|SERVICE FEES FOR STUDENTS W/ INSURANCE
The University Health Services Manoa operates in large part on a fee-for-service basis and submits insurance claims for medical services. If you have health insurance, you may expect the following:
- No co-payment will be collected at the time of you medical visit. Claims will be submitted to your insurance plan for clinical visits, procedures, and laboratory tests. If the services are covered and reimbursement is consistent with our fee schedule, you will receive no additional billing from UHSM.
- If your insurance plan does not reimburse the UHSM for services rendered, you will be billed at the non-insured students’ rate; or if the insurance reimbursement is less than the charge for non-insured students for the same service, you will be billed the difference. If your insurance plan has a deductible, you will also be charged at the non-insured students’ rate for visits, procedures, and lab tests until the deductible amount has been met.
- The UHSM does not submit claims to HMO plans, some PPO plans, or international or travelors' plans.
- The UHSM is not a participating provider, and does not submit insurance claims to Medicare, Medicaid/QUEST, Worker's Comp, or No Fault plans.
- Physical exams and family planning services are charged a separate fee unless your insurance policy specifically covers these services. Insurance claims will be submitted for visits to the Sports Clinic, Dermatology, Psychiatrist, or Nutritionist and will have separate fee schedules.
Visits to the Sports Clinic or Dermatology will be the same as for other medical visits. A separate fee schedule also applies for visits to the Psychiatrist and Nutritionist.
- You will be responsible for the cost of medications and supplies. The UHSM provides prescription and over-the-counter medications at reasonable rates, but does not submit claims to drug insurance plans.
- Please note that your insurance plan may send an "Explanation of Benefits" statement to the subscriber. This is not a bill.
- A hold will be placed on your academic records for any outstanding balance of more that 15 days after the billing statement date.
Last Updated: 03.05.2010