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Employee Financial Policy

Employee Financial Policy

Payment Terms

Payment is expected at the time of service. University Health Services(UHS) accepts cash, checks, or VISA/Mastercard/DISCOVER. All unpaid charges will be billed to the employee.

A. Insured KSU Employees

Insured KSU employees are eligible employees who have health insurance coverage.

UHS is a primary care Preferred Provider Organziation for insurance carriers that contract with UHS. The list includes KSU’s Anthem and Medical Mutual employee plans, along with Aetna, Anthem BC/BS, CIGNA, Medical Mutual of Ohio, UnitedHealthcare and many others.

UHS will submit claims to all insurance companies, regardless of our network participation.

1. Office Visits

Office Visits refer to evaluation and management services provided to employees in our General Medical and Women’s Health Clinics.

COPAYS: Copays are due at the time of service and the Primary Care Provider(PCP) copay applies.

2. Laboratory Services

UHS provides onsite laboratory services for basic tests such as urine analysis, strep, mono and HIV. Payment made by the insurance company for laboratory services is accepted as payment in full. You may incur additional charges if you have a deductible or if the insurance company does not cover the services billed.

UHS contracts with Robinson Memorial Hospital (RMH) as a reference lab for all tests that cannot be performed at UHS.RMH will bill your insurance directly and you may receive a statement from RMH for the patient responsibility portion of your laboratory charges.

3. Procedures, Services and Supplies

Procedures and Services include services rendered by UHS’ Radiology and Physical Therapy departments.

Payment made by the insurance company for procedures, services and supplies is accepted as payment in full. You may incur additional charges if you have a deductible or if the insurance company does not cover the services billed.

4. Pharmacy

UHS Pharmacy participates in the Caremark Prescription plan network. Your Caremark copay applies and is payable at the time of service.

UHS will fill all prescriptions, but can only submit prescription claims to Caremark.

UHS carries many over-the-counter(OTC) supplies and items at below retail prices.

B. Self-Pay KSU Employees

Self-Pay KSU employees are eligible employees who do not have health insurance.

1. Office Visits

For eligible employees, there is a minimum fee for office visits provided to KSU employees in our General Medical and Women’s Health Clinics. Payment is due at the time of service.

2. Laboratory Services

There are reduced fees for laboratory services provided onsite by UHS.

UHS contracts with Robinson Memorial Hospital (RMH) as a reference lab for all tests that cannot be performed at UHS. Payment is due to UHS at the time of service.

3. Procedures, Services and Supplies

Procedures and Services, include services rendered by UHS’ Radiology and Physical Therapy departments

For eligible employees, there is a reduced employee self-pay fee schedule for procedures and services.

For additional information, please contact the Insurance and Billing office at (330)672-8251.

4. Pharmacy

UHS provides competitive pricing for most prescriptions and over the counter medications,

UHS carries many over-the-counter(OTC) supplies and items at below retail prices.