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Billing

 

Please note that the informtion below relates to Medical Billing. For specific information related to Behavioral Health (Counseling and Mental Health) insurance and billing, please click here: http://www.counseling.uconn.edu/fees.html

 

UConn Student Health Services (SHS) uses a fee-for-service billing model, similar to your private physician's office. There are charges for office visits, laboratory services, x-rays, pharmacy items, as well as specialty clinics, such as orthopedics. Basic first aid, consultations with the triage nurse, telephone advice nurse, health education services, nutrition and physical activity counseling are provided at no charge.

Fees for office visits range from $25 to $250, depending upon the type and complexity of the visit. The complexity level of your visit is based on whether you are a new or established patient, the nature of your condition, examination and counseling time. The actual level is determined after your visit, so we are not able to give you a precise fee quote at the time you make your appointment. Many of these charges are reimbursable by the University-sponsored plan or other private health insurance plans.

UConn Student Health Services participates directly with

  • Aetna
  • Anthem Blue Cross/Blue Shield of CT & affiliated BC/BS’s nationwide
  • CIGNA
  • Connecticare
  • HealthNet
  • United Healthcare
  • Connecticut Medicaid

For any of the above carriers, we will file claims directly with these companies and will accept payment of contractually negotiated fees as payment in full. You are responsible for any copayments, coinsurance or deductible amounts which can be paid at time of service. If your coverage plan allows it and you wish to seek reimbursement from your insurance carrier on your own, we will provide you with receipts for claim filing upon request.

If you choose to be covered by the university sponsored student health insurance plan, most services performed at SHS (related to illness, injury or accident) are covered at 100% with no copayment. SHS will file the claim directly.

If your insurance coverage is through any carrier other than those listed above, the charge will be considered "self pay" and you will be responsible for full payment of any office visit, laboratory or radiology fees. You may also be responsible for fees incurred at John Dempsey Hospital/UConn Health Center since some laboratory tests are performed there. Billing for the Orthopedic Clinic held at Student Health Services is done by the University Physicians' practice at the UConn Health Center.

If you have coverage through a health maintenance organization (HMO) you may not be reimbursed for services rendered by out of plan providers; this may include Student Health Services and/or the UConn Health Center. Check your plan to be sure by using the contact information on the back of your insurance card.

Please be aware that many plans require prior approval before a student can be seen by anyone except their home primary care provider and it is the student's responsibility to seek this approval prior to using our services.

Any charges deemed the student's responsibility can be paid via cash, check, credit/debit card or Husky Bucks at the "Check In" window or opted to be put on the university fee bill. We can also process HSA/FSA debit cards.

Students must bring their student ID, their medical insurance card as well as their prescription insurance card to each visit, regardless of the health insurance plan.

In other words...

If a student is covered with insurance from a participating carrier:

  • Co-payment and/or deductibles will be student's responsibility.
  • SHS will submit claims directly to the insurance company for the student.
  • Each student is responsible for providing accurate insurance information at time of visit.
  • Any unpaid claims due to lapse in coverage, non-covered services or deductibles are the responsibility of the student.

If a student is covered with insurance from a NON-participating carrier:

  • The student is responsible for all fees associated with services.
  • Upon request, SHS will provide an itemized statement for the student to use to submit to the insurance carrier for reimbursement.
  • The student may seek medical attention from an off-campus facility that participates in their insurance plan.
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Related

If you have questions about charges you have incurred at Student Health Services, please contact our Business Services Team by calling 860-486-0745.


For university departments and programs:

SHS Request for Services Form


PATIENT'S RESPONSIBILITY
REGARDING INSURANCE

In order to best serve you as well as ensure your claim is not denied for lack of required referral or authorization, we ask that you contact your insurance carrier to determine:

  • If you are covered for services at UConn Student Health Services.
  • If you require prior authorization.
  • If a referral is needed from your primary care physician. If so, be sure we receive a copy prior to or on the day of your appointment.

If you do not have insurance coverage, payment will be due at the time of your visit.

If you have any questions, please contact Tresca Smith, Insurance Coordinator, at 860-486-4535 or Tresca.Smith@uconn.edu


BILLING FOR
ORTHOPEDICS CLINICS

Charges incurred during the Orthopaedics Clinic will be billed by the UConn Health Center (and/or University Physicians) directly to your health plan. In the event your health plan or healthcare contract does not fully cover services, the patient will be responsible for payment. Examples include co-payments, deductibles, charges considered to be beyond usual, customary, and reasonable or uncovered services.

If your health plan does not consider the UCHC or New England Musculoskeletal Institute to be a participating provider, out-of-network charges incurred will be the patient's responsibility.


PRESCRIPTION INSURANCE BILLING

Please go to the Pharmacy page.

Division of Student Affairs
One Division. Multiple Services. Students First.