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Wellfleet student claim form

Contact UsWellfleet Student - the Student Health Insurance ... 2025

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The document is a claim form for student insurance provided by Wellfleet Group, LLC. It requires personal information from the claimant, details about the medical condition or injury, and authorization for the release of medical records. The form includes sections for dependent claims, previous treatments, and fraud warnings specific to various states.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your School Name and Student Name in the designated fields. Ensure accuracy as this information is crucial for processing your claim.
Fill in your Member ID Number, Student Address, Email, Date of Birth, City, State, Zip, and Telephone number. Note that all address changes must be done through your plan sponsor.
Indicate if this claim is for a dependent by selecting 'YES' or 'NO'. If applicable, provide the dependent’s name and date of birth.
Answer questions regarding other insurance coverage and describe any symptoms or injuries in detail. Be sure to include dates of illness or injury.
Complete the authorization section at the bottom of the form. Your signature confirms that all provided information is accurate.

Start using our platform today to easily complete your health insurance claims!

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are student health insurance plans worth it?

Experience lower costs and added benefits Student health plans can be a valuable solution for college students and their families. Not only can they cost less than other plans even less than staying on an employer-sponsored family plan they can also provide better benefits.

Is Wellfleet good insurance?

Wellfleet is proud to be a part of the Berkshire Hathaway family, which is backed by an A++ (Superior) financial strength rating from A.M. Best*.

How do I contact Wellfleet customer support?

Cost of Care Estimates: To obtain a cost estimate for services covered under your Wellfleet medical plan, please contact Wellfleet Member Services team at 877-657-5030 or via email customerservice@wellfleetinsurance.com.

How do I access my Wellfleet account?

Accessing Your Wellfleet Student Account Once enrolled, you will need to set up your account to view any claims, find account information, and to get your ID card. To do this, go to .wellfleetstudent.com. Log into your Wellfleet account or call customer service toll free at 1-833-443-5338 for the following:

What is the best student health insurance?

Blue Cross Blue Shield is our top pick for college student health insurance on the Affordable Care Act Marketplace. It has a large coverage area and offers a wide selection of plan types.

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What is the best health insurance for students?

Blue Cross Blue Shield is our top pick for college student health insurance on the Affordable Care Act Marketplace.

How much is Blue Cross Blue Shield for students?

COMPANY HIGHLIGHTS. Blue Cross Blue Shield (BCBS) is the best insurance for students, with premiums averaging $419 monthly and an average MOOP of $8,718. Our study also rated BCBS denial rate highly, as the insurer does not deny claims often. It is a company that balances cost, quality and service.

How much is health insurance per month for a student?

Students applying for their own health insurance plan can generally expect to pay a national average of $158 per month* for a short-term plan or $231 per month* for a major medical plan.