Law School Insurance FAQ's

The Law School Health Insurance is AETNA, which is administered by Aetna Student Health.

The AETNA brochure is available on this website. For additional information please click here. [AETNA and DocFind] To review a comprehensive brochure detailing benefits, click here.

Find answers below to your most frequently asked questions...

Eligibility
Costs
Medical Services
Prescription Medications
Covered Benefits
Waiving the Insurance
Renewing the Insurance
Claims Procedure
Referral to Specialists
Women's Health Services
For general health information and disease-specific information, please visit Health Related Links

ELIGIBILITY

What period of time does the Student Insurance Plan cover ?

The policy period is from August 15, 2008 through August 14, 2009.

How do I know if I will be enrolled in the Student Insurance Plan ?

All matriculated law students enrolled for 9 credits or more, regardless of whether they are in the Day program or Evening program, will automatically be enrolled in the Student Insurance Plan and will be billed unless the student electronically submits a waiver form with information about other current health insurance coverage. Students in the Evening program taking 6 credits are eligible to enroll in the Student Insurance Plan, but must contact the Law School Bursar to request enrollment. An electronic waiver form must be filed for each academic year an exemption is requested. Click here for the waiver form.

I am graduating in one semester or leaving school--can I get a policy for one semester ?

If you are not enrolled for the next semester or leave by September 2,2008 in the Fall semester or January 20, 2009 in the Spring semester, your insurance coverage will terminate, and you will not be billed. Students who leave mid-semester (e.g., sudden medical leave of absence) have already been billed and will have the policy in effect until the end of the policy period.

I have been a full-time student, but this last semester I am taking fewer credits in my degree program. Can I enroll in the Law School Student Insurance Plan ?

Yes, you may enroll in the Law School Student Insurance Plan if you are registered for a part-time load and this is your last semester in your degree program. However, you must complete the "Request for Student Health Insurance" form and return the form and payment for the premium to Enrollment Services. They will review your status in the degree program and contact you with any questions about the request. If approved, the Law School Registrar will manually change your bill to add the charge for the insurance for the semester. There is no pro-ration of the premium if you elect coverage in mid-semester.

COSTS

What does the insurance cost and how do I pay ?

The Law Student policy is $1,868 per calendar year. The bill for the Student Insurance Plan is included in your usual bill from Student Accounts. Half the annual cost [$934]is billed in the Fall semester; the second half [$934] is billed in the Spring semester.

Can my financial aid package be changed to cover the cost of the Student Insurance ?

You may meet with a Law School Financial Aid staff member to re-package your financial aid to cover this year's insurance cost. In most cases, this will mean extending a loan to include the cost of the insurance.
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PRESCRIPTION MEDICATIONS

Does the insurance pay for prescription medications?

There is a pharmacy benefit payable up to a $1,500 per policy year. You are responsible for paying a $10 co-pay for each generic prescription drug or a $20 co-pay for each brand name prescription drug. This benefit will only be paid if prescriptions are filled at a pharmacy which is a Preferred Care Provider.

How do I find a participating Pharmacy?

You may go to Aetna Student Health website, click on "Find Your School," and enter 697407 as your policy number. You may also call 1-800-238-6279. Please follow the Claims Procedure, as indicated below.

MEDICAL SERVICES

What types of medical services are covered by the Student Insurance ?

There is limited coverage according to a schedule of benefits for the following services: inpatient care, outpatient care, laboratory tests and X-rays, prescriptions, emergency dental care for accidental injuries, physiotherapy; immunizations are not covered (Health Services offers immunizations at moderate costs).

Do I have to contact or be seen in Health Services before using off-campus medical providers or emergency services ?

You do not have to contact Health Services or be seen in Health Services before using an off-campus medical provider. Student health insurance coverage begins from the first visit to an off-campus health care provider. Remember that students may be able to significantly reduce there health care costs by coming to Health Services for care because many health problems can be managed appropriately in Health Services at no cost to the student.

What if I need medical care when Health Services is closed ?

Depending on the severity of your medical need, please do the following:

1. Call 911 if you need immediate assistance for an emergency
2. Go to a local medical walk-in clinic
3. If unable to get services at a walk-in clinic, go to the nearest hospital
for an urgent problem.
4. For a minor problem, see our Self Care Guide for helpful self-treatment.
5. Consider contacting an AETNA participating provider. See DocFind for
list of providers or cal 1-888-204-0802.

What free medical services are available through Health Services?

Health & Counseling Services provide free, strictly confidential primary medical care and psychological assessment and counseling. For details about services, staffing and hours, please click here.
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COVERED BENEFITS

How do I know if the treatment I am receiving is a covered benefit?

For questions about coverage, read the insurance brochure that is mailed to you or download the brochure. If you still have questions, call the broker, at Aetna Student Health at 888-204-0802 and/or visit their website.

Can I enroll my spouse and dependent children in the Student Health Insurance Plan ?

Yes, you can enroll dependents for coverage in the insurance plan, as long as you [the student] are enrolled in the insurance plan. Please click here for the Dependent Enrollment Form.

Can my spouse and children receive care at Health Services ?

Health Services provides medical care only to matriculated students, however, the staff can assist with referral resources for family members. Family and other campus visitors will be provided first aid by Health Service professionals for accidents or injuries that occur while on campus.
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WAIVING THE INSURANCE

I have other health insurance---how do I waive out of the Student Insurance Plan ?

You must electronically submit a waiver form to have the cost of the Student Insurance Plan deducted from your Student Accounts bill. Waivers may only be submitted on-line to the Law School Bursar's Office (973/642-8578, Room #314) and must be received by no later than September 2, 2008, for the Fall semester and no later than January 20, 2009 for the Spring semester. Click here to electronically submit your waiver form.

Once I electronically submit a waiver form, am I automatically waived from the Student Insurance Plan as long as I'm enrolled at Seton Hall ?

No. You must electronically submit a waiver form for each academic year for which you are requesting an exemption. Eligibility status for other insurance plans can change as personal circumstances change (e.g., employment, age), so the University needs up-to-date information on your other insurance coverage.

I waived out of the Student Insurance Plan, but now I want the Student insurance coverage--what do I do ?

You may add the student insurance coverage midyear. However, you must complete the "Request for Student Health Insurance" form and return the form and payment for the premium to Enrollment Services. They will review your status in the degree program and contact you with any questions about the request. If approved, the Law School Registrar will manually change your bill to add the charge for the insurance for the semester. There is no pro-ration of the premium if you elect coverage in mid semester.
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RENEWING THE INSURANCE

How do I renew my coverage ?

Your insurance coverage will automatically be renewed and billed when you enroll for the next semester unless you electronically submit a waiver form with Enrollment Services. When you graduate, your coverage will terminate after August 14th.

I graduated in May and my coverage expires on August 15th. Can I enroll for continued health insurance coverage?

Yes, you may enroll in the student insurance plan for continued coverage for either a 3-month or 6-month period. Please complete the following form.

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CLAIMS PROCEDURE

What is the claims procedure? Whom do I speak with about claims issues ? Where do I get claim forms ?

For complete instructions on using the Law School insurance plan, please visit Aetna Student Health website. Choose the HELP CENTER link for directions, including AETNA claim forms and prescription drug claim forms.
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REFERRAL TO SPECIALISTS

How do I get referred to a specialist ?

Call Health Services and speak to a health care professional, as they may be able to provide you health care services for your medical problem. You do not need a written referral to see a specialist. You must be seen by an AETNA provider. You can go to FIND an AETNA provider through AETNA's "DocFind" websearch page. Claim forms are available by download here.

Do I have to pay the off-campus doctor or specialist at the time of the office visit ?

Most health care providers will request payment at the time of the visit. Confirm this with their office prior to your appointment. You should obtain a receipt of services provided, attach it to a completed insurance claim form and follow the instructions provided at Aetna Student Health's website. [Back to Top]

WOMEN'S HEALTH SERVICES

Does Health Services provide birth control prescriptions ?

Health Services provides medical care consistent with Seton Hall's Catholic Mission. Women's health care is provided, including gynecological exams, Pap smears, STD/HIV and pregnancy testing and counseling. Prescriptions for birth control or the "morning after pill," are not available. Any student who reports having been raped is referred to a local Rape Crisis Center for assessment and medical treatment.

Are maternity services covered ?

Yes, maternity service benefits are provided for expenses incurred as a result of pregnancy and childbirth. The benefit amount for expenses for pregnancy and childbirth will be provided to the same extent as the hospitalization benefit is provided in the policy for any other sickness. Conception must occur on or after the insured person's effective date of coverage under the plan.
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