The information below relates to Medical Billing. For information regarding Behavioral Health (Counseling and Mental Health) insurance and billing, please go to http://counseling.uconn.edu/insurance-fees-2/
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, x-rays, pharmacy items, point of care testing and blood draw services. 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
- Anthem Blue Cross/Blue Shield of CT & affiliated BC/BS’s nationwide
- 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. Once we file your claim and the insurance carrier identifies copayments, coinsurance or deductible amounts that are the patient’s responsibility, we will charge those fees to the student’s university fee bill. Please contact the SHS Business Services team if you would like to utilize HSA/FSA debit cards for payment.
For carriers not listed above, all service-related fees will be the patient’s responsibility. 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, blood draw or radiology fees. You may also be responsible for fees incurred at John Dempsey Hospital/UConn Health Center or Quest Diagnostics since they perform our laboratory testing.
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.
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
BILLS FROM OUR PARTNER SERVICES
Please note that while Student Health Services and UConn Health collaborate closely with each other clinically, they are different business entities, particularly for insurance and billing purposes. Bills and statements from University Medical Group and/or John Dempsey Hospital indicate services were provided by UConn Health rather than UConn Student Health Services. Be sure to check your insurance coverage for Urgent Care and Free-standing Emergency Services as the co-pays and deductibles may be different than those for care at Student Health Services.
Should a student require emergency transport, UConn Fire Department is the campus EMS provider and, in most cases, students will be taken by UCFD ambulance to Windham Hospital, about 10 miles from campus. Billing for services there may be from Hartford Healthcare, Northeast Emergency Medicine Specialists and/or Jefferson Radiology.
Let us help you!
If you have questions about charges you have incurred at Student Health Services, please contact our Business Services Team:
For university departments and programs:
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
PRESCRIPTION INSURANCE BILLING
Please go to the Pharmacy page.