You will need to think about your needs and research options before you apply. SHIP travels with you. At UW Medicine, we know you want health insurance that checks all the boxes. Finally, fees also reflect some of the cost of training of physicians, nurses, pharmacists and other health care professionals. Are there providers who are conveniently located close to your home and/or UW? With the High Deductible Health Plan (HDHP), you may choose from local health insurance plan carriers that offer the same Uniform Benefits that include medical and prescription drug coverage (at no additional cost). Some UW community members are not eligible for these services because they do not pay SAF, including certain exchange programs, postdocs, and others. Health Services accepts all provincial health plans, for example, the Ontario Health Insurance Plan (OHIP), and the University Health Insurance Plan (UHIP) for international students for most physician visits. This fee is based on the CMS guideline of billing a telehealth facility fee under the same circumstances as an in-person facility fee. For information on the quality of care at UW Hospitals and Clinics, please see the Wisconsin Collaborative for Healthcare Quality's website, For information on the quality of care at UW Health SwedishAmerican Hospital and Clinics, please see the Health Transformation Collaborative website, For information on the pricing of care at UW Hospitals and Clinics, please see the WHA For Transparency website, For information on the pricing of care at UW Health SwedishAmerican Hospital and Clinics, please see the Illinois Hospital Report Card website. It is also known as the exchange. International students can find information here on how to get health insurance during periods when they are not covered by ISHIP. UHS does not bill insurance, verify insurance coverage, or accept assignment of insurance benefits from insurance plans. You may need to contact your current providers to find out which plans they are contracted with. Plan Design Overview. Javon Bea Hospital's-Riverside & Rockton, IL. There are two types of Tricare: Prime and Select. If you are undocumented or a DACA recipient, there may be a few plans that do not have immigration requirements associated with them available outside of the marketplace. To pay as a guest, you will need your account number. Note: When you click the links below for standard charges, the file(s) will download to your computer or mobile device. UW Healths telehealth site fee is $94.50. UW Health Care Direct 1345 Deming Way, Suite 100 Middleton, WI . SSM Health Urgent Care 1821 S Stoughton Rd: 608-260-6000. However, they only apply to Tier 2 prescription drugs, so you dont have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs. Community Health Plan of Washington (Medicaid) Use the, For care that is essential to your ability to succeed academically, such as ADHD assessment, surgery, etc., consider applying for. Please note that final charges may be different based on the actual services received and supplies used. In Wisconsin: Once you've selected a provider for care in Wisconsin, we ask you to complete several forms. The one exception is the CDHP plan, which charges the same coinsurance for all tiers of drugs. An optional preventive dental plan (called Uniform Dental) is available, at extra cost.. You have 30 days from the date your employment begins to enroll. You dont have to submit a claim when you visit a provider who is part of your plans network. Calling the home to confirm appointments. Wisconsin Pathway network plans include access to ProHealth Care doctors and hospitals, in addition to Ascension Wisconsin and Children's Wisconsin. If you feel the insurance company should pay a charge, please contact them directly. health insurance plans are available on healthcare.gov or a state-based exchange, also known as a marketplace. Learn about all insurance changes for the 2023 plan year. Can I be billed direct and not have them billed to my insurance? Please visit the HCA page listingmedical plans available by countyto find plans that serve your area. Or do you frequently need health care, and prefer a lower deductible? Plans available through the marketplace only provide emergency coverage out-of-state. Contact your insurance company. Beginning in 2022, health care providers were required to disclose, upon request, certain charge and payment information for health care services, tests and procedures. This includes travel and meningitis immunizations, prescription drugs, and oral contraceptives at UHS . The amount you pay increases as you move up the tiers from the least expensive, generic drugs, to the more expensive, specialty drugs. Mercyhealth Hospital and Trauma Center-Janesville, WI. Co-payment (co-pay): This is the fixed fee you pay for certain types of visits, at the time of service. Which clinics do not charge a facility fee or a telehealth site fee? ), Hand and Upper Extremity Rehabilitation Clinic (1 S. Park St.), Junction Rd Medical Center (451 Junction Rd. Earns up to 133% of the federal poverty level. UW Health believes generating an estimate will provide a better value in understanding your potential out-of-pocket expenses. Patient financial resources (pdf). What happens to your UW Benefits after big life changes. You can apply for financial assistance in the following ways: Through yourMyChart account. Health and dental plan options Uniform Medical Plan. Welcome Center staff can assist you as needed. Out-of-pocket costs, copayment, co-insurance or deductible are due prior to outpatient services. It covers the cost of additional technology and support services related to the visit. What does a UW Health statement look like? Access to UW Health's Wellness Options at Work that support employee/family well-being. Your health insurance company helps pay for some or all of your medical care, depending on the type of insurance plan you have. Be aware that investigating coverage requirements, limits, and obtaining authorization from your insurance carrier, especially for complex or investigational surgeries, can take up to six weeks. If the student is a dependent of a family member who is filing taxes in the US, parent/guardian income will be considered in the application. You will be responsible for any cost not covered by your insurance plan. While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable. You can contact an insurance broker to learn more. Participation in the University of Wisconsin System Student Health Insurance Plan (see below) is required for international students. ), Lymphedema and Venous Edema Clinic (1 S. Park St.), Pain Management Clinic (1102 S. Park St.), Science Dr Medical Center (formerly Research Park Clinic) (621 Science Dr.), University Ave Rehabilitation Clinic (6630 University Ave.), Union Corners Clinic Physical Therapy (2402 Winnebago St.), University Station Clinic (2880 University Ave.), UW Carbone Cancer Center (600 Highland Ave.), Yahara Clinic Orthopedic Physical Therapy (1050 East Broadway). Patient financial resources (pdf) To help us provide the best possible service to you, we encourage you to contact us as early as possible before services are provided and costs are incurred. Private health insurance plans are contracts between you and an insurer. From UW-River Falls Risk Management web page: "UWRF does not provide any type of compensation for injuries that occur on campus. You can still be eligible for Medicaid even if you have private insurance. Additional services, such as lab tests, immunizations, imaging, x-rays, and medication, are billed to insurance. Review the plans available to you that are contracted with your preferred health care providers at. Family Planning Waiver (Program which provides free reproductive health exams and supplies if qualified. You are responsible for payment of remaining balances after insurance. You can also contact us through MyChart. If you have questions about your coverage, we also encourage you to check with your insurance company. been added through the University of Wisconsin Specialty Pharmacy for non-Medicare members receiving care within the UW Health System. Authorization and precertification requirements. Most insurers will cover facility fees and telehealth site fees, but some do not. Health Insurance & Immunizations Health Insurance Requirement for F-1 and J-1 Students. 8007 Excelsior Drive, MC 9740. What is the difference between a UW Health provider-based clinic and physician-owned clinic? UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. Our plans aren't repurposed from another line of business they're built from the ground up specifically for today's college students. Clinics that are hospital-owned are required to provide two separate bills. Learn about the Uniform Medical Plan, Kaiser Permanente options, and dental plans. You are financially responsible for services not covered under your health insurance benefits. Will my insurance company pay the facility fee or telehealth site fee? 6 You get further tax deductions of 25,000 if you pay health insurance premiums for parents, who are not senior citizens. Health insurance network (i.e., what locations are in-network versus out-of-network), Managed care plans such as health maintenance organizations (HMOs) and preferred provider organizations (PPOs) may deny or reduce benefits if care is obtained outside of the established in-network locations. At that time, you may be given options on proceeding with your service, pre-paying, or rescheduling. Getting a referral from your Primary Care Manager (PCM). Pharmacy Benefits: Navitus Health Solutions | (866) 333-2757. After deductible: 30% coinsurance. UW Health partners with United Way of Dane County to fund HealthConnect which helps lower-income Dane County residents with their health care premiums through the Marketplace. Health Insurance Coverage. All US citizens, legal permanent residents and student visa holders are eligible to apply for insurance through the exchange, regardless of income and other criteria. As of September 19, 2014 the UW Student Health Insurance Plan will be terminated and will not be offered for students who are U.S. citizens or permanent residents. Fax: (608) 833-3203. All students in F-1 or J-1 status are required to purchase the International Student Health Insurance Plan (ISHIP). Sometimes you need to keep your personal health information private, such as when your health insurer sends you an Explanation of Benefits (EOB) statement after youve visited the doctor. You pay co-insurance after you have met your deductible. 401 Schmitz Hall. This list is subject to change and does not guarantee that your insurance will cover the cost of all services with Hall Health/UW Medicine. Affordable Care Act. While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. 2023 University of Washington | Seattle, WA, University of Washington Human Resources Home, Final candidate guide to COVID-19 vaccination requirement, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, step-by-step instructions for enrolling in benefits, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Managing your annual contributions and IRS limits, Fund review committee for UW retirement plans, Medical FSA: Tax savings for medical costs, DCAP: Tax savings for child and elder care. Office of Global Affairs, 2023 University of Washington | Seattle, WA, University of Washington Human Resources Home, Final candidate guide to COVID-19 vaccination requirement, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, Health insurance options for those ineligible for UW coverage, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Managing your annual contributions and IRS limits, Fund review committee for UW retirement plans, Medical FSA: Tax savings for medical costs, DCAP: Tax savings for child and elder care. Out-of-Network (Your Costs) Deductible. ), Renaissance Pavilion Clinics (1340 Charles St.), Stateline Physical Therapy (4282 E Rockton Rd. Facility fees represent all the costs of operating a building for health care delivery except the doctors professional fees. You can also consult the list of health insurance plans and government programs in which UW Medicine participates. Our financial counselors can help you understand your insurance coverage and benefits, answer questions related to the cost of healthcare services and provide options on how you can pay your current and future medical bills. If there are any issues with your insurance authorization, the UW Health Financial Clearance Department will work with your provider to determine medical urgency, and we will then contact you. The reverse is true of exchange plans obtained outside of Washington State (i.e., California). Compare medical plan premiums, deductibles, and other costs, Compare plan networks and search for doctors, clinics, and other providers, Download plan Certificates of Coverage and summaries. After you gradute from UW Bothell, you are no longer eligible to purchase the health insurance plan through UW. UW Health does provide care to patients without insurance. This includes information on what total charges have been in the past for this same service, as well as, what your personal out of pocket costs could be based on your insurance benefits. Use healthcare.gov to find your marketplace and apply for insurance. Please read our webpage or call us at 715-836-4311 for . How much is the UW Health facility fee and the telehealth site fee, and will it always be the same? Full Service Areas. At the end of the application, you may either designate which plan you would like over the phone or complete the process at. Contact the Washington Department of Retirement Systems at 800-547-6657 or on the web. Video and phone visits are eligible for this benefit. You can find complete details about prescription drug coverage by reviewing the plans Certificate of Coverage. Hall Health Center. Out-of-pocket maximumis the most youll have to pay for covered services in a benefit year. UW Health offers a financial assistance program to help people who are unable to pay for their medical services they receive. I am working with an attorney. What if Im a DACA recipient or an undocumented student? The Centers for Medicare and Medicaid Services (CMS) requires each hospital to post a list of their standard charges a Charge Description Master (CDM) in a machine-readable format and update the data at least annually. You can find this on the billing page. In such cases, you may be financially responsible for the provided services. Medicaid (Apple Health) has no costs associated with it as long as you only seek covered services with contracted providers. Plan Administrators. Complete this worksheet for the plan(s) you consider, 1. You may also apply for coverage within 30 days of certain life events. You have five UMP medical plan options: UMP Classic. Uniform Medical Plan offers five plans to UW employees: Classic, Select, CDHP, and two Plus plans. I would like some of the services I received to be kept confidential. This is especially important if you are ineligible for health insurance (i.e., you are undocumented or on DACA). To pay as guest, go to MyChart and select "Pay as Guest." Plan coverage: certificates and summaries. Before your visit, call the customer service number listed on your insurance card to find out if your plan covers these fees billed by hospital-owned clinics. There is one application for health insurance through the WA marketplace. Salary is just one component of a broader compensation philosophy at UW Health. This is an exercise for your own knowledge. For a printable version, see our brochure Understanding your health insurance (pdf). Learn about health insurance options for teaching assistants, research assistants, tutors, predoctoral researchers, and other academic student employees, Global Healthcare Contacts (pdf) After you receive services, UW Health will file insurance claims on your behalf. Creating estimates for upcoming services | Get an estimate, Education on insurance terms and benefits (copayments, deductibles, networks, etc. Please see the UW System and Wisconsin Department of Employee Trust Funds (ETF) webpages below for information about the health, dental, and vision insurance options, and pharmacy benefits, available to employees. Learn if . Check with your health insurer for benefit coverage. UW Health partners with Elevate Patient Financial Solutions to assist patients who may qualify for governmental financial assistance. You can create your own price estimate for common procedures and services. Your health insurance likely has certain services that it does not cover (examples may include acupuncture, fertility care, etc.). If you cannot pay in full, payment plans can be arranged through Patient Business Services. Insurance During OPT. Each Prime member is assigned a Primary Care Manager, who provides all routine care and facilitates referrals to specialists as needed. Specialty Office Visit Copay. A leading regional health care provider Leading the way is what we do Don't take our word for it. If you reside in WA and dont have health insurance, you will need to seek coverage through Washington Health Plan Finder, Washington states health insurance marketplace. You contact them to request a consultation with a counselor and they call you back the same day. Find a doctor, download Certificates of Coverage, learn about premiums and deductibles and consumer-directed health plans. Filling outthis formand uploading your supporting documents. If the family member is based internationally and is not filing taxes in the US, the student should report their own personal income instead. Use your non-network benefit, if available, which covers 50% of the cost and includes a $300 deductible, Lifewise individual plans available through the WA marketplace, Coordinated Care individual plans available through the WA marketplace, Community Health Plan of Washington (an Apple Health plan). The deductible may not apply to all services. Phone: In Wisconsin, call (608) 261-1600 or (800) 303-6114. Here is an overview of services provided by the plan: 24/7 call center available at 877.714.8179 (toll-free) or 603.952.2660 (accepts Collect calls) Comprehensive medical coverage abroad. About 25% of Seattle students have Washington State Medicaid, also known as Apple Health. To create an estimate: Create a guest estimate If you do not have a MyChart account, you can request an estimate for common procedures and services on as a guest. Use the links and FAQ below to learn how to affordable access to on- and off-campus care, and how to obtain and use health insurance. Insurance. You can find step-by-step instructions for enrolling in benefits on the Integrated Service Centers website. If you qualify for financial help to lower the cost of health coverage . It takes 2-5 business days for a routine request to be processed. Eligibility criteria for private insurance: Only US citizens and legal permanent residents (green card holders) of more than five years are eligible for Washington State Medicaid (Apple Health). By law (leg.wa.gov), your health plan cant disclose your information if you tell them in writing that: Under Washington state law, if youre age 18 or youngerand old enough to consent to your own health care services, your health plan should not release any personal health information about those services, unless you tell them in writing its OK. UMP Plus: UW Medicine Accountable Care Network, UMP Plus UW Medicine Accountable Care Network, UMP Plus Puget Sound High Value Network. Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. Pay to continue your health insurance when your employment ends or you lose benefits eligibility. Depending on your insurance plan, you may be able to receive full or partial reimbursement for payments you have made . The inpatient total charge amount and reimbursement rates for many procedures is made up of many individual charge items from the CDM. How can I submit a change to my health insurance? Being healthy isn't just about your body - it's about your mind, too.