Download presentation
Presentation is loading. Please wait.
Published byAdelia Lloyd Modified over 9 years ago
2
Presented by: Linda Heady, MBA Insurance and Billing Coordinator
4
If after 4:15pm or on Saturday or Sunday and you can not wait until Monday to see a doctor: Go to: Urgent Care : 8AM – 8PM everyday Phone: 270-781-3910 Cost is $50 Greenwood Clinic : 8AM-6PM Mon-Fri, 8AM- 2PM Sat Phone: 270-843-5662 Cost is $50
5
Call 911 Greenview Emergency Room (Hospital): Phone 270-793-1000 Medical Center Emergency Room (Hospital): Phone 270-745-1000 Cost is at least $250 or more depending on the number of services required.
11
Our Providers
14
Student Health Insurance – Major Medical Insurance Plan $633 (per semester) health insurance fee pays for insurance coverage from January 15 th until July 31st. You must pay by the fee payment deadline of February 19 th
15
You will receive an insurance card:
16
Preventative Care Annual Examinations Tobacco use screening and cessation Depression screening for adults Well women Exams Contraceptives/Birth control Nexplanon Contraceptive Placement Immunizations/Vaccines Hepatitis, HPV, Flu, MMR, Meningitis, Pneumonia, Tdap, Varicella
17
Deductible – Dollar ($) amount you will need to pay before the insurance will pay. Co-Payment (Copay) – Specific dollar ($) amount you must pay at the time of service. Co-Insurance - Dollar ($) amount based on a percentage you must pay for services.
18
WKU Health Services In-Network Provider (First Health) Out-of-Network Provider (First Health) Physician Office You pay $0 AHP pays 100% You pay $50 AHP pays 60% and you pay 40% Physician Office
19
In-Network Provider (First Health) Out-of-Network Provider (First Health) Urgent CareYou pay $50 AHP pays 100% You pay $50 AHP pays 60% and you pay 40% Emergency Room (Hospital) You pay $250 AHP pays 100% You pay $250 AHP pays 60% - you pay 40% Urgent Care or Emergency Room
20
WKU Health ServicesIN NETWORK First Health (If a complex Lab, Health Services sends it to QUEST) OUT-OF-NETWORK First Health You pay $0 AHP pays 100% Some of these include: UA, Glucose, CBC, Flu, Strep, Mono, Pregnancy Test, Wet Prep Stain, prep for fungal elements on skin $50 copay AHP pays 100% Some of these include: Pap Smears, Lipid Panel, Liver Tests, Comp Metabolic Panel, Gonorrhea & Chlamydia testing $50 copay AHP pays 60% - you pay 40% Laboratory
21
IN NETWORK First Health OUT-OF-NETWORK First Health Hospital ExpensesAHP pays 80% of Preferred Allowance (You must first pay $300 deductible, then 20%) 60% of Usual and Customary Charges (You must first pay $600 deductible, then 20%) SurgeryAHP pays 80% of Preferred Allowance (You must first pay $300 deductible, then 20%) 60% of Usual and Customary Charges (You must first pay $600 deductible, then 20%) Hospital and Surgery Coverage
22
WKU Health Services IN NETWORK First Health Prescription DrugsSome medications available You pay $15 for generic You pay $30 for brand name Immunizations and Prescription Drugs
23
You will receive an EOB (Explanation of Benefits) from Klais
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.