The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. In Wisconsin: Once you've selected a provider for care in Wisconsin, we ask you to complete several forms. I am filing for bankruptcy. For assistance, call (877) 278-6437 in Wisconsin or (800) 305-8010 in Illinois. Mercyhealth Hospital and Medical Center-Harvard, IL. Active duty AND family members may come to UW Medicine, including Hall Health. 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. When an outpatient clinic is owned and operated by one of our hospitals, that clinic is considered part of the hospital and UW Health is required to bill a facility fee along with any other charges that apply to that visit. What is a facility fee and Telehealth site fee and what does it cover? You are responsible for knowing if your insurance does not cover certain types of services. EnglishEspaol (Spanish)Hmoob (Hmong) (Chinese)Deutsch (German) (Arabic) (Russian) (Korean)Ting Vit (Vietnamese)Deitsch (Pennsylvania Dutch) (Lao)Franais (French)Polski (Polish) (Hindi)Shqip (Albanian)Tagalog (Tagalog Filipino). Visit our New/Newly-Eligible Employees: Enrolling in Benefits pages for a walkthrough of your options and how to enroll. In many cases, applicants are eligible for coverage immediately, or by the first of the following month. Other insurance Information about life insurance, long-term disability, discounts for auto, home, and renters insurance, and LTD insurance for medical students and fellows. The following guidelines help identify patients who may be eligible to receive financial assistance: UW Health is the appropriate provider for the level of care required by the patient, Patient is unable to get county, state or federal aid for medical care, Patient lives in UW Healths primary service community, or UW Health is the closest facility to the patient's home that provides the sub-specialty care required. Contact your insurance company for information about benefit coverage. ), Renaissance Pavilion Clinics (1340 Charles St.), Stateline Physical Therapy (4282 E Rockton Rd. What should I do with my bill? 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. The negotiated charge that the patients insurance carrier will pay the hospital, which is generally less than the standard charges. These services are considered an excluded benefit under your plan. You will be responsible for any cost not covered by your insurance plan. From UW-River Falls Risk Management web page: "UWRF does not provide any type of compensation for injuries that occur on campus. The CDM and the corresponding standard charges themselves may not provide the appropriate price transparency for the patient as a patients out-of-pocket cost is not determined by the standard charges of a hospital alone. 2023 University of Washington | Seattle, WA. Is the managed care organizations website well-organized and easy to access? Some UW community members are not eligible for these services because they do not pay SAF, including certain exchange programs, postdocs, and others. What should I do with my bill? ), Hand and Upper Extremity Rehabilitation Clinic (1 S. Park St.), Junction Rd Medical Center (451 Junction Rd. 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. Contact Elevate Patient Financial Solutions by calling (608) 265-1705. Generally, patients pay less out-of-pocket for services when providers are in-network rather than out-of-network.Out-of-network services may require a higher co-payment or deductible than in-network services, or they may not be covered by insurance at all. The allowed amount can be different for in-networkas opposed to out-of-network providers and facilities. Likewise, she said the same amount of . This limit includes deductibles, coinsurance, copayments or similar charges and any other expenditure required of an individual for a medical expense. Financial help, or subsidies, are only available when you enroll in an on-exchange health plan. Local Washington state address (residence hall okay). To build our one-of-a-kind student-focused health plan, we tap into our 25-plus years of experience in student health administration. November 21, 2013 by Tyler Krueger. 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. (Subject to Durable Medical Equipment deductible) Lab & X-ray - Predictable costs help you maintain a healthy lifestyle. Doctors unlike other doctors. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off and retirement plans. Uniform Medical Plan offers five plans to UW employees: Classic, Select, CDHP, and two Plus plans. If you need to submit a claim, contact UMP. Online chat via My SSP website. Students with private health insurance should be prepared for out-of-pocket costs, such as premiums, deductibles and coinsurance. Plan Design Overview. The reverse is true of exchange plans obtained outside of Washington State (i.e., California). UW Health is the integrated health system of the University of Wisconsin-Madison serving more than 700,000 patients each year in the Upper Midwest and beyond with 1,849 physicians and 21,000 staff at seven hospitals and more than 80 outpatient sites. This will be linked to your patient record. Your doctor will decide which procedures, tests, and other consultations you may need. 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. Eligibility criteria for Medicaid (Apple Health): Apply about one week before the student arrives in Seattle and/or current health insurance ends, set aside 30 minutes to complete the application by phone. Find health insurance options that are available for people who are not eligible for one of the University's health insurance programs. 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.. 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. 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). 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. Outside of Washington state, private insurance and Medicaid plans through WA Health Plan Finder will only cover emergency care. What if Im a DACA recipient or an undocumented student? You can still be eligible for Medicaid even if you have private insurance. Mail: Send a copy of your insurance card (front and back) to Patient Business Services, 7974 UW Health Court, Middleton, WI 53562. Do I need a referral to see a UW Health doctor? 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. Copayments are usually made at the doctors office, when you receive the service. Iowa-based UnityPoint Health, which owns Meriter Hospital in Madison, on Thursday announced a plan to merge with New Mexico-based Presbyterian Healthcare Services. Health insurance is a contract between you and your health insurer to cover your medical expenses. Hall Health is contracted only with the public option plans offered by the insurers listed above. A leading regional health care provider Leading the way is what we do Don't take our word for it. 401 Schmitz Hall. All students in F-1 or J-1 status are required to purchase the International Student Health Insurance Plan (ISHIP). Does the plans network include the clinics and providers that you want to be able to see? How do I know if UW Health is part of my insurance plan? Any patient that is uninsured will pay the discounted cash price. During quarters in which matriculated students are enrolled, prepaid services include: You are eligible for these services only during quarters in which you are enrolled at UW. Beyond prior authorization, some services may not be a covered benefit under your plan all together. been added through the University of Wisconsin Specialty Pharmacy for non-Medicare members receiving care within the UW Health System. 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. 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. 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. 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. Email [email protected]. This new program is . The deductible may not apply to all services. The new health care plan will provide students with more options than they have previously seen. This is an exercise for your own knowledge. 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. To make the billing process simple and convenient, there are several ways you can pay your bill. How much is the UW Health facility fee and the telehealth site fee, and will it always be the same? 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). Payment is still required when you are working with an attorney for TPL, Workers Compensation or other claims. 8007 Excelsior Drive, MC 9740. 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. Its related to reproductive issues, sexually-transmitted diseases, substance-use disorder or mental health services. Because the health care climate is in a time of major reform, UWM and SAS are offering a wider . If you simply want an overview of a plans coverage and costs, take a look at the plan Summary of Benefits and Coverage, an easy-to-read summary that lets you quickly review health plans. 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. Even though you are not hospitalized, these facilities must meet strict patient safety standards and must follow regulatory requirements of the Centers for Medicare, Medicaid and The Joint Commission. Elevate Patient Financial Solutions will serve as a patient advocate and is committed to working with you to get the benefits that are needed. During quarters in which matriculated students are enrolled and registered for classes, these include: UW does not offer health insurance to domestic students. 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. Our staff can assist you. If you have health insurance, complete the Know Your Benefits Worksheet to learn about your coverage and benefits. Clinics that are owned and operated by UW Health physician groups UW Medical Foundation, UW Department of Family Medicine and Community Health Clinics and SwedishAmerican Medical Group charge patients a single fee that includes all the cost associated with running their practice. 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. If the family member is based internationally and is not filing taxes in the US, the student should report their own personal income instead. To browse each plans network or to find a specific provider, either call the plan directly or use the plans web search tool. The UW-System facilitates selection of an insurance plan, offered by Student Assurance Services (SAS) to coordinate and manage the enrollment and eligibility process . Noncovered benefits under your health plan. Welcome Center staff can assist you as needed. Mailing bills or EOBs to a policyholder or other covered people. Create an estimate through MyChart MyChart users can create their own estimate for many common services. Provider-based clinics are required to meet strict patient safety standards and more regulatory requirements than physician-owned clinics. You can pay your bill online using MyChart. Hall Health Learn about the different health plans available to benefits-eligible UW employees. There is one application for health insurance through the WA marketplace. This second bill is referred to as the facility fee.. I am working with an attorney. Please visit the HCA page listingmedical plans available by countyto find plans that serve your area. Access to UW Health's Wellness Options at Work that support employee/family well-being. To pay as guest, go to MyChart and select "Pay as Guest." A strong shared governance structure which assures every nurse has a voice. Insurance pays the remaining percentage of the cost. If you are unsure if you need a referral, you should contact your insurance company's customer service department. Our plans aren't repurposed from another line of business they're built from the ground up specifically for today's college students. Lifewise group plans (not individual marketplace plans), Uniform Medical Plan (Regence BlueShield). When you are trying to manage your health insurance, you may hear many different terms. For any medical or mental health services not on this list, your health insurance will be billed. That's why for 2023, lab and X-ray services have copays, lowering the member cost share for services . For purposes of complying with the Hospital Price Transparency Final Rule, this includes five types of standard charges: gross charge, discounted cash price, payor-specific negotiated charge, de-identified minimum negotiated charge, and de-identified maximum negotiated charge. Continuation: Contact UW-Shared Services, Service Operations at [email protected] or (888) 298-0141 (7:45-4:30 p.m. Monday-Friday) to obtain a continuation form upon termination. If you do not have a MyChart account, you can create a new account or pay as guest: To request a new account, go to MyChart and select "Sign Up Now.". What happens to your UW Benefits after big life changes. You may be asked to pre-pay for services or receive a bill shortly after requesting payment in full. These fees are updated on a yearly basis. If you decide not to obtain comprehensive coverage in WA and retain coverage in your home state, be sure you have a plan for what you will do if you need care while in Seattle. This is an exercise for your own knowledge. If you qualify for financial help to lower the cost of health coverage . ), 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. You will be responsible for any cost not covered by your insurance plan. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. About 25% of Seattle students have Washington State Medicaid, also known as Apple Health. To access mental, behavioral health, or substance abuse services, call Behavioral Health Care Management at (800) 683-2300. 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. Insurance plans that require prior authorization or pre-certification may not pay for services if it is not authorized prior to the date of service. Monthly Premium: $40. UW Health Care Direct 1345 Deming Way, Suite 100 Middleton, WI . Javon Bea Hospital's-Riverside & Rockton, IL. Withcoinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). UW Medicine is considered "in-network" for several health insurance plans offered on the Exchange. Health and dental plan options Uniform Medical Plan. A good insurance policy gives you access to excellent medical facilities and provides protection against the enormous costs of health care in the U.S. UW International Student Health Insurance Plan (ISHIP) All matriculated international students in F-1 or J-1 status are required to purchase the UW International Student Health Insurance Plan . UnityPoint Health, which acquired Meriter Heath Services in 2014, has 20 hospitals, all in Iowa or Illinois except for Meriter . 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. to save money on prescription medications. This is called a facility fee and these clinics are sometimes referred to as provider-based clinics." You can apply for financial assistance in the following ways: Through yourMyChart account. You will be responsible for any costs not covered by your insurance plan. 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. Plain text explanation available for any plan in any state. How do uninsured students get health insurance? 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. 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. We are motivated to meet the needs of our students, not by profit. Patient financial resources (pdf). After you receive services, UW Health will file insurance claims on your behalf. If the student is a dependent of parents/guardians filing taxes in the US, parent/guardian income will be taken into consideration. In Illinois, call (800) 305-8010. Domestic students are not required to have health insurance by the University. The student Health insurance Plan (SHIP) provides comprehensive health coverage for UW-Madison students and scholars. See All Plans Below. If you dont payyour premium, you could lose your coverage. Patients may be able to get financial help if they are not insured, underinsured, do not qualify for government assistance (for example Medicare or Medicaid) or it is hard to pay for care at UW Health. 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, Plan networks: Find a doctor, clinic, or other provider, Plan coverage: certificates and summaries, 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. Find a doctor, download Certificates of Coverage, learn about premiums and deductibles and consumer-directed health plans, Eligibility requirements for health insurance and other state-provided benefits. University Hospital and East Madison Hospital main phone numbers: (608) 263-6400 (main) (800) 323-8942 (toll-free) Contraceptives for women may be covered at no cost to students under the Family Planning Only Services program. Sign up for health insurance by following the instructions below: Providers can be found in the provider directory, or by contacting the medical plan. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off and retirement plans. This feature is available for both MyChart and non-MyChart users. 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. Under "Plan Details", select "Network Options" and select the "UW Health Network". This is an image of a UW Health billing statement. A standard charge means the regular rate established by the hospital for an item or service provided to a specific group of paying patients. Full Service Areas. Documented immigration status (US citizen, legal permanent resident, student visa, etc.). 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. UHS does not bill insurance, verify insurance coverage, or accept assignment of insurance benefits from insurance plans. SSM Health Urgent Care 1821 S Stoughton Rd: 608-260-6000. In Wisconsin, call (877) 565-0505 and in Illinois call (800) 305-8010. Below are some of the common terms you may encounter. Uniform Medical Plan (UMP) offers you five different health plans through Washington state's Public Employees Benefits Board (PEBB). For services in Wisconsin, if you are unable to create your own estimate via MyChart or Guest Estimate, you may call UW Health's Priceline team at (608) 263-1507 for assistance. Local Washington state address (residence hall or other student housing okay). Your health insurance company helps pay for some or all of your medical care, depending on the type of insurance plan you have. You can find step-by-step instructions for enrolling in benefits on the Integrated Service Centers website. 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.
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