When a Student has incurred a medical expense from a health care provider or pharmacy, the claim should be submitted to the following address:

Pioneer
P.O. Box 9040
West Springfield, MA  01090-9040

The policy number and/or policyholder's name must accompany a medical claim.

Notice of claim must be given to Pioneer within thirty (30) days after a loss occurs or as soon thereafter as possible.

Written proof of loss (completed claim form and itemized bills) must be sent to Pioneer within ninety (90) days after such loss or as soon thereafter as possible.

A completed claim form must be received in order to process the student's medical expenses.  Claim forms are available at the above address, on our website, www.studentassist.com, or at the school.  If a student submits medical bills without a completed claim form, Pioneer will suspend the claim process and send out an explanation of benefits requesting a completed claim form. 

Payments of claims are made directly to the provider of service(s) unless the student has submitted proof of payment.

The student is responsible for any amount(s) over usual and customary, deductibles/co-pays, amount(s) over policy limitations, and/or any non-covered service.