Upload
glenna
View
27
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Presented by: Linda Heady, MBA Insurance and Billing Coordinator. Things you should know about the US Health Care System:. The system is privately funded, not government sponsored or socialized Payment is the responsibility of the individual, with or without health insurance - PowerPoint PPT Presentation
Citation preview
Presented by: Linda Heady, MBAInsurance and Billing Coordinator
Things you should know about the US Health Care System: The system is privately funded, not
government sponsored or socialized Payment is the responsibility of the
individual, with or without health insurance
Even with health insurance, medical treatment in the US can be very expensive. Without health insurance medical treatment can be extremely expensive
Before you visit a doctor, hospital or facility, always check to see if your insurance will be accepted.
More info about US Health CareKeep copies of all bills and papers for
at least one year.You can ask a second doctor for an
opinion before getting treated Inform your doctor about the
conditions and medications you have had in the past
You can ask the doctor questions about your conditions and medications you have had in the past
What do I do if I get sick?
Monday: 8:00am – 4:30pmTuesday: 8:00am – 4:30pmWednesday: 10:00am –4:30pmThursday: 8:00am – 4:30pmFriday: 8:00am – 4:30pm
Call 270.745.5641 for Appointment or Walk in Documentation of your visit can beprovided upon request.
What if WKU Health Services is closed? If after 4:30pm 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
What to do in an EMERGENCY?
Call 911 Go to the Hospital:
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.
Welcome Lobby
Laboratory
Patient Exam Room
X-Ray
Services Provided Men’s and Women’s Health Wellness Examinations Immunizations Laboratory Tests Medications Birth Control/Contraceptives STD Testing Women – Yearly Exams Allergy injections X-Rays
Leta WhitedPsychiatric Nurse
Practioner
Dr. Patricia BlewettMedical Director
Family Medicine, Board Certified
Yolanda ReedNurse Practioner
Dr. Allen ReddenInternal Medicine,
Board Certified
Our Providers
I need to see the Doctorwhat should I do?
Call 745-5641 to schedule an appointment with WKU Health Services – if urgent, come directly to WKU Health Services.
At appointment time, please bring a copy of your insurance card and photo identification.
Academic Health Plans (AHP)
Student Health Insurance – Major Medical Insurance Plan $739 per semester health insurance fee
pays for insurance coverage from August 1, 2013 until December 31, 2013.
You will be charged $739 again in January for Spring 2014 Semester.
Academic Health Plans You will receive an insurance card:
Insurance Terms
Deductible – Dollar ($) 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.
Insurance pays 100% at WKU Health Services 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
WKU Health Services
In-Network Provider(First Health)
Out-of-NetworkProvider(First Health)
Physician Office
You pay $0AHP pays 100%
You pay $50 You pay $50 AHP pays 60% and you pay 40%
Physician Office
In-Network Provider(First Health)
Out-of-NetworkProvider(First Health)
Urgent Care You pay $50 AHP pays 100%
You pay $50 AHP pays 60% and you pay 40%
Emergency Room (Hospital)
You pay $250AHP pays 100%
You pay $250AHP pays 60% - you pay 40%
Urgent Care or Emergency Room
WKU Health Services IN NETWORKFirst Health(If a complex Lab, Health Services sends it to QUEST)
OUT-OF-NETWORKFirst Health
You pay $0AHP pays 100%Some of these include: UA, Glucose, CBC, Flu, Strep, Mono, Pregnancy Test, Wet Prep Stain, prep for fungal elements on skin
$50 copayAHP pays 100%Some of these include: Pap Smears, Lipid Panel, Liver Tests, Comp Metabolic Panel, Gonorrhea & Chlamydia testing
$50 copayAHP pays 60% - you pay 40%
Laboratory
IN NETWORKFirst Health
OUT-OF-NETWORKFirst Health
Hospital Expenses AHP 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%)
Surgery AHP 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
WKU Health Services
IN NETWORKFirst Health
Prescription Drugs Some medications available
You pay $15 for genericYou pay $30 for brand name
Immunizations and Prescription Drugs
What happens after you go to the doctor?
You will receive an EOB (Explanation of Benefits) from Klais
Dental and Vision Care
ON CAMPUS - Dental Hygiene Program operates a clinic on the 2nd floor of Academic Complex – Room 223
Services offered include: X-Rays, Sealants and Prophylaxis (Cleaning)
Fee: $15 student, $20 non-student Call 745-2426 for appointment
If you need glasses or contacts, please call an eye doctor in the Bowling Green area.
If you have tooth/jaw pain, seek a dentist in the Bowling Green area.
Dental Insurance and Vision Discount Program is offered by Neace Lukens – call Wendy Skipworth at 393-6239
Need assistance?
Contact Linda Heady, Insurance & Billing Coordinator at 745-5034.
Call AHP at 888-308-7320 for assistance with AHP insurance questions.