.
What is a formulary?
You suddenly have a life-threatening emergency and need an ambulance.
What is 911?
This document explains what the insurance paid, what you may owe, and how the claim was processed.
What is an Explanation of Benefits (EOB)?
This is the most you will pay for covered healthcare in one year before insurance pays 100%.
What is the out-of-pocket maximum?
If you have issues with mental health or looking for therapy, you would go here.
What is the Counseling Center?
This is when your insurance requires approval before paying for a medication or treatment.
What is prior authorization?
You need consultation with a healthcare provider but you cannot meet them in-person.
What is a Virtual Appointment / Teladoc?