Presented by: Linda Heady, MBA Insurance and Billing Coordinator.
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Transcript of Presented by: Linda Heady, MBA Insurance and Billing Coordinator.
Presented by: Linda Heady, MBAInsurance 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.
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
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.
Welcome Lobby
Laboratory
Patient Exam Room
X-Ray
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
Kim PhillipsPsychiatric Nurse
Practioner
Dr. Patricia BlewettMedical Director
Family Medicine, Board Certified
Yolanda ReedNurse Practioner
Dr. Allen ReddenInternal Medicine,
Board Certified
Our Providers
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
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.
Academic Health Plans (AHP)
Student Health Insurance – Major Medical Insurance Plan $633 (per semester) health insurance
fee pays for insurance coverage from January 15th until July 31st.
You must pay by the fee payment deadline of February 19th
Academic Health Plans
You will receive an insurance card:
Insurance pays 100% at Health Services
Preventative Care Annual Examinations Tobacco use screening and cessation Depression screening for adults
Well women Exams Contraceptives/Birth control Nexplanon Contraceptive Placement
Immunizations/Vaccines Hepatitis, HPV, Flu, MMR, Meningitis, Pneumonia,
Tdap, Varicella
Insurance Terms
Deductible – Dollar ($) 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.
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
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
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
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
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
What happens after you go to the doctor?
You will receive an EOB (Explanation of Benefits) from Klais
Need assistance?
Contact Linda Heady, Insurance & Billing Coordinator at 745-5034.
Call AHP at 888-308-7320 for assistance with AHP insurance questions.