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UW-Whitewater Slide 2 Outline Brief overview of US Health Care system. Why you need health insurance Who is providing your health insurance What does your insurance pay for Where should I go to receive health care Services offered at UHCS How to find health care services if you cannot go to UHCS List of terms Slide 3 The United States Health Care system is expensive $$$$$$$$ No universal coverage or national health care. When you receive medical care you will be expected to pay for it. Slide 4 How much does it cost?? $40,000 $150,000+++ Slide 5 You need Health Insurance in the United States Slide 6 Purpose Health insurance is provided by a private company. You pay the insurance company and if you need health care they will pay part of your cost. You policy tells you what they will pay for. Slide 7 When will I get coverage? Coverage begins 01/01/2015 Slide 8 http://sas-mn.com/pdf/brochure/z116wiw.pdf Slide 9 http://sas- mn.com/pdf/summary/z116wisc.pdf Slide 10 Insurance Card Companion Life Insurance Company Student Accident & Sickness Insurance Plan University of Wisconsin-Whitewater Policy # CLSP0043-12 Name: Test TestGroup # WI53190 ID # 1010101RX Group #: klaisco Effective Date: 1/1/2015BIN # : 610014 RX ID: GL151413781 Rx Retail: $15Generic/$30 Preferred/$50 Non Preferrred Always carry this card with you and make a copy!!! Slide 11 Does Not Cover Dental Care Eye exams Slide 12 Where should I go? Slide 13 UHCS Slide 14 Slide 15 UHCS When non-emergency care is needed http://www.uww.edu/uhcs/health-services/services- available 262-472-1300 Slide 16 Make an appointment ONLINE www.uww.edu/uhcs Slide 17 Make an appointment at UHCS Call: 262-472-1300 Slide 18 Make an appointment at UHCS Stop in Slide 19 Health & Counseling Center Hours Monday Friday 8:00 AM- 4:30 PM Slide 20 All UW-Whitewater students are able to receive services at UHCS Slide 21 EMERGENCY- Dial 911 Unable to breathe Cannot control bleeding Severe Allergic reaction Severe chest pain Loss of consciousness Slide 22 Local Hospital Emergency Room: Fort HealthCare (8 miles) 611 Sherman Ave. Fort Atkinson, WI 53538 920-568-5333 (24 hour number) Slide 23 Where should I go if UHCS is closed? Slide 24 When in doubt Go to the Emergency Room Slide 25 Always use a Preferred Provider!! Carry your insurance card!! It will be less expensive Slide 26 How to find a preferred provider. ONLINE: http://www.sas- mn.com/http://www.sas- mn.com/ Slide 27 Slide 28 Slide 29 Slide 30 Slide 31 Slide 32 Slide 33 Slide 34 Slide 35 Slide 36 Slide 37 Slide 38 Local Urgent Care Clinics Whitewater Mercy Care 5pm-9pm, Monday - Friday; 9am-2pm Saturday 507 W Main 262-473-0401 Fort Atkinson Fort HealthCare M-F 5PM-11PM, Sat-Sun Noon- 11PM 611 Sherman Ave E. 920-568-5330 Slide 39 How do I get there? Call Brown Cab: (920)-563-6303 Hours: Academic year - 7:00 a.m. to 10:00 p.m. Sun-Wed. Thurs., Fri & Sat. 7:00 a.m. to Midnight. Call for taxi You will have to pay at time of service Call a friend who has a car Slide 40 Insurance Website www.sas-mn.com Slide 41 If you need to submit for medical expenses http://www.sas-mn.com/claimform.html Always carry your insurance card! Slide 42 Slide 43 Slide 44 Slide 45 Slide 46 Slide 47 You can complete the form online and submit it electronically Slide 48 List of Terms https://www.healthcare.gov/glossary/ https://www.healthcare.gov/glossary/ Clinic-A place where people go to get medical help Co-pay- A set amount you pay for health services. Dispensary Located in the clinic. Provides a limited number of medications or supplies. Emergency- An illness, symptom or condition so serious or dangerous that it calls for immediate action. In Network- The facilities, healthcare providers your health insurance has a contract with to provide medical care. Insurance claim-Paperwork to fill out and send to the insurance company for them to pay you back for medical costs. Insured- A person covered by insurance. Slide 49 Non-preferred provider- A healthcare provider that does not have an agreement with your health insurance company. It will cost you more to receive services. Out of Pocket-Your expenses for medical care that are not paid for by the insurance company. Out Patient- Health care received outside a hospital Pharmacy-A store or part of a store where drugs and medicines are prepared and sold. Policy-The agreement you have with the insurance company that tells you what they will pay for. Preferred Provider-A group of health care providers that have an agreement with your insurance company to provide reduced cost. Slide 50 Prescription-An order, for a specific person, written by a health care provider that officially tells someone to use a medicine or treatment. Prescription Drug Medicine or drug that a health care provider officially tells some one to use. Preventative Care-Health care that includes routine check ups and counseling to prevent illness or disease. Provider An individual who coordinates or helps a patient access a range of health care.