Select the appropriate link below to locate a network provider in your area.
The W&M Plan includes a PPO network. However, students are REQUIRED to obtain a Student Health Center Referral before receiving medical care outside the SHC unless the care is received when the student is more than 10 miles from campus or the SHC is closed. Refer to the Plan Brochure for more information about under which conditions a SHC Referral may not be required.
The W&M Plan includes benefits for mental & nervous disorders, mental illness, eating disorders and substance abuse. Please refer to the Plan Brochure for specific information about your mental health benefits.
The W&M Plan does NOT include benefits for dental treatment, except for accidental injuries to sound, nature teeth. However, W&M has negotiated with UnitedHealthcare StudentResources to offer a optional fully-insured dental PPO plan. Students who choose to purchase the voluntary dental insurance must enroll directly with UHCSR by logging into your UHCSR MyAccount and navigating to Purchase Additional Coverage.
The W&M Plan includes benefits for prescription drugs administered by OptumRx. Please refer to the Plan Brochure to verify your prescription benefits. Prescriptions MUST be filled at the Student Health Center Pharmacy (SHC) or a participating UHC network pharmacy (OptumRx pharmacy network). Benefits are subject to supply limits and copayments that vary depending on which tier of the prescription drug list the outpatient drug is listed. You are responsible for paying the applicable copays.
Copays at the SHC are lower ($5 copay-Generic and $15 copay-Brand), so you should always consider using the SHC Pharmacy first, but certain prescription drugs cannot be dispensed by the SHC or may not be available in a timely manner, so you may need to use an outside pharmacy in these instances. Copays at participating retail pharmacies are higher ($30 copay-Tier 1, $60 copay-Tier 2 & 25% coinsurance-Tier 3; up to a 31-day supply per prescription). You can use the pharmacy locator to find a participating retail pharmacy.