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Fees for Medical Services
Please note: Effective Monday, September 21, 2009 UHS
will increase fees for certain services. Every effort is being made
to keep fees as low as possible. Please see below for more information
about UHS fees.
Contents:
Understanding fees for services provided at
the Tang Center
All Cal students, regardless of the type of health insurance they have,
have full access to the services at UHS Tang Center.
Your registration fees subsidize most of the primary care and urgent
care costs, however, there is a new office visit co-pay for all students
($15 primary care, $30 Urgent Care) fees for procedures, lab tests,
x-rays and medications if they are required. UHS makes every effort
to keep fees as low as possible. The fees you pay relate to your enrollment
status. If you have any questions about this, please call the Cashier
at (510) 642-8448.
For SHIP members, students pay 20% of the fee and UHS submits the claim
to Anthem Blue Cross (except for the new office visit co-pays). For
students with other types of health insurance, you must pay the fee
in full and submit your claim to your insurance carrier for reimbursement.
Please note: Services performed at the request of the patient, such
as physicals, travel consultation, and immunizations for travel, have
fees that may or may not be covered by insurance.
Understanding fees for services received outside
of the Tang Center
Students may be referred to providers outside of the Tang Center for
services provided by physician specialists, hospitals, community mental
health services, diagnostic imaging centers, or other healthcare providers.
Students with SHIP insurance:
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All referrals for care to be obtained outside of Tang must be authorized
by the Student Health Insurance Office before care is provided to
ensure SHIP coverage. If your clinician refers you for care in the
community, he or she will enter your Request for Authorization in
the database. You will be notified once the authorization is approved.
See How to Use SHIP.
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Providers should submit itemized bills directly to Anthem Blue
Cross. Students can also submit bills to the UHS Student Health
Insurance Office. A community provider may require you to pay your
portion of the fees at the time of your visit. See How
to Use SHIP.
- There is a $200 deductible for services rendered outside of the
Tang Center every plan year, except for pharmacy claims and outpatient
psychotherapy. See Benefits.
Students with insurance other than SHIP:
- Check with your plan for coverage and reimbursement.
FAQ's on fees, payment options, SHIP claims and more . . .
1. Why does UHS charge fees?
Student medical and counseling services at UHS are funded primarily
by student registration fees and some user fees (fees for services).
Registration fees subsidize part of the cost of the services so that
the user fees are lower than fees for medical and counseling services
in the community. UHS is a non-profit service; all fees collected cover
the basic operating costs of providing services.
2. What are my payment options?
You have three options:
- You may pay your fees by cash, check, Cal 1 Card or credit card
on the day of service or within the next seven days.
- You may ask the Cashier to charge fees to your CARS account. Effective
September 21, 2009, UHS will no longer be charging the $10 CARS billing
fee. Any CARS late fees still apply.
- If you need more time to pay your bill, you may ask the Cashier
to set up a payment plan. If you do not pay your bill or arrange a
payment plan within seven days from date of service, UHS will automatically
bill your balance to your CARS account, including a $10.00 billing
fee.
3. How does the Student Health Insurance Plan help with UHS fees?
SHIP pays 80% of the UHS fees for most services covered by the plan, except for the new office visit co-pays.
Therefore, you pay only 20% of those charges. Most UHS fees are covered
by SHIP; the Cashier will notify you of any charges not covered by the
Plan. If you are not enrolled in SHIP, we encourage you to consider
joining next semester. The Plan is a relatively inexpensive way to reduce
your out-of-pocket expenses for both routine and unexpected health care.
4. Do I need to file a SHIP claim after my visit to UHS?
No. Once you pay the Cashier for the portion of fees for which you
are responsible (usually 20% of the total) you are done! UHS will file
a claim with SHIP for the remainder of the fees.
5. How will I know if a claim has been paid?
You will receive an Explanation of Benefits (EOB) by mail a few weeks
after you have visited UHS. The "EOB" is sent by Anthem Blue Cross,
the SHIP claims administrator. The EOB shows how much you were charged
for the service, how much you paid, and the amount paid by SHIP. If
you have any questions regarding a claim, please contact the Student
Health Insurance Office, (510) 642-5700.
6. Am I required to file a claim if I have SHIP?
No. You may choose whether or not to have the covered portion of your
fees billed to SHIP. If you choose to pay 100% of your fees, please
let the Cashier know as soon as you arrive at the window to pay.
7. What if I have more questions?
- For questions regarding fees, call the UHS Cashier at (510) 642-8448.
- For questions regarding SHIP, call the Student Health Insurance
Office at (510) 642-5700.
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