Patient Financial Responsibilities (Participating Carriers-In Network) The financial responsibility of a patient or the responsible party is determined by the health insurance coverage of the patient or responsible party. Once that has been determined, the remaining balance (co-payments, deductibles, and non-covered services will be billed to the responsible party).
“Self-Pay” Accounts Patients are classified as Self Pay accounts in three situations: (1) patients who do not have any type of health insurance; (2) patients having health insurance coverage via a health insurance company that is non-participating with the Student Health Center; (3) patients having Out of Network accounts with certain plans that will not cover the services at the Student Health Center.
Payment Agreement The patient or responsible party agrees to pay any portion of charges that are not paid by the patient or responsible party’s insurance company. Patient also acknowledges that they are responsible for the payment of all services rendered, if not paid by the insurance company.
Out of Network Insurance AccountsPatients having health insurance with a health insurance company with which the Valdosta State University Student Health Center does not participate, are classified as Out of Network (see website). The insurance company will be billed as a non-assigned claim. Payment may be made by the insurance company to the patient or responsible party. If the Out of Network insurance company does not cover all of the charges for the patient’s services, the patient will owe the remaining balance.
Unfortunately, we are unable to accept HMO plans at this time for any insurance company.
Listing of frequently asked questions regarding insurance. (updated on 8/10/12)
|Listing of "In Network" Carriers||Listing of "In Network" Carriers|
|AETNA||COVENTRY OF GA|
|FIRST CHOICE||UNITED HEALTHCARE|
|OPTIUM HEALTH & OPTUM INSIGHT||GREAT WEST HEALTH INSURANCE|
|SUPER MED||UNITED HEALTHCARE (SHIP) Seeking care through an outsider provider requires a referral & a copy of your Insurance Card. Effective August 2012|
|TRICARE STANDARD (as of 3/11/13)||TRICARE PRIME (must have referral prior to appointment)|
|BC/BS OF GEORGIA & BC/BS FEDERAL PLAN|
|Listing of "Out of Network" Carriers||Listing of "Out of Network" Carriers|
|CBCA ADMINISTRATION||SECURE HEALTH|
|GEHA||Reviewed by: Nicole Foster 7/28/14|
Student Health Insurance Plan (SHIP)
Georgia Board of Regents Insurance Plan
2014/2015 Student Health Insurance Program
The University System of Georgia has a contract with United Health Care as the vendor for student health insurance for the academic year 2014-2015. Student Health Insurance is required for nursing students, international students with an “F” or “J” visa, and students with a graduate assistantship.
Student Health Informational Flyer
Fall Term 2014
Important: All waivers and enrollments must be completed by the end of open enrollment, September 26, 2014. After this date the waiver requests and enrollments will be closed and anyone who is required to have student health insurance and has not requested a waiver will be enrolled in the Student Health Insurance Plan through United Health Care.
All nursing students, graduate assistants, and international students with an “F” or “J” visa are required to enroll in the Mandatory Plan or request a waiver on-line through United Health Care. The health insurance premium will be added to your fee schedule. The rates for AY 14/15 are no longer based on age groups and are listed on the Student Health Informational Flyer above.
Any student that does not meet the requirements for the Mandatory Plan and wishes to purchase health insurance through United Health Care can enroll on-line on the United Health Care website; https://www.uhcsr.com/valdosta At the top right hand corner of the website, there is a red box with “ Enroll On-line Now” Click the Enroll Now tab inside the red box and follow the prompts. The Voluntary Plan rates are the same as the Mandatory Plan and are listed in the Student Health Informational Flyer above. Students not required to have health insurance and wishing to purchase health insurance under the Voluntary Plan will pay United Health Care directly and it will not be billed through your student account.
Students in the mandatory groups will have the option to waive the student insurance if they have a plan that meets University System of Georgia requirements. They can apply for a waiver on-line by visiting the United Health Care website www.studentcenter.uhcsr.com/valdosta Approximately half way down the page is a link (Waiver Form). Click on this link and answer the questions and provide information regarding your current health insurance coverage. Students that apply for a waiver may be randomly selected to provide documentation of their health insurance coverage. Randomly selected students that cannot provide documentation of coverage will have their health insurance fee added back to their account.
Please note that waivers are approved term by term so you must re-apply each term to confirm your information has not changed.
If you are required to have Student Health Insurance, you must enroll on-line by going to the United Health Care website www.studentcenter.uhcsr.com/valdosta Approximately half way down the page, click on the Enrollment Form link and complete the information. After completing the Enrollment Form information, go to the top left hand corner of the website and click on the Create an Account link if you did not do this in the fall semester. Once you create an account, you will be able to print out your temporary id card to use until you receive your permanent card form United Health Care.