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Mailing Address: U.Va. Human Resources 914 Emmet Street P.O. Box 400127 Charlottesville, VA 22904 Phone: 434.982.0123 Email: hrdept@virginia.edu

Benefits Summary for Faculty & Senior Research Staff Health Insurance Dental Services Mental Health and Substance Abuse Services Prescription Drug Program Claims Inquiries Discount Vision Plan Accidental Death and Dismemberment Insurance Tax-Deferred Savings Program Vision Insurance Disability Insurance Matching Contribution Retirement Plan Retirement Programs Long-Term Care Insurance Miscellaneous Benefits Pre-Retirement Guide Flexible Spending Accounts Termination Information Life Insurance Benefits While On Leave With Partial Pay Benefits While On Leave Without Pay View All/Print Privacy Notice     New Hire Orientation Guide Effective January 1, 2009 Claims Inquiries All medical claims should be submitted to Southern Health Services, Inc. at P.O. Box 7704, London, Kentucky 40742. Questions regarding claims should be directed to Southern Health Services' toll-free line at (888) 975-9557. Claim forms may be downloaded from the UHR website at http://www.hrs.virginia.edu/forms.html. You may also contact the UVA Benefits Division at (434) 924-4392 and request that a claim form be faxed or mailed to you. All dental claims should be sent to United Concordia, Dental Claims, P.O. Box 69421, Harrisburg, PA 17106-9421. Claim forms may be downloaded from the UHR website at http://www.hrs.virginia.edu/forms.html The Mental Health and Substance Abuse claims should be sent to: UBH, P.O. Box 30757, Salt Lake City, UT 84130-0757. You can also submit claims online at www.liveandworkwell.com. The pharmacy network is national and includes hundreds of participating pharmacies. Note that prescriptions filled at non-participating pharmacies or at participating pharmacies when no valid ID card is presented must be paid in full at the time the prescription is filled. You may then submit a paper claim to the Pharmacare for reimbursement up to the allowable charge less the applicable copayment. You will pay the difference between the allowable charge and the billed amount as well as the applicable drug copayment. Claim forms may be downloaded from the UHR website at http://www.hrs.virginia.edu/forms.html

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