Please note that final charges may be different based on the actual services received and supplies used. SSM Health Urgent Care 1821 S Stoughton Rd: 608-260-6000. Changes include health plan departures, new health plans and service areas, health plan name changes, pharmacy changes and more. UMP Classic and UMP Select are the only plans that have separate prescription drug deductibles. Our Blue Preferred network, available in 71 counties, offers state-wide network access. Are you a person who rarely uses health care, and would prefer a lower monthly premium? Apply about one week before the student arrives in Seattle and/or current health insurance ends, set aside 30 minutes to complete the application. Plan coverage: certificates and summaries. 2023 University of Washington | Seattle, WA. The negotiated charge that the patients insurance carrier will pay the hospital, which is generally less than the standard charges. There is one application for health insurance through the WA marketplace. Out-of-state families should note that none of the insurance options available in Washington State will provide coverage for routine care outside of Washington. See How do uninsured students get health insurance?. 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. We strive to offer first rate, low cost health and counseling services on campus to keep our students in good health; insurance is not required to receive care. 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. They also pay for care by non-physician staff such as nurses, pharmacists, social workers, medical assistants, respiratory therapists and dieticians. In Washington State, private insurance is only available for purchase through Washington Health Plan Finder (see below for details). You have five UMP medical plan options: UMP Classic. Can I set up a payment plan to pay off my bill? However, you should check plan availability where you live, because not all plans are available in all counties. 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. In-networkrefers to select groups of doctors,hospitals and other healthcare professionals whoare contracted with your insurance to provide afull range of covered healthcare services. For assistance, call (877) 278-6437 in Wisconsin or (800) 305-8010 in Illinois. Does UW Health provide care for patients without insurance? The following commercial insurers are sometimes contracted with UW Medicine/Hall Health. Health Insurances. Office Visit Copay. Your healthinsurance pays therest of the allowedamount. Provider-based clinics are required to meet strict patient safety standards and more regulatory requirements than physician-owned clinics. to learn about your coverage and benefits. Finally, fees also reflect some of the cost of training of physicians, nurses, pharmacists and other health care professionals. Vision: DeltaVision/EyeMed | (855) 544-6035 | Find a Provider. 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). There are five managed care organizations (MCOs) that are contracted with Washington State to manage the care of people with Medicaid. If you are unsure if you need a referral, you should contact your insurance company's customer service department. Benefit highlights. Online chat via My SSP website. If you need to submit a claim, contact UMP. Uniform Medical Plan (UMP) offers you five different health plans through Washington states Public Employees Benefits Board (PEBB). Uniform Medical Plan offers five plans to UW employees: Classic, Select, CDHP, and two Plus plans. Patient financial resources (pdf). to locate a provider that is in network or contact your Tricare Primary Care Manager to arrange for a referral. 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). Fax: Send a copy of your insurance card (front and back) to (608) 890-8531. You might have private insurance through an employer, parent, or spouse. How do I know if UW Health is part of my insurance plan? Sign up for health insurance by following the instructions below: Find health insurance options that are available for people who are not eligible for one of the University's health insurance programs. Out-of-state families will need to determine if their insurance covers services in Washington state. These plans include monthly premiums, deductibles and coinsurance. 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. Some on-campus health services are subsidized by the Services & Activities Fee, which all matriculated UW Seattle students pay. By choosing a plan that includes UW Medicine, you'll have access to UW . The Alumni Insurance Program is a benefit from your UW-Milwaukee Alumni Association, offering a diverse portfolio of insurance products to meet the needs of alumni and their families. Medical, security and natural disaster emergency evacuation services. 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. The amount you pay increases as you move up the tiers from the least expensive, generic drugs, to the more expensive, specialty drugs. If you have out-of-state Medicaid, review the information above about transitioning to Washington Medicaid (Apple Health). 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. However, you can assume we will start your authorization 3-6 weeks before your date of service. 8007 Excelsior Drive, MC 9740. You can also contact us through MyChart. ), SwedishAmerican Hospital and Clinics (1401 E. State St.), SwedishAmerican Medical Center Belvidere (1625 S. State St.), Women and Childrens Hospital and Clinics (1350 Charles St.), Wound Care and Hyperbaric Clinic (1415 E. State St.), American Family Children's Hospital Clinics (1675 Highland Ave.), American Family Childrens Hospital Clinics (2275 Deming Way), Behavioral Health Youth and Family (122 E. Olin Ave.), Digestive Health Center (750 University Row), E Terrace Dr Medical Center (formerly East Clinic) (5249 E. Terrace Dr.), East Madison Hospital (4602 Eastpark Blvd. Or schedule a meeting with TIAA at 1-877-209-3142 or on the web. 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. This plan has a higher deductible and higher out-of-pocket limits but the lowest monthly premium.. 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. While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable. If paying for insurance is not an option, you will want to identify affordable providers that you can visit in certain situations: How can I protect my health information as a dependent? You will be responsible for any cost not covered by your insurance plan. How much is the UW Health facility fee and the telehealth site fee, and will it always be the same? Beyond prior authorization, some services may not be a covered benefit under your plan all together. Please read our webpage or call us at 715-836-4311 for . You do not need to submit the worksheet or any other documentation to UW. 206.543.1240 You may return the forms to us via mail or fax: UW Health Welcome Center. Complete this worksheet for the plan(s) you consider, 1. CMS intended that this information would help patients with improved information regarding price transparency. You can find step-by-step instructions for enrolling in benefits on the Integrated Service Centers website. UW Health Urgent Care Clinic 7102 Mineral Point Rd: 608-828-7603. 6 You get further tax deductions of 25,000 if you pay health insurance premiums for parents, who are not senior citizens. Because the health care climate is in a time of major reform, UWM and SAS are offering a wider . Learn more about UW Health. It covers the cost of additional technology and support services related to the visit. She also has experience working on a multi-employer defined benefit pension plan. Living in another US state or territory? Insure against the unexpected and cover immediate needs with Life Insurance, Health Insurance, Travel Insurance, and more. If you cannot pay in full, payment plans can be arranged through Patient Business Services. I am working with an attorney. ), Developing a financial plan for satisfying current and future bills, Linking patients to potential insurance options, such as Medicaid, Medicare or the healthcare insurance marketplace, Identifying eligibility for UW Healths Financial Assistance Program. Email uwhhc@uw.edu. Out-of-pocket costs, copayment, co-insurance or deductible are due prior to outpatient services. Our plans aren't repurposed from another line of business they're built from the ground up specifically for today's college students. UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. 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. Insurance pays the remaining percentage of the cost. let you see doctors (and use facilities) that provide excellent care. Health Insurance Marketplace. Adult Vision - Includes an annual exam and a $100 hardware benefit for contacts and glasses. The following might have a facility or telehealth site fee: Ambulatory Rehab Pediatric Therapy Services and Sleep Disorders (209 Ninth St.), Diabetes Self-Management Center (1415 E State St.), Orthopedics and Sports Medicine (8451 Orth Road), Regional Cancer Center (3535 N. Bell School Rd. Each insurance plan is different. Does the managed care organizations network include the clinics and providers that you want to be able to see? Patient's family income is at or below 600 percent of the federal poverty level or patient has medical bills that add up to at least half of their yearly income. Unfortunately, DACA recipients and undocumented students are not eligible. Learn about all insurance changes for the 2023 plan year. 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). Yes. One visit with a medical provider for a problem or concern per quarter OR for a pre-travel consultation. What is a facility fee and Telehealth site fee and what does it cover? Call if you have concerns about urgent on- of off-campus mental health needs. How can I submit a change to my health insurance? 2. Note: When you click the links below for standard charges, the file(s) will download to your computer or mobile device. We are motivated to meet the needs of our students, not by profit. been added through the University of Wisconsin Specialty Pharmacy for non-Medicare members receiving care within the UW Health System. To request a printed provider directory be mailed to you, call 1-844-644-3455. You may need to contact your current providers to find out which plans they are contracted with. Every effort has been made to ensure this information is current and correct. It is also known as the exchange. International students.
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