A few weeks ago, I went to the pharmacy to pick up a prescription that I’ve filled for months before. My insurance had changed recently so I had to fill the prescription under the new insurance. After the pharmacist got off the phone with this new insurance company, he advised me that there was an issue with the insurance and I needed to call them. When I contacted them, they informed me that they couldn’t authorize the prescription my primary care physician prescribed until my doctor could prove that I had tried other medications. I was shocked, in my mind why would an insurance company determine what medication I should be taking? Isn’t that the job of the doctor?
Even as an insurance agent, this took me by surprise and I had to do a bit of research on my own to understand why this was happening.
In the US, non-medical switching is a practice that insurance companies use. The way it works is, the insurance company will ask you to try a similar medication, most often the generic version of your current medication or a cheaper alternative first before authorizing the one your doctor may prescribe. In most cases, this may not be a big deal since you’re ultimately taking the same medication. It would be like taking Acetaminophen instead of its slightly more expensive brand medication Excedrin. Both are pain medications to manage severe migraines but one is generic and one is a brand.
However, in other instances, because this insurance company was new to me, they did not have my full medical history. Therefore, they did not know I had already tried generic medications before my doctor and I found the one that actually worked. If this has ever happened to you, here are a few actions you can take to get the decision reversed:
Speak to your doctor ASAP!
Contact your doctor and explain what is going on with your prescription. My primary care physician had to fill out some paperwork explaining that I had already tried other medications and share my medical records so I could fill my prescription. Had I not done that, I would have had to accept the generic prescription and it may not have worked as well as the one I had already been taking for months. If you have not tried other medications and your doctor feels confident that the generic version of the original prescription will work, you can give that one a try.
Bottom line: Always contact your doctor since they know your medical history.
After you speak to your doctor
After your doctor submits the relevant paperwork, you must follow up with your insurance company to ensure they have everything they need to approve the correct medication. You may have to resubmit your prescription to your pharmacy once approval is given. It may seem like a lot of work but it’s important to advocate for yourself. You and your doctor have worked together to find the correct medication and know what works and what doesn’t work.
While you’re waiting
Sometimes, authorizations can take from 7 to 30 days depending on how fast your doctor can fill out and send paperwork, how fast the insurance company is able to process your claim, and how fast you can get the prescription resubmitted. Don’t panic! Many times, your doctor’s office can give you samples that they keep on stock until you’re able to fill a prescription.
Filling your prescriptions
So you’ve done your due diligence, followed up with all the parties involved, waited patiently and now you are ready to fill your prescription. However, the work is not done yet. Depending on your insurance plan, your prescription may be covered with higher deductibles or copays if they are a brand prescription vs a generic prescription medication. Here are a few ways to manage the unexpected cost of prescriptions:
Ultimately, we always recommend advocating for yourself and following your doctor’s advice before agreeing to switching medications. Doctors are trained professionals and have extensive knowledge of how medications interact with others and they also know you and your medical history.
Feeling stressed out? How many times have you heard, just breathe! In fact, when you look at many different relaxation techniques, whether it’s yoga or meditation, you will notice that there is a lot of focus on the types of breaths we take. In this blog we will talk about what research is finding when it comes to our breath and its connection to our emotions. We will also explore different breathing techniques as well as popular apps that might be helpful to incorporate into your lifestyle.
It turns out that there are two pacemaker cells in our body: one that is located in the heart and regulates our heartbeat and one that is in our brain that regulates our breath. The pacemaker in our heart cannot be controlled, it’s what we call involuntary, and it beats to its own rhythm. But the cluster of cells that regulate our breath are actually located in our brain, which sends signals to our spinal cord, over to our skeletal muscles, which then expands our lungs. Since these clusters of cells are in our brain, breathing can be voluntary or involuntary. You may find yourself breathing without thinking about it, but you can also take a deep breath or hold your breath when you want to. More and more studies that are coming out show that the breaths we take have a distinct effect on our emotions.
Think about it. Why does hyperventilating make us anxious and why does breathing slowly make us calmer?
Much of this is still being discovered, but findings go back to research done in 1991 when a study co-authored by Jack Feldman, a professor of neurology at UCLA, found a cluster of neurons in the brainstem that was thought to be the important mechanism for the respiratory rhythm in mammals, including humans.
By identifying these neurons, scientists then looked at how breath, emotions, and alertness all worked together – and indeed, found a link between these neurons and alertness. These studies showed that there was a link between breath and emotions, and explained why when we breathe rapidly we are anxious and when we breathe slowly we are calm.
Other studies continued to reinforce this idea, including a study done by Pierre Phillipot. Phillipot and his team found that different emotions are linked to specific respiratory patterns. In Phillipot’s study, he asked participants to generate an emotion such as sadness, fear, and happiness and they looked closely at the different respiration patterns. After looking at these patterns, they found that every emotion had a distinct breath pattern. There was even a follow up study that had a different group of participants come to the lab and they were instructed on how to breathe. These participants were then asked to report how they felt – and they reported the same emotional outcome that was observed in the original group!
All of this is to say, we can use our breath to control how we feel. It can serve as a powerful tool in our emotional wellness toolkit.
So how does one learn to do this? There are many different breathing techniques out there that you can try and practice. Finding a few that are easy to use throughout the day.
Here are a few that we like:
Also known as nadi shodhana pranayama in Sanskrit, this breathing technique is great for relaxation.You should avoid this if you are feeling sick or congested.
Resonant or coherent breathing is when you breathe at a rate of 5 full breaths per minute (or inhaling and exhaling for 5 counts).
This breathing technique can be practiced at any time and puts our attention on our breath.
For more information on why breath is so important and other breathing techniques, check out our video on how to destress through breath: emotional wellness for international students.
In addition to incorporating breathing techniques into your daily routine, you can also look at downloading some apps that might also help to incorporate some of these exercises. Here are a few of our favorites:
The Breathwrk app takes your goals into consideration and develops a collection of breathing exercises to work on. Whether you are looking to relax, feel energized, or alleviate stress, this app will walk you through each exercise and send you daily reminders. Many of the exercises are free, but there are some features that do require a subscription (there is a 7-day trial to see whether it will work for you!).
The breathe2 app is another breathing app which focuses on the benefits of breathing exercises, and can also be used to relieve stress, improve focus and concentration, meditation, etc. There are a number of breathing exercises that you will learn, and it will help you to define each breathing cycle including inhale, exhale, hold.
There are an abundance of really good apps that can help those people looking to incorporate breathing into their daily lives in a more guided way. If you have a favorite app, let us know in the comments below.
While breathing exercises and awareness can be an important tool to maintaining your emotional wellness, it is important to take a holistic approach. In addition to breathing exercise, you may want to consider your exercise, diet, sleep, and your overall outlook to continue to promote and maintain your wellness.
For more, check out our emotional wellness page for international students.
As summer approaches, COVID-19 vaccine eligibility has expanded to anyone in the United States 16 years of age and older. So now that eligibility has been granted, what does this mean for international students and what should you do now?
There has been a lot of discussion and ambiguity around how much vaccines cost and who is eligible, but the good news is that more time has allowed for further clarification, and it’s all positive! This is great news for international students currently residing in the United States and for the country as a whole, as anyone residing in the US, foreign nationals included, are eligible for the COVID-19 vaccine. Even better, it’s completely free regardless of whether or not your insurance covers it!
The CDC, Centers of Disease Control and Prevention, lists several ways for you to easily sign up to schedule your appointment! Visiting Vaccines.gov is a great place to start, as you can locate vaccination providers within your vicinity by typing in your zip code and selecting the type of vaccine you wish to receive. You also have the option to text the zip code in which you wish to receive your vaccine to 1-800-232-0233, or you can also speak to someone over the phone by calling the same number to assist in finding a vaccine administration site near you.
Just as easy as it is to sign up, scheduling your appointment takes little effort. Whether you are getting vaccinated at a pharmacy, doctor’s office or larger vaccine location, you can most likely schedule your appointment online or over the phone and choose a time that works best for you. Depending on what you opt in for, you will receive a confirmation of your appointment and reminders via email, phone or text.
When arriving for your appointment, you can expect to be kept at 6 foot distance between you and others, and you will be asked to wear a mask to cover your nose and mouth. You will receive information about the type of vaccine you are receiving and schedule your second vaccination appointment if you have opted for the Pfizer-BioNTech COVID-19 vaccine or Moderna COVID-19 vaccine. After you receive your vaccine, you will have your vaccination card filled out by your provider or staff member, that you will want to keep in a safe place to show that you have been vaccinated. If you are receiving a second vaccine, you will need to bring this card to your next appointment.
After your injection, you will then be monitored and required to wait 15 minutes before leaving to ensure that you do not have any major side effects or health issues. If you’re lucky, there might even be stickers or buttons being given away as you leave showing that you have been vaccinated! Hooray!
To be considered fully vaccinated, it must be two weeks from the time in which you had your second vaccine if you received the Pfizer-BioNTech or Moderna and two weeks from a one shot vaccine such as Johnson & Johnson’s Janssen COVID-19 vaccine. Upon receiving your vaccine, you may notice some side effects while others may not have any. This is considered perfectly normal as your immune system is building up tolerance to the virus. Common side effects include soreness, reddening, or swelling of the arm from where the vaccine was injected and throughout your body you may feel tired and experience head and body aches, muscle pain, nausea or chills. You can expect this to subside within a few hours to a few days.
Being fully vaccinated is a liberating feeling! You can begin to do things you maybe haven’t done since before the pandemic, such as socializing with friends and family that have also been vaccinated without masks or distancing. However, it’s important to continue to take precautions and continue to follow public guidelines as we still have much to learn. You can learn more by visiting the Centers of Disease Control and Prevention with detailed information on how to respond to the COVID-19 pandemic.
It has been over one year since the Covid-19 virus became a worldwide pandemic and we were all required to isolate ourselves at home. Even though at some point the pandemic felt eternal, with the development of vaccines by different pharmaceutical companies, such as Pfizer, Johnson & Johnson, Moderna, AstraZeneca and BioNTech, life around the globe may start to return to normal within the next year.
At this moment, the Covid-19 vaccine is being administered for free by most governments. In the United States, for example, each state has developed a vaccination plan, starting with the populations that are a higher risk of complications if they were to get infected with the virus. If you’re inside the United States and you’d like to obtain more information about the vaccination plan in the state you’re currently residing in, please contact the Health Department of your state.
On March 8th, 2021, the U.S. Center for Disease Control (CDC) released recommendations for people who are fully vaccinated on what they should and shouldn’t do, including:
Can I visit other fully vaccinated people indoors without wearing masks or physical distancing?
The answer is YES, you can!
Can I visit unvaccinated friends and family without wearing a mask indoors?
The answer is YES, you can. The CDC does, however, recommend you visit at a single household and only if the people living there are at low risk for severe COVID-19 disease, meaning their age group isn’t a risky population and they don’t have any health conditions that may put them at higher risk of complications arising from a COVID-19 infection. Keep in mind that the more households you visit, the higher risk of infection to you and those close to you.
Can a fully vaccinated person refrain from quarantine and testing following a known exposure?
The answer is YES but only if the person does not develop symptoms of the disease after exposure.
Can fully vaccinated people travel within the United States and internationally?
YES! According to the CDC, people who are fully vaccinated can travel within the US and internationally, without the need of getting a Covid test or quarantining before or after traveling.
Note: Since each person’s body responds differently to the vaccine, it might take longer for some people than others to create immunity to the virus, and if we also take into consideration that a great number of the population hasn’t been vaccinated yet (such as young adults and children) we recommend that you keep taking the following precautions:
The Covid-19 pandemic might finally be reaching its end with the development of these vaccines, however, until enough people have received their full dose of the vaccine, we strongly encourage you to keep taking precautions.
Please visit our Covid-19 page if you’d like to read more useful information about how to stay safe during the lockdown
It is that time of the year when we give our plans a thorough review and go through updates. 2020 left chaos in its path but it gave us a chance to examine the coverage offered through our plans and improve them so they meet the needs of our new reality. Our most popular plans have been updated as follows:
To find out what plan best fits your personal needs, contact our team of insurance experts and they’ll be happy to recommend a plan for you.
Healthcare in the United States is complicated to say the least. If you get sick or injured, there are many places that you can go to for medical treatment in the US. It’s important to know where to go to make sure you don’t end up running around to multiple places, spending more money than you need to, and ensuring you have a smooth claims process with your insurance company. So, which provider should you go to for medical care?
Primary care physicians are by far the most common providers in the United States, and are typically made up of general practitioners and family doctors. Primary care doctors can deal with a range of issues from minor colds and infections to chronic illnesses. If a condition is outside of their area of expertise, they will be able to refer you to a specialist. It is important to call in advance and make an appointment, and most are open Monday through Friday from 8 am – 5 pm.
Walk-in clinics are a great option for minor injuries and illnesses, such as the flu or strep throat, and can also administer common vaccines. Walk-in clinics are often located inside of pharmacies such as Walgreens, Walmart, CVS, and in many supermarkets that have pharmacies on-site. They can do a thorough evaluation, administer tests, and prescribe medications for common illnesses – and you do not need an appointment to be seen (although it can be helpful to call before showing up!). Walk-in clinics should not be used if you have a more serious condition such as a broken bone.
Urgent care centers are often stand-alone buildings or locations in retail spaces that offer many services that emergency rooms offer, but are excellent for many non-emergency situations. Urgent care centers do not require an appointment, and can assist you with illnesses and injuries such as mild allergic reactions, sprains, and minor fractures. Urgent care centers may also have access to x-ray machines, can conduct lab work, and may be able to do blood work depending on the facility.
Urgent care centers will save you time and money, as the average urgent care center is cheaper, and has a much shorter waiting time of roughly an hour (which is shorter than most emergency rooms!). Urgent care centers are often open from 7 am until 9 pm on weekdays, and from 8 am until 5 pm on the weekends, but be sure to check before you go.
Emergency rooms are for exactly that – emergencies. Emergency typically means needing immediate treatment in order to save a life or limb. Emergency rooms can treat serious issues such as head trauma, chest pains, and severe bleeding among many more emergency situations.
The emergency room is typically the most expensive place to go and you may have to wait longer. Because of this, it is important to only go to the emergency room if it is a true emergency. You do not need an appointment to go to the emergency room, and they are often open 24 hours a day, 7 days a week. In 2017, the average cost of an emergency room visit was an astounding $1,389. Even if you have insurance, there are often separate higher copays or additional deductibles when you go to the emergency room.
No matter where you go, it is important to find out which providers work with your health insurance plan. Some insurance plans will let you choose where to go, while others may have a specific list of options. Learn more about provider networks and if you are insured with us, check out your Student Zone to find a provider near you.
For most students, Spring 2021 is the first semester where you have finally gotten into the groove of taking classes completely online. The past year has been a challenge, but we are ready to face it head on this time around. Through trial and error or cautionary tales, we have all learned how we work best while being stuck at home. That being said, it never hurts to be reminded of some tips and tricks from those who are experiencing it too!
Here are four tips for taking online classes that might help you experience a better year.
For many of us, getting to class on time meant leaving your house early. I used to leave an hour before class started so that I could drive to campus in time to park, walk to the classroom, and prepare my notes. Not having that commute time means I get an extra hour every morning to spend however I would like! This is a great time to focus on yourself and check in with your mental health. Try meditating or reading a few chapters of a book you like. Being inside from morning to night can take a toll on your emotional wellness. Taking a walk in your neighborhood or getting in a nice stretch in the fresh air can change your perspective on the day ahead.
Life pre-pandemic was filled with strict routines for me. I got up at the same time each day, packed my lunch, had my morning coffee, and so on. The first month working and taking classes from home was a challenge as I was so out of sync with my normal day to day schedule. One of the greatest changes I made this past year was to create at home routines that mimicked my life before. I could still wake up early and prepare my lunch ahead of time. I could still enjoy my morning cup of coffee like I did before, even if I spent the whole day sitting by my coffee maker. Sticking with a routine can help you feel productive, stay on task, and break up the monotony of staying at home.
Just like how a routine can keep you accountable, having set times for different aspects of your life is key. When you are living your life in one setting all the time, it can be easy for things to overlap. For example, when you attend class in the living room it is simple to go ahead and open up your computer 15 minutes early. “Why not? I am ready anyway” you might say, but don’t get caught up in actions like these! Creating boundaries in your life is more important than ever so that you don’t become overwhelmed and burnt out. Set aside certain times for work, school, and rest so that they don’t extend over into one another. Just like how you wouldn’t catch up on sleep during class, you shouldn’t catch up on work during relaxation times.
At the start of my quarantine, I tried to use up all my free time learning new things. I taught myself how to sew, tried to pick up a new language, and baked every type of bread imaginable. As time went on, though, I found myself losing steam. While you may find yourself with more time in your days, you don’t necessarily have to fill it up with productivity. Taking breaks and allowing yourself to breathe is vital. I often forget that despite all the time that has passed, we are still living through a historical event and a global pandemic. For your health and your sanity, allow yourself to rest and recuperate. You can read our page on Emotional Wellness During the COVID-19 Outbreak for some more insight.
While you spend your days at home, you can also check out our ISI Live Events! We come to you live with ISI’s own, Sally McLeod, to talk about topics international students face everyday. You can watch previous lives on our YouTube channel and sign up for reminders about future events.
Covid-19 numbers are continuing to soar in the United States and around the world, but as a new year is upon us there is also good news! Many countries are getting their first doses of the Covid vaccine. While taming this virus hasn’t been easy, this has definitely shined a bright light at the end of this tunnel. In this blog, we will discuss the different approved vaccines, who is eligible, and what to expect when it comes to coverage on their insurance plan.
In the United States, there are three vaccines that have received emergency authorization: Pfizer-BioNTech’s COVID-19 vaccine, Moderna’s COVID-19 vaccine, and the most recent Janssen/Johnson & Johnson COVID-19 vaccine. These three vaccines are being rolled out throughout the US, with a possibility of more on the way.
According to the CDC, there are two more vaccines that are undergoing Phase 3 Clinical Trials and may get emergency authorization in the near future depending on their success. These vaccines in Phase 3 trial are the AstraZeneca’s COVID-19 vaccine and Novavax’s COVID-19 vaccine.
As more people are learning about the vaccine, let’s take a moment to explore each approved vaccine, what to expect, and it’s effectiveness:
Type of vaccine: mRNA
Approved ages: 16 years of age and older
Number of shots: 2 shots, 21 days apart
This was the first vaccine on the market, and showed to be 95% effective. There are two shots given in the upper arm muscle, twenty-one days apart. The most common side effects are pain, swelling, and redness where the shot was administered, as well as headaches, tiredness and chills throughout the body (which was more common after the second shot). The CDC recommends that if you have had a severe or immediate allergic reaction (anaphylaxis) or if you are allergic to PEG or polysorbate, you should not get this vaccine.
Type of vaccine: mRNA
Approved ages: 18 years of age and older
Number of shots: 2 shots, 28 days apart
This vaccine was approved shortly after the Pfizer vaccine, and has had major distribution throughout the US. Based on clinical trials, this vaccine has shown to be 94.1% effective after two doses. Like the Pfizer vaccine, there are also two shots given but 28 days apart, and the shot is administered in the upper arm muscle. The most common side effects are pain, swelling, and redness where the shot was administered, and headaches, tiredness and chills throughout the body (which was more common on the second shot). The CDC recommends that if you have had a severe or immediate allergic reaction (anaphylaxis) or if you are allergic to PEG or polysorbate, you should not get this vaccine.
Type of vaccine: Viral vector
Approved ages: 18 years of age and older
Number of shots: 1 shot
This is the most recent vaccine on the market, and showed to be 63% effective in clinical trials. While the efficacy is lower than the other two vaccines, experts say that it is hard to compare side-by-side since the J&J vaccines was conducted during higher rates of COVID-19 vaccines and tested in populations with the variants such as the UK and South African strains. Also, unlike the other two vaccines, this one is what they call “one and done” meaning that there is only one shot administered in the upper arm muscle. Studies have also shows that the side effects are reduced with this vaccine, however the most common side effects are pain, swelling, and redness where the shot was administered, as well as headaches, tiredness and chills throughout the body. The CDC recommends that if you have had a severe or immediate allergic reaction (anaphylaxis) or if you are allergic to polysorbate, you should not get this vaccine.
Most side effects occur 7 days after the shot, and if you are having discomfort, the CDC recommends talking to your doctor about over-the-counter medication such as ibuprofen or acetaminophen. Additionally, they recommend drinking plenty of liquids and to wear light clothes if you experience fever-like symptoms and to apply a cold wet rag to the area where the shot was administered to reduce discomfort. Exercising the arm which received the shot can also help with pain.
As many people around the world are anxiously awaiting to get the vaccine, and while demand continues to outpace supply, governments around the world are having to make tough decisions about who will get the vaccine and when. The good news is that production continues to ramp up, and more vaccines are on the way.
In the United States, the decision on who will get the vaccine and when has been largely left to each state. Because of the decentralized nature of the roll out, you may need to contact your local Department of Health to get more specifics for your area.
The CDC recommendation on the roll out of the vaccine is divided into phases which include:
For most international students, the vaccine is available in many states already. The current administration predicts that every adult in the United States over 18 years old will be eligible for the vaccine by April 19th, 2021. The best way to check if you’re eligible for the COVID-19 vaccination is to contact the department of health in your city or county to confirm your eligibility and find free vaccination sites.
The Covid vaccine is not currently available for purchase at local pharmacies, clinics or hospitals. At this time, the only way to get the vaccine in the United States is to be a designated group as determined by the state you are residing in. Any vaccines that were purchased with U.S. taxpayer dollars – so any vaccines you get through your Department of Health – will be given at no cost.
Since the Covid-19 vaccine is currently only being paid for by governments at this time, there should be no current need to file a claim. However, when the vaccine is later offered to the general public and no longer exclusively funded by governments, we may start to see clinics, pharmacies, and other health care facilities start charging fees for the vaccine. If this is the case, then it’s important to review your insurance plan benefits and exclusions to confirm whether the vaccine is covered. Timing on the roll out of this is still unknown and insurance companies around the world are continuing to monitor this.
It is also important to note that it is unlikely that an international student would be eligible for the vaccine at this time as many states are working on vaccinating those who fall into Phase 1a, 1b, and 1c. When this does open up to more individuals, however, we will have more clarity and information on the vaccination process. International students who plan on studying abroad, however, may want to check the availability in their home country before traveling since their home country’s policy may be different.
As time goes on, supply will be expanded, more people will be eligible for the vaccine, and more information about the process will be clarified. The good news is that 2021 should look different than 2020.