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Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

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Presented by: Linda Heady, MBA Insurance and Billing Coordinator
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Page 1: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Presented by: Linda Heady, MBAInsurance and Billing Coordinator

Page 2: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

What do I do if I get sick?

Monday: 8:00am – 4:15pmTuesday: 8:00am – 4:15pmWednesday: 10:00am – 4:15pmThursday: 8:00am – 4:15pmFriday: 8:00am – 4:15pm

Call 270.745.5641 for Appointment or Walk in

Documentation of your visit can beprovided upon request.

Page 3: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

What if WKU Health Services is closed?

If after 4:15pm or on Saturday or Sunday and you can not wait until Monday to see a doctor:Go to:

Urgent Care: 8AM – 8PM everyday Phone: 270-781-3910 Cost is $50

Greenwood Clinic: 8AM-6PM Mon-Fri, 8AM-2PM Sat Phone: 270-843-5662 Cost is $50

Page 4: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

What to do in an EMERGENCY?

Call 911 Greenview Emergency Room (Hospital):

Phone 270-793-1000 Medical Center Emergency Room (Hospital):

Phone 270-745-1000

Cost is at least $250 or more depending on the number of services required.

Page 5: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Welcome Lobby

Page 6: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Laboratory

Page 7: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Patient Exam Room

Page 8: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

X-Ray

Page 9: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Services Provided

Men’s and Women’s Health Wellness Examinations Immunizations Laboratory Tests Medications Birth Control/Contraceptives STD Testing Women – Yearly Exams Allergy injections X-Rays

Page 10: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Kim PhillipsPsychiatric Nurse

Practioner

Dr. Patricia BlewettMedical Director

Family Medicine, Board Certified

Yolanda ReedNurse Practioner

Dr. Allen ReddenInternal Medicine,

Board Certified

Our Providers

Page 11: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Dental and Vision Care

ON CAMPUS - Dental Hygiene Program operates a clinic on the 2nd floor of Academic Complex – Room 223 Services offered include: X-Rays, Sealants

and Prophylaxis (Cleaning) Fee: $15 student, $20 non-student Call 745-2426 for appointment

Dental Insurance and Vision Discount Program is offered by Neace Lukens – call Wendy Skipworth at 393-6239

Page 12: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

I need to see the Doctorwhat should I do?

Call 745-5641 to schedule an appointment with WKU Health Services – if urgent, come directly to WKU Health Services.

At appointment time, please bring a copy of your insurance card and photo identification.

Page 13: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Academic Health Plans (AHP)

Student Health Insurance – Major Medical Insurance Plan $633 (per semester) health insurance

fee pays for insurance coverage from January 15th until July 31st.

You must pay by the fee payment deadline of February 19th

Page 14: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Academic Health Plans

You will receive an insurance card:

Page 15: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Insurance pays 100% at Health Services

Preventative Care Annual Examinations Tobacco use screening and cessation Depression screening for adults

Well women Exams Contraceptives/Birth control Nexplanon Contraceptive Placement

Immunizations/Vaccines Hepatitis, HPV, Flu, MMR, Meningitis, Pneumonia,

Tdap, Varicella

Page 16: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Insurance Terms

Deductible – Dollar ($) amount you will need to pay before the insurance will pay.

Co-Payment (Copay) – Specific dollar ($) amount you must pay at the time of service.

Co-Insurance - Dollar ($) amount based on a percentage you must pay for services.

Page 17: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

WKU Health Services

In-Network Provider(First Health)

Out-of-NetworkProvider(First Health)

Physician Office

You pay $0AHP pays 100%

You pay $50 You pay $50 AHP pays 60% and you pay 40%

Physician Office

Page 18: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

In-Network Provider(First Health)

Out-of-NetworkProvider(First Health)

Urgent Care You pay $50 AHP pays 100%

You pay $50 AHP pays 60% and you pay 40%

Emergency Room (Hospital)

You pay $250AHP pays 100%

You pay $250AHP pays 60% - you pay 40%

Urgent Care or Emergency Room

Page 19: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

WKU Health Services IN NETWORKFirst Health(If a complex Lab, Health Services sends it to QUEST)

OUT-OF-NETWORKFirst Health

You pay $0AHP pays 100%Some of these include: UA, Glucose, CBC, Flu, Strep, Mono, Pregnancy Test, Wet Prep Stain, prep for fungal elements on skin

$50 copayAHP pays 100%Some of these include: Pap Smears, Lipid Panel, Liver Tests, Comp Metabolic Panel, Gonorrhea & Chlamydia testing

$50 copayAHP pays 60% - you pay 40%

Laboratory

Page 20: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

IN NETWORKFirst Health

OUT-OF-NETWORKFirst Health

Hospital Expenses AHP pays 80% of Preferred Allowance (You must first pay $300 deductible, then 20%)

60% of Usual and Customary Charges(You must first pay $600 deductible, then 20%)

Surgery AHP pays 80% of Preferred Allowance (You must first pay $300 deductible, then 20%)

60% of Usual and Customary Charges(You must first pay $600 deductible, then 20%)

Hospital and Surgery Coverage

Page 21: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

WKU Health Services

IN NETWORKFirst Health

Prescription Drugs Some medications available

You pay $15 for genericYou pay $30 for brand name

Immunizations and Prescription Drugs

Page 22: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

What happens after you go to the doctor?

You will receive an EOB (Explanation of Benefits) from Klais

Page 23: Presented by: Linda Heady, MBA Insurance and Billing Coordinator.

Need assistance?

Contact Linda Heady, Insurance & Billing Coordinator at 745-5034.

Call AHP at 888-308-7320 for assistance with AHP insurance questions.


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