Video and phone visits are eligible for this benefit. In Wisconsin, call (877) 565-0505 and in Illinois call (800) 305-8010. Mental, Behavioral Health and Substance Abuse. 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. You can apply any time of year for Medicaid. Open enrollment only applies to private insurance. Health Insurance. Mailing bills or EOBs to a policyholder or other covered people. The one exception is the CDHP plan, which charges the same coinsurance for all tiers of drugs. If you have questions about your ID card, contact your plan directly. The deductible may not apply to all services. Domestic students who need information about how to obtain insurance should see How do uninsured students get health insurance? below. We will establish a confidential account for you. Is it easy to search for contracted providers? What happens to your UW Benefits after big life changes. UW Health is committed to providing financial counseling assistance to help our patients and families develop a plan to ease financial hardships and stress due to planned and unplanned medical bills. UW Health is the integrated health system of the University of Wisconsin-Madison, caring for more than 700,000 patients each year with 1,849 employed physicians and 21,000 employees at seven hospitals and more than 80 clinic locations. Visit our New/Newly-Eligible Employees: Enrolling in Benefits pages for a walkthrough of your options and how to enroll. Out-of-state Medicaid, such as MediCal. 206.543.5030 Generally, youll pay coinsurance after your visit the doctor, when the bill arrives in the mail. UW Medicine and Hall Health are contracted with many insurance plans, but there are tens of thousands of plans out there. This health plan has great Medicare benefits, including a low $15 co-pay for doctor visits and $40 for specialists. Welcome Center staff can assist you as needed. Where serious conditions meet successful treatment. Signs are posted in all clinics that require a facility fee or a telehealth fee. The table below outlines the schedule of benefits for services received out-of-network. If you have health insurance, complete the Know Your Benefits Worksheet to learn about your coverage and benefits. The list is located on our Billing & Insurance webpage under the "Accepted insurance plans" section. What does a UW Health statement look like? Our Blue Preferred network, available in 71 counties, offers state-wide network access. A strong shared governance structure which assures every nurse has a voice. Look into coverage of common health needs, like mental health counseling, urgent care and prescription medication. At the end of the application, you may either designate which plan you would like over the phone or complete the process at. Hall Health is contracted only with the public option plans offered by the insurers listed above. You can create your own price estimate for common procedures and services. 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. For a printable version, see our brochure Understanding your health insurance (pdf). Every effort has been made to ensure this information is current and correct. You will be given a price estimate or range, rather than a specific quote, as the final charges are based on a variety of factors related to the clinical service provided, the diagnoses associated with those services and supplies used. UW Health offers a financial assistance program to help people who are unable to pay for their medical services they receive. Benefit highlights. While all plans cover the same basic health care services, you may want to know whether or not a certain service is covered by the plan. An HMO-style plan available to active-duty personnel, retirees, and their families. UW Healths facility fee for an office visit is $220. It takes 2-5 business days for a routine request to be processed. By choosing a plan that includes UW Medicine, you'll have access to UW . Out-of-pocket maximumis the most youll have to pay for covered services in a benefit year. For assistance, call (877) 278-6437 in Wisconsin or (800) 305-8010 in Illinois. Applying during open enrollment (November 1-December 15th), Gather materials you will need to apply: social security number, WA address, phone number, immigration documentation (if non-citizen), estimate of monthly income of applicant or family members if student is being claimed as a dependent on US taxes. She also has experience working on a multi-employer defined benefit pension plan. These booklets are long, but they can be helpful if you need to know something specific. All students in F-1 or J-1 status are required to purchase the International Student Health Insurance Plan (ISHIP). Check with your insurance company if you have questions about referral, prior authorization or pre-certification requirements. to learn about your coverage and benefits. 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. Release of information (pdf) Health history . Getting a referral from your Primary Care Manager (PCM). Specialty Office Visit Copay. An estimate is the predicted amount your medical services will cost you. Local Washington state address (residence hall okay). Health Insurance & Immunizations Health Insurance Requirement for F-1 and J-1 Students. What happens to your UW Benefits after big life changes. To access mental, behavioral health, or substance abuse services, call Behavioral Health Care Management at (800) 683-2300. Only employees who live in Clark county or Cowlitz county can . 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 to complete the Know Your Benefits worksheet. health insurance plans are available on healthcare.gov or a state-based exchange, also known as a marketplace. Other insurance Information about life insurance, long-term disability, discounts for auto, home, and renters insurance, and LTD insurance for medical students and fellows. There are two main kinds of health insurance that are relevant to students: Most UW students have in-state or out-of-state private insurance. This will be linked to your patient record. 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 to complete the Know Your Benefits worksheet.. To pay as a guest, you will need your account number. You can also refer to the billing practices brochure that is given to all new patients or contact our billing office with questions. Contact Elevate Patient Financial Solutions by calling (608) 265-1705. If you dont payyour premium, you could lose your coverage. 401 Schmitz Hall. Facility fees represent all the costs of operating a building for health care delivery except the doctors professional fees. 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. You are advised to maintain your U.S. health insurance while you are abroad. Whatever your health coverage needs, Anthem has a health plan in Wisconsin designed for you. Does the managed care organizations network include the clinics and providers that you want to be able to see? The following commercial insurers are sometimes contracted with UW Medicine/Hall Health. ), 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. A copay is usually a fixed amount, rather thana percentage. Copayments might be different depending on the type of service you receive; a copayment for a visit to an emergency department could be different than a copayment for a visit to your primary care doctor. Can I be billed direct and not have them billed to my insurance? UW Health cares for more than 720,000 patients each year . View the standard charge listing for UW Health University Hospital, American Family Childrens Hospital and UW Health East Madison Hospital: Standard charges (xlsx), View the standard charge listing for UW Health SwedishAmerican Hospital: Standard charges (xlsx), HealthCare Financial Management Consumer Guide. SSM Health Dean Medical Group 752 N High Point Rd: 608-824-4000. Use the. Living in another US state or territory? Do you file claims to my health insurance provider? This is an exercise for your own knowledge. Each student and visitor is expected to have their own health insurance to cover . Domestic students are defined as US citizens, legal permanents, DACA and undocumented students. We'll connect you to the support you need. After deductible: 30% coinsurance. Learn about all insurance changes for the 2023 plan year. 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. There is one application for health insurance through the WA marketplace. This is an important step since the Health Plan and HDHP only cover out-of-network benefits for emergency and . 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. Deductibleis the amount you owe for healthcareservices your health insurance or plan coversbefore your health insurance begins to pay. To request a printed provider directory be mailed to you, call 1-844-644-3455. It is not included in your deductible, yourcopayment, or your co-insurance. These patients will qualify for a reduction in their bills based on a sliding scale. UW Health will file a claim for services you received. If you are not employed or do not receive health insurance through your OPT employer, we strongly encourage you to purchase insurance . 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. Creating estimates for upcoming services | Get an estimate, Education on insurance terms and benefits (copayments, deductibles, networks, etc. This is an image of a UW Health billing statement. 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. You must pay an extra fee if you or a dependent uses tobacco or if you add a dependent who has declined other health coverage, The Federal Affordable Care Act (ACA) requires employersponsored medical and dental costs to be reported on employee tax forms. 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). Earns up to 133% of the federal poverty level. Mercyhealth Hospital and Medical Center-Walworth, WI. Federal and state laws require that international students maintain adequate health insurance coverage while enrolled at the UW. Download plan Certificates of Coverage and summaries. 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. 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. Learn about out-of-pocket costs, like deductibles, copays and coinsurance. These plans include monthly premiums, deductibles and coinsurance. How do uninsured students get health insurance? Beyond prior authorization, some services may not be a covered benefit under your plan all together. If you received health care in Wisconsin, call (877) 5650505, If you received health care in Illinois, call (800) 305-8010. Locations, hours and products/services. One requirement is there must be two separate bills, one from the medical group for the doctors professional fees and the other from the hospital for all other costs. Check with your health insurer for benefit coverage. UHS does not bill insurance, verify insurance coverage, or accept assignment of insurance benefits from insurance plans. For example, if your plan pays for 70% of a covered service, you'll need to pay the remaining 30%. Authorization and precertification requirements. To browse each plans network or to find a specific provider, either call the plan directly or use the plans web search tool. Our plans aren't repurposed from another line of business they're built from the ground up specifically for today's college students. Go to ChooseQuartz.com to access a provider directory. Documented immigration status (US citizen, legal permanent resident, student visa, etc.). Many of the hearing, vision, dental, and mental health services have a low or no co-pay. Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. To make the billing process simple and convenient, there are several ways you can pay your bill. What's new for 2023*. Phone 206-685-1011. Many international students and graduate student employees are automatically enrolled in UW-provided health insurance. 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. Fort HealthCare, WI. Mercyhealth Hospital and Medical Center-Harvard, IL. 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. Hall Health does not participate in charity care (financial assistance) or offer any discounts based on income or other factors. This second bill is referred to as the facility fee.. Are you a person who rarely uses health care, and would prefer a lower monthly premium? While all are part of UW Health, each is required to follow billing regulatory requirements based on the type of facility where you receive your care. One visit with a medical provider for an injury or illness per quarter OR for a pre-travel consultation. 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). However, you should check plan availability where you live, because not all plans are available in all counties. 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. 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. Contact the Washington Department of Retirement Systems at 800-547-6657 or on the web. We are motivated to meet the needs of our students, not by profit. While it is possible to estimate these, it is not possible to precisely define these until after the service has been provided. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. US citizen or legal permanent resident (green card holder) of five years. 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).