Anthem offers reliable, affordable health insurance coverage that can be trusted and is the carrier of choice for local colleges. Anthem is a local insurer and is accepted by most local providers as well as many providers nationally. The Siena student health insurance PPO plan with Anthem, Group # L11030 provides health insurance coverage for inpatient care, outpatient services, prescription medicine, $0.00 cost mental health care, as well as catastrophic illness and injury.

 ANTHEM PLAN FAQ'S

WHEN IS THE PLAN EFFECTIVE?

2024-2025 - Anthem coverage is effective August 15, 2024 through August 14, 2025 for the 2024-2025 academic year. For Fall semester only full-time students, coverage is effective August 15, 2024 – February 14, 2025. Coverage for Spring semester only full-time students is effective January 1, 2025 – August 14, 2025.

WHAT DOES THE PLAN COST?

2024-2025 - The Anthem full year plan cost will be $2,333.00 and will be billed in two installments of $1,166.50 (one each on the first tuition bill of each semester.) Spring semester only full-time students will be billed $1,444.55 for coverage from January 1-August 14, 2025.  Students who enroll midyear will be charged pro-rata based upon the date of activation. Students who waive or request termination after the waiver deadline will be refunded pro-rata based upon the date of the approved request.

 HOW DO I USE MY PLAN?

More information coming soon!

 IS THERE A VIDEO SHOWING ME HOW TO USE MY ACCOUNT?

More information coming soon!

 WHAT DOES MY HEALTH PLAN COVER?

For information about what is covered, view the benefit summary here or contact Anthem (customer support) member services at (844) 412-0752. You can also access this information online through your account portal: https://student.anthem.com

IS BEHAVIORAL/MENTAL HEALTH COVERED BY THE PLAN?

Yes! Anthem will fully cover the cost of in network Mental Health/Substance Use Outpatient Services (virtual AND office) with a $0 copayment.  Out-of-network providers are the deductible ($4,000) then 40% Coinsurance.

Inpatient services are the deductible ($500) then 30% Coinsurance for in network providers. Out-of-network providers are the deductible ($4,000) then 40% Coinsurance.

IS DENTAL INSURANCE PART OF THE PLAN?

More information coming soon!

IS VISION CARE COVERED?

More information coming soon!

HOW DO I RECEIVE MY ANTHEM INSURANCE MEMBERSHIP CARD?

Plan participants can download and/or print a copy of their insurance card by logging into the Anthem Portal.

MISPLACED ID CARD?

Misplaced your ID Card? No problem! Login to your online account to view and print your ID card.

HOW DO I SEARCH FOR PARTICIPATING PROVIDERS NEAR SIENA COLLEGE AND NATIONALLY?

Anthem has a nationwide network of providers, so you’re covered nationwide, even when you’re not in the area. To find a full listing of providers and practices in the area you’re in, visit Find-A-Doc online.

WHAT SERVICES ARE AVAILABLE TO ME AWAY FROM SCHOOL AND WHILE TRAVELING ABROAD?

You have the protection of Anthem’s “Blue Cross Global Care Program” for Students. You have access to emergency medical coverage worldwide, but the travel assistance doesn't end there. For more information on this offering, please click here.

I TAKE MEDICATIONS REGULARLY. WHAT ASSISTANCE IS AVAILABLE? IS THERE A WAY I CAN ACCESS THESE MEDICATIONS WITHOUT LEAVING CAMPUS EACH TIME? 

More information coming soon!

I RECENTLY PAID OUT-OF-POCKET FOR A SERVICE THAT WAS COVERED. HOW DO I SUBMIT A CLAIM?

More information coming soon!

MAY I CONTINUE COVERAGE ON THIS PLAN AFTER I AM NO LONGER A SIENA STUDENT?

More information coming soon!

WAIVED THE SIENA HEALTH INSURANCE PLAN (CDPHP) BUT MY OTHER INSURANCE COMPANY DENIED A CLAIM SAYING I WAS ENROLLED IN THE SIENA CDPHP PLAN.  HOW CAN I FIX THIS?

Some health insurance plans have a Coordination of Benefits (COB) clause making any other insurance you may have your primary insurance plan. If your insurance company is one of those (Fidelis, etc.), they will deny claims.If you complete the Siena health insurance waiver for 2024-2025 after July 30, 2023, you be automatically enrolled in and insured under the Siena Anthem plan beginning August 15. You will remain enrolled in the Siena plan until your student health insurance on-line waiver is processed, your student account credited and Anthem notified. As long as the waiver is completed by September 20, 2024 for Fall 2024, your enrollment will be retroactively voided by Anthem, their records will be updated and you will appear as never having been insured by Anthem.

What to do if your insurance company denies a claim:

Contact your insurance company and ask them to re-confirm your enrollment in the Anthem plan.  Explain that you waived the plan and your temporary enrollment should have been voided by Anthem. Some companies only check rarely and don't update their COB information until prompted. If they still deny your claim, contact Adam Casler at studentlife@siena.edu or (518) 783-2328 and we will provide you with a letter documenting the voiding or termination of your coverage for you to provide to your insurance company.

WHO CAN I CONTACT IF I HAVE QUESTIONS ABOUT MY ENROLLMENT?

Please email questions to the Office of Student Life, studentlife@siena.edu.

WHO CAN I CONTACT IF I HAVE QUESTIONS ABOUT MY HEALTH INSURANCE BENEFITS OR CLAIM?

Participants can contact Anthem (customer support) member services at (844) 412-0752.