You contact them to request a consultation with a counselor and they call you back the same day. Its related to reproductive issues, sexually-transmitted diseases, substance-use disorder or mental health services. 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. Any amount that is billed but not paid by your insurance company, is your responsibility. What is a facility fee and Telehealth site fee and what does it cover? Information about companies which offer supplemental short-term "GAP" medical coverage can be found on the ISS Health Insurance webpage or this Leaving UW webpage. You may need to contact your current providers to find out which plans they are contracted with. While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable. Out-of-state Medicaid, such as MediCal. 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. Online chat via My SSP website. All students in F-1 or J-1 status are required to purchase the International Student Health Insurance Plan (ISHIP). ), Renaissance Pavilion Clinics (1340 Charles St.), Stateline Physical Therapy (4282 E Rockton Rd. You can compare options based on price, benefits, and other features that may be important to you. Out-of-Network Coverage. Address 4060 E. Stevens Way Northeast Campus Box 354410 2023 University of Washington | Seattle, WA. The EOB shows what your medical provider charged for the visit and the services, what your insurer allowed and paid, and what you may owe out-of-pocket. Co-insuranceis your share of the costs of acovered healthcare service, calculated as a percent(for example, 20 percent) of the total cost for the service. Office Visit Copay. This second bill is referred to as the facility fee.. Iowa-based UnityPoint Health, which owns Meriter Hospital in Madison, on Thursday announced a plan to merge with New Mexico-based Presbyterian Healthcare Services. Withcoinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). Look into coverage of common health needs, like mental health counseling, urgent care and prescription medication. Call if you have concerns about campus safety. This includes: Domestic students can get help with insurance by contacting Public Health Seattle & King Countys health insurance navigators at 800.756.5437 or by emailing uwhhc@uw.edu, International students can reach the ISHIP Counselor at stdins@uw.edu, Graduate students with GAIP can reach UW HR at uwgaip@uw.edu, Many services featured on this website are funded by the UW Services and Activities Fee. To be eligible for subsidies, you must earn 100-400% of the federal poverty level. You must sign up for the UW International Student Health Insurance Plan (ISHIP) through MyUW first in order to register for classes. 24-hour crisis line for people in the Seattle area. The Classic, Select, and CDHP plans share the same large network that includes providers both nationwide and worldwide. UW Medicine is considered "in-network" for several health insurance plans offered on the Exchange. Domestic students are not required to have health insurance by the university. Out-of-state private plans purchased on a state or federal exchanges, which only provide emergency coverage in Washington State, facilities for routine, urgent, or specialty care, or call the provider for further information, Tricare Prime (mental health) While Hall Health can see students with Tricare Prime for medical care in some circumstances (see above), most Tricare Prime plans only provide partial coverage for mental health care with UW Medicine providers. It covers the cost of additional technology and support services related to the visit. Access to UW Health's Wellness Options at Work that support employee/family well-being. UW Health partners with Elevate Patient Financial Solutions to assist patients who may qualify for governmental financial assistance. Video and phone visits are eligible for this benefit. How do I know if UW Health is part of my insurance plan? I would like some of the services I received to be kept confidential. To find out if UW Health is considered in-network under your insurance plan, please check your insurance company's website or call your insurance company's customer service department. Payment is still required when you are filing bankruptcy. To browse each plans network or to find a specific provider, either call the plan directly or use the plans web search tool. Only employees who live in Clark county or Cowlitz county can . Unfortunately, DACA recipients and undocumented students are not eligible. Go to ChooseQuartz.com to access a provider directory. The out-of-pocket cost is driven primarily by: Any copay, deductible, and/or coinsurance required by the patients benefit plan; and. Visit our New/Newly-Eligible Employees: Enrolling in Benefits pages for a walkthrough of your options and how to enroll. UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. 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. In many cases, applicants are eligible for coverage immediately, or by the first of the following month. All plans include out-of-pocket costs like premiums, deductibles and coinsurance. UW Health highly recommends that you contact your insurance company to determine your specific benefits for the UW Health location at which you plan to be seen. Payer specific negotiated charges are sometimes not at the charge master item level and therefore we are unable to provide these amounts at this level of detail. They also pay for care by non-physician staff such as nurses, pharmacists, social workers, medical assistants, respiratory therapists and dieticians. Depending on your insurance plan, you may be able to receive full or partial reimbursement for payments you have made . In Washington State, private insurance is only available for purchase through Washington Health Plan Finder (see below for details). Vision: DeltaVision/EyeMed | (855) 544-6035 | Find a Provider. Because hospital-owned clinics are required to meet strict patient safety standards and more regulatory requirements than physician-owned practices, facility fees also help to offset the cost of meeting these mandated requirements. Combined they offer transparency and disclosure for individuals seeking . At that time, you may be given options on proceeding with your service, pre-paying, or rescheduling. Provider-based clinics are required to meet strict patient safety standards and more regulatory requirements than physician-owned clinics. We will only notify you if there is an issue with your approval. Use the Health Plan Search Tool to help you choose a health insurance plan carrier that includes the providers and hospitals in the county that you would like to receive services in. Determine which you have first. If you have health insurance, complete the Know Your Benefits Worksheet to learn about your coverage and benefits. Will my insurance company pay the facility fee or telehealth site fee? Please visit the HCA page listingmedical plans available by countyto find plans that serve your area. 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. Check with your health insurer for benefit coverage. Any international student with F-1 and J-1 visa status who is enrolled at the UW in a program that lasts a quarter or longer must purchase the UW International Student Health Insurance Plan (ISHIP). Is it easy to search for contracted providers? UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. 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. Are you a person who rarely uses health care, and would prefer a lower monthly premium? Your doctor will decide which procedures, tests, and other consultations you may need. The only way to know for sure if your plan is contracted is to call the customer service number on the back of your insurance card and ask the questions posed in the Know Your Benefits worksheet. The rising cost of health care forced the UW-Eau Claire Student Senate to stop funding student health care plans in 2017, and students must now seek health insurance elsewhere. Major Health Systems. Office of Human Resources 21 N. Park Street Suite 5101 Madison, Wisconsin 53715 608-265-2257; Map Plan Design Overview. You may also apply for coverage within 30 days of certain life events. Ideally, our health insurance will: cover planned and unplanned medical expenses with out-of-pocket costs you can afford. UW Healths telehealth site fee is $94.50. Yes. Contact the Washington Department of Retirement Systems at 800-547-6657 or on the web. Students with private health insurance should be prepared for out-of-pocket costs, such as premiums, deductibles and coinsurance. 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. The following commercial insurers are sometimes contracted with UW Medicine/Hall Health. Out-of-Network (Your Costs) Deductible. Your rights and protections against surprise medical bills, Sus derechos y protecciones frente a las facturas mdicas sorpresivas, Wisconsin Collaborative for Healthcare Quality's website, Health Transformation Collaborative website, Norma de Asistencia Financiera - Illinois, Financial Assistance Plain Language Summary, Resumen de la Norma de Asistencia Financiera, Financial Assistance Policy: Appendix A - Amount Generally Billed, Apndice A - Cantidad Facturada Generalmente, Financial Assistance Policy: Appendix B - Categories of Service, Apndice B - Categorias de Servicio de Asistencia Financiera, Financial Assistance Policy: Appendix C - Contact Information, Financial Assistance Policy: Appendix D - Adjustment Levels, Apndice D - Niveles de ajuste de Asistencia Financiera, Financial Assistance Policy: Appendix E -Eligible Providers/Facilities Other Than UW Health, Apndice E - Otros Proveedores e Instalaciones Elegibles Ademas de UW Health, Pliza de Facturacin y Cobro del Paciente, Language Access: Notice of Nondiscrimination. If they say they will be reprocessing your claim, please obtain a reference number and contact Customer Service: Yes. However, many health plans require referrals, prior authorization, and/or sometimes predetermination of medical necessity prior to care being provided to cover your service(s). Sign up for health insurance by following the instructions below: What happens to your UW Benefits after big life changes? Health insurance is a contract between you and your health insurer to cover your medical expenses. Some on-campus health services are subsidized by the Services & Activities Fee (SAF), which all matriculated UW Seattle students pay. This new program is . This list is subject to change and does not guarantee that your insurance will cover the cost of . If you're enrolling dependents in your health insurance . Phone 206-685-1011. Earns up to 133% of the federal poverty level. Active duty members must use a military treatment facility for their care, but family members may come to UW Medicine, including Hall Health. Only facilities owned by UW Hospitals and Clinics and UW Health SwedishAmerican Hospital charge facility fees. Filling outthis formand uploading your supporting documents. You can find complete details about prescription drug coverage by reviewing the plans Certificate of Coverage. Switching your Primary Care Manager to a Hall Health medical provider:Contact Hall Health to select a provider who is accepting new patients first, then submit your request. At the end of the application, you may either designate which plan you would like over the phone or complete the process at. 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. How much is the UW Health facility fee and the telehealth site fee, and will it always be the same? Finally, fees also reflect some of the cost of training of physicians, nurses, pharmacists and other health care professionals. Domestic students are defined as US citizens, green card holders, DACA recipients and undocumented students. However, you should check plan availability where you live, because not all plans are available in all counties. Facility fees represent all the costs of operating a building for health care delivery except the doctors professional fees. Deductibleis the amount you owe for healthcareservices your health insurance or plan coversbefore your health insurance begins to pay. Mailing bills or EOBs to a policyholder or other covered people. 6 You get further tax deductions of 25,000 if you pay health insurance premiums for parents, who are not senior citizens. Examples of services that may require authorization include surgeries, planned admissions, therapy, and advanced imaging procedures such as CT, MRI, and PET scans. See How do uninsured students get health insurance?. Or do you frequently need health care, and prefer a lower deductible? Other than the Physicians professional service fee, is there any other fee(s) for virtual (phone or video) visits? Llenandoeste formularioy cargando sus documentos de respaldo, You can print out and complete the Financial Assistance Application (pdf) or Solicitud de asistencia financiera(pdf) and mail it along with supporting documentation to:UW Health Patient Business ServicesAttn: Financial Assistance ProgramPO Box 620993 Middleton, WI 53562, Financial Assistance Policy - Wisconsin (pdf), Financial Assistance Policy - Illinois (pdf), Norma de Asistencia Financiera - Illinois (pdf), Financial Assistance Plain Language Summary(pdf), Resumen de la Norma de Asistencia Financiera(pdf), Financial Assistance Policy: Appendix A - Amount Generally Billed(pdf), Apndice A - Cantidad Facturada Generalmente(pdf), Financial Assistance Policy: Appendix B - Categories of Service(pdf), Apndice B - Categorias de Servicio de Asistencia Financiera(pdf), Financial Assistance Policy: Appendix C - Contact Information(pdf), Apndice C - Informacion de Contacto(pdf), Financial Assistance Policy: Appendix D - Adjustment Levels(pdf), Apndice D - Niveles de ajuste de Asistencia Financiera(pdf), Financial Assistance Policy: Appendix E -Eligible Providers/Facilities Other Than UW Health(pdf), Apndice E - Otros Proveedores e Instalaciones Elegibles Ademas de UW Health(pdf), Patient Billing and Collections Policy(pdf), Pliza de Facturacin y Cobro del Paciente(pdf), Informe de ingresos por cuenta propia(pdf). Insurance. 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. The deductible may not apply to all services. If you have questions about your ID card, contact your plan directly. UW Health employees rate the overall compensation and benefits package 3.7/5 stars . See All Plans Below. 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. Most benefit elections can be changed under a particular set of circumstances, or at a given point in time. Noncovered benefits under your health plan. Please note that confidential accounts are treated as self-pay and you will be required to pay at the time of service for any services. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. J1 or F1 visa holders are automatically enrolled in ISHIP, Many graduate students employed by UW have GAIP, Required for all UW students studying abroad. 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. One visit with a medical provider for a problem or concern per quarter OR for a pre-travel consultation. Private health insurance plans are contracts between you and an insurer. 2. If you visita doctor outside of yournetwork, you might have topay more for your care. If you have a bankruptcy case number or would like help setting up a payment arrangement, please contact Customer Service: UW Health can provide a price estimate of what a procedure or treatment will cost, based on total charges for the same services, and how much you may be responsible for paying based on your insurance coverage. By choosing a plan that includes UW Medicine, you'll have access to UW . By completing this application, you will be sorted based on your eligibility into the appropriate category private insurance (with or without a government subsidy) or Medicaid (Apple Health). This is an image of a UW Health billing statement. Uniform Medical Plan (UMP) offers you five different health plans through Washington state's Public Employees Benefits Board (PEBB). For more information, read the termination notice regarding insurance options and how to prevent coverage gaps.. International students are still required to buy UW insurance. This includes helping you understand what health insurance is, what prior authorization means and how to understand some common health insurance terms. The UW Health Financial Clearance team will work with your insurance company to obtain your necessary prior authorization(s). Every effort has been made to ensure this information is current and correct. Doctoral Internship Program in Health ServicePsychology, Community Health Plan of Washington (CHPW), International Student Health Insurance Plan (ISHIP), Hall Health new patient, privacy and medical records release form, Health Insurance 101 for Graduate Students - Webinar Recording. Generally, youll pay coinsurance after your visit the doctor, when the bill arrives in the mail. However, you can assume we will start your authorization 3-6 weeks before your date of service. What if Im a DACA recipient or an undocumented student? Health insurance options for those ineligible for UW coverage. If you dont payyour premium, you could lose your coverage. Her core tasks include but are not limited to performing actuarial valuations for accounting purposes of group post-employment and post-retirement benefit insurance plans that involve benefits like . A standard charge means the regular rate established by the hospital for an item or service provided to a specific group of paying patients. 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. Health Insurance. Co-payment (co-pay): This is the fixed fee you pay for certain types of visits, at the time of service. If you are questioning if your insurance has authorized your upcoming service, reach out to your health insurances member services department. Apply about one week before the student arrives in Seattle and/or current health insurance ends, set aside 30 minutes to complete the application. If your insurance does not contract with Hall Health Center and UW Medicine, but does work with other providers in Seattle, you will need to identify providers that you can visit affordably and conveniently, such as those listed below.
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