Student Status / Tax Form 1040

Q. I am having difficulty obtaining student status verification from my dependent's college. Is there any other proof of financial dependence that the Trust will accept?

A. Yes, you can provide us with a copy of your current tax form 1040 as proof that you are providing financial support for your dependent.

Claim Forms

Q. When will the Trust ask me to fill out one of its claim forms?

A. When your spouse submits a medical claim, we will ask you to fill out a Gold Coast Trust claim form to confirm whether or not your spouse has other insurance coverage. We will ask for this information annually. Also, if you or a covered dependent were injured in an accident, we ask that you provide accident details on a Gold Coast Trust claim form. You can download a claim form here.

Prescriptions for Physical Therapy / Durable Medical Equipment

Q. I have been asked to provide a "prescription" from my physician relating to physical therapy. What's that?

A. Your doctor will provide a prescription (often written on a prescription pad) informing us how many times a week and for how long he or she thinks you will need physical therapy. This is called a 'treatment plan". We need that to confirm the medical necessity of the physical therapy visits. Also, to confirm that such things as the rental of a hospital bed or equipment to be used in the home are medically necessary, we require a note from your doctor. As above, the doctor should specify for how long the equipment will be needed.

Pre-Authorization

Q. What services require pre-authorization?

A. Only the following services require authorization:

1. Chiropractic - To receive benefits under the plan, you must use a CHPC network provider and all care must be authorized by CHPC.
   Call CHPC at (800) 995-2442.
2. Mental health / substance abuse treatment: to receive benefits under the plan you must use UBH providers and facilities.
   Call UBH at (866) 358-8291.
3. Inpatient hospital admissions: call Blue Cross at (800) 274-7767.
4. Durable Medical Equipment (such as insulin pumps) costing over $2000. Call Blue Cross at (800) 274-7767.