If you still wish to review the CDM, please understand the following: The descriptions in the CDM may not be understandable to the layperson. If you simply want an overview of a plans coverage and costs, take a look at the plan Summary of Benefits and Coverage, an easy-to-read summary that lets you quickly review health plans. Do you file claims to my health insurance provider? They also pay for care by non-physician staff such as nurses, pharmacists, social workers, medical assistants, respiratory therapists and dieticians. You are financially responsible for services not covered under your health insurance benefits. Please note that confidential accounts are treated as self-pay and you will be required to pay at the time of service for any services. Health Insurance Coverage. To browse each plans network or to find a specific provider, either call the plan directly or use the plans web search tool. UW Healths telehealth site fee is $94.50. Other than the Physicians professional service fee, is there any other fee(s) for virtual (phone or video) visits? We are motivated to meet the needs of our students, not by profit. This includes information on what total charges have been in the past for this same service, as well as, what your personal out of pocket costs could be based on your insurance benefits. Earns up to 133% of the federal poverty level. Benefit highlights. Clinics that are hospital-owned are required to provide two separate bills. Health and dental plan options Uniform Medical Plan. Highly credible sources put UW Health at the forefront, regionally and nationally, recognizing a legacy of remarkable care and countless medical advances. Health Insurance Marketplace. You can create your own price estimate for common procedures and services. If you cannot pay in full, payment plans can be arranged through Patient Business Services. In addition to the 10 essential health benefits, most plans include these features: Preventive care is covered in full on all plansexams, screenings, and vaccinations (including COVID-19 vaccinations). Here is an overview of services provided by the plan: 24/7 call center available at 877.714.8179 (toll-free) or 603.952.2660 (accepts Collect calls) Comprehensive medical coverage abroad. How much is the UW Health facility fee and the telehealth site fee, and will it always be the same? Patient financial resources (pdf) To help us provide the best possible service to you, we encourage you to contact us as early as possible before services are provided and costs are incurred. A Lilly spokeswoman said the current list price for a 10-milliliter vial of the fast-acting, mealtime insulin Humalog is $274.70. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc Visit the Changing Your Benefits page to learn more. Only employees who live in Clark county or Cowlitz county can . One visit with a medical provider for a problem or concern per quarter OR for a pre-travel consultation. Provider Directory. 1. Its related to reproductive issues, sexually-transmitted diseases, substance-use disorder or mental health services. About 25% of Seattle students have Washington State Medicaid, also known as Apple Health. You may also apply for coverage within 30 days of certain life events. How do uninsured students get health insurance? Health Insurances. Alternatively, you can read the plans Certificate of Coverage (also called the benefits booklet), which describes the plan in detail. UHS is out-of-network for all health insurance plans except the UW-Madison Student Health Insurance Plan. Some on-campus health services are subsidized by the Services & Activities Fee (SAF), which all matriculated UW Seattle students pay. If you are not employed or do not receive health insurance through your OPT employer, we strongly encourage you to purchase insurance . Calling the home to confirm appointments. At that time, you may be given options on proceeding with your service, pre-paying, or rescheduling. UW Health Care Direct 1345 Deming Way, Suite 100 Middleton, WI . To access mental, behavioral health, or substance abuse services, call Behavioral Health Care Management at (800) 683-2300. At the end of the application, you may either designate which plan you would like over the phone or complete the process at. This is especially important if you are ineligible for health insurance (i.e., you are undocumented or on DACA). Some UW community members are not eligible for these services because they do not pay SAF, including certain exchange programs, postdocs, and others. For assistance, call (877) 278-6437 in Wisconsin or (800) 305-8010 in Illinois. UHS provides primary and preventive care on campus, keeping costs as low as possible. How early we start your authorization will vary depending on the service you are receiving. Quartz Health Solutions, Inc. 2650 Novation Parkway Fitchburg, WI 53713. If you have a bankruptcy case number or would like help setting up a payment arrangement, please contact Customer Service: UW Health can provide a price estimate of what a procedure or treatment will cost, based on total charges for the same services, and how much you may be responsible for paying based on your insurance coverage. Effective 1/1/2020 Washington state implemented the Balance Billing Protection Act (BBPA) to offer protection from surprise medical bills. This plan has a higher deductible and higher out-of-pocket limits but the lowest monthly premium.. While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. Student Health Insurance Plan (SHIP) Termination. 2023 Medicare Advantage Plan Benefits explained in plain text. The Alumni Insurance Program is a benefit from your UW-Milwaukee Alumni Association, offering a diverse portfolio of insurance products to meet the needs of alumni and their families. Payment of your full account balance is due 21 days after receiving your first bill. International students who plan to arrive in the U.S. before the effective date of the ISHIP plan should buy short term medical coverage from an outside company during this period. Most insurers will cover facility fees and telehealth site fees, but some do not. They cover the costs of equipment, utilities, maintenance, supplies and medications administered during a clinic visit. Her core tasks include but are not limited to performing actuarial valuations for accounting purposes of group post-employment and post-retirement benefit insurance plans that involve benefits like . Video and phone visits are eligible for this benefit. Learn about out-of-pocket costs, like deductibles, copays and coinsurance. Office of Global Affairs, 2023 University of Washington | Seattle, WA, University of Washington Human Resources Home, Final candidate guide to COVID-19 vaccination requirement, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, Health insurance options for those ineligible for UW coverage, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Managing your annual contributions and IRS limits, Fund review committee for UW retirement plans, Medical FSA: Tax savings for medical costs, DCAP: Tax savings for child and elder care. UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. Whatever your health coverage needs, Anthem has a health plan in Wisconsin designed for you. Copayments might be different depending on the type of service you receive; a copayment for a visit to an emergency department could be different than a copayment for a visit to your primary care doctor. Mailing bills or EOBs to a policyholder or other covered people. Mail: Send a copy of your insurance card (front and back) to Patient Business Services, 7974 UW Health Court, Middleton, WI 53562. Is it easy to search for contracted providers? Providers can be found in the provider directory, or by contacting the medical plan. The out-of-pocket cost is driven primarily by: Any copay, deductible, and/or coinsurance required by the patients benefit plan; and. (Subject to Durable Medical Equipment deductible) Lab & X-ray - Predictable costs help you maintain a healthy lifestyle. For all the plans, you pay coinsurance for prescriptions. Beyond prior authorization, some services may not be a covered benefit under your plan all together. To go to an out-of-network location and have your health insurance pay, you may need a referral or gap exemption from your health insurance. Deductibleis the amount you owe for healthcareservices your health insurance or plan coversbefore your health insurance begins to pay. Copayment, or copay, is an amount you arerequired to pay as your share of the cost for amedical service, like a doctors visit or prescription drug. If you meet certain exemption criteria and you have health insurance comparable to the UW ISHIP, you may be eligible to request a waiver of the UW health insurance. The inpatient total charge amount and reimbursement rates for many procedures is made up of many individual charge items from the CDM. This will be linked to your patient record. Eligibility criteria for Medicaid (Apple Health): Apply about one week before the student arrives in Seattle and/or current health insurance ends, set aside 30 minutes to complete the application by phone. This includes: Domestic students can get help with insurance by contacting Public Health Seattle & King Countys health insurance navigators at 800.756.5437 or by emailing uwhhc@uw.edu, International students can reach the ISHIP Counselor at stdins@uw.edu, Graduate students with GAIP can reach UW HR at uwgaip@uw.edu, Many services featured on this website are funded by the UW Services and Activities Fee. UW Medicine is considered "in-network" for several health insurance plans offered on the Exchange. The list is located on our Billing & Insurance webpage under the "Accepted insurance plans" section. If the student is a dependent of parents/guardians filing taxes in the US, parent/guardian income will be taken into consideration. Learn more about UW Health. To pay as guest, go to MyChart and select "Pay as Guest." This fee is based on the CMS guideline of billing a telehealth facility fee under the same circumstances as an in-person facility fee. to save money on prescription medications. Most benefit elections can be changed under a particular set of circumstances, or at a given point in time. Kaiser WA plans. The table below outlines the schedule of benefits for services received out-of-network. Sign up for health insurance by following the instructions below: If you reside in WA and dont have health insurance, you will need to seek coverage through Washington Health Plan Finder, Washington states health insurance marketplace. If the family member is based internationally and is not filing taxes in the US, the student should report their own personal income. Plan Administrators. 206.543.5030 A good insurance policy gives you access to excellent medical facilities and provides protection against the enormous costs of health care in the U.S. UW International Student Health Insurance Plan (ISHIP) All matriculated international students in F-1 or J-1 status are required to purchase the UW International Student Health Insurance Plan . Living in another US state or territory? Copayments are usually made at the doctors office, when you receive the service. Hall Health Center, Counseling Center If you feel the insurance company should pay a charge, please contact them directly. Articles Find articles in journals, magazines, newspapers, and more; Catalog Explore books, music, movies, and more; Databases Locate databases by title and description; Journals Find journal titles; UWDC Discover digital collections, images, sound recordings, and more; Website Find information on spaces, staff, services, and more . If paying for insurance is not an option, you will want to identify affordable providers that you can visit in certain situations: How can I protect my health information as a dependent? Is the managed care organizations website well-organized and easy to access? Additional services, such as lab tests, immunizations, imaging, x-rays, and medication, are billed to insurance. You will want to check with your insurance company for any exclusions. Please visit the HCA page listingmedical plans available by countyto find plans that serve your area.