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Presented by: Linda Heady, MBA Insurance and Billing Coordinator

Presented by: Linda Heady, MBA Insurance and Billing Coordinator. Things you should know about the US Health Care System:. The system is privately funded, not government sponsored or socialized Payment is the responsibility of the individual, with or without health insurance

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Presented by: Linda Heady, MBA Insurance and Billing Coordinator

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

  2. Things you should know about the US Health Care System: • The system is privately funded, not government sponsored or socialized • Payment is the responsibility of the individual, with or without health insurance • Even with health insurance, medical treatment in the US can be very expensive. Without health insurance medical treatment can be extremely expensive • Before you visit a doctor, hospital or facility, always check to see if your insurance will be accepted.

  3. More info about US Health Care • Keep copies of all bills and papers for at least one year. • You can ask a second doctor for an opinion before getting treated • Inform your doctor about the conditions and medications you have had in the past • You can ask the doctor questions about your conditions and medications you have had in the past

  4. What do I do if I get sick? Monday: 8:00am – 4:30pmTuesday: 8:00am – 4:30pmWednesday: 10:00am – 4:30pmThursday: 8:00am – 4:30pmFriday: 8:00am – 4:30pm • Call 270.745.5641 for Appointment or Walk in • Documentation of your visit can be provided upon request.

  5. What if WKU Health Services is closed? • If after 4:30pm 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

  6. What to do in an EMERGENCY? • Call 911 • Go to the Hospital: • 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.

  7. Welcome Lobby

  8. Laboratory

  9. Patient Exam Room

  10. X-Ray

  11. 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

  12. Our Providers Dr. Ray Rowland Family Medicine, Board Certified Dr. Patricia Blewett Family Medicine, Board Certified Dr. Allen Redden Internal Medicine, Board Certified Leta Whited Psychiatric Nurse Practioner Yolanda Reed Nurse Practioner

  13. 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.

  14. Academic Health Plans (AHP) • Student Health Insurance – Major Medical Insurance Plan • $739 per semester health insurance fee pays for insurance coverage from August 1, 2013 until December 31, 2013. • You will be charged $739 again in January for Spring 2014 Semester.

  15. Academic Health Plans • You will receive an insurance card:

  16. 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.

  17. Insurance pays 100% at WKU 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

  18. Physician Office

  19. Urgent Care or Emergency Room

  20. Laboratory

  21. Hospital and Surgery Coverage

  22. Immunizations and Prescription Drugs

  23. What happens after you go to the doctor? • You will receive an EOB (Explanation of Benefits) from Klais

  24. 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 • If you need glasses or contacts, please call an eye doctor in the Bowling Green area. • If you have tooth/jaw pain, seek a dentist in the Bowling Green area. • Dental Insurance and Vision Discount Program is offered by Neace Lukens – call Wendy Skipworthat 393-6239

  25. 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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