FEES, CHARGES & PAYMENTS

Fees

University Health Services Fee is a mandatory fee for undergraduate and graduate students. The fee provides access to professional medical care at the Student Health Center. Students do not have to be enrolled in the Student Blue health plan to utilize the services at the Student Health Center.

University Health Services Fee is a mandatory fee for undergraduate and graduate students for students enrolled in 9 hours or more. The fee is prorated by the number of hours enrolled for students. The fee provides access to professional medical care at the Student Health Center.

Students do not have to be enrolled in the Student Blue health plan to utilize the services at the Student Health Center. The Student Health Service fee that UNCG students pay as part of their general university tuition entitles them to many professional services offered by the Student Health Service.

The fee itself pays for nurse consultations, counseling sessions, sick visits. This means a student does not have to pay to be treated by a health care provider for certain types of visits. Students do not have to be enrolled in the Student Blue health plan to utilize the services at the Student Health Center.


 

Services not covered by the Health Fee

(You WILL be charged for these services):
  • •Psychiatry, physicals, annual well visits, and gynecology examinations
  • •Lab tests, x-rays, vaccinations, allergy injections, medical supplies, sports medicine clinics, orthopedic equipment, and some procedures. Many are priced significantly below private sector prices.
  • •Cost of prescriptions and over-the-counter medication. The Pharmacy accepts most health insurance for payment.
  • •Missed Appointment Fees
UNC-Greensboro Student Health Services recognizes the impact of the cost of medical care on students’ budgets, and we work to provide comprehensive care and services at minimal cost to students. While there may be charges associated with your visit to Student Health Service, we believe that finances should not prevent students from getting necessary health care. Students who do not pay a health fee must pay a Student Health access fee to receive services. We have compiled a list of the most frequent Student Health Center charges for review. The list is not inclusive, and pricing is subject to change.
  • Students enrolled in Distance Education classes during the Summer

    The University does not charge a health service fee for those enrolled in distance education classes. Students who do not pay the University Health Services fee must pay an access fee (SHC Summer Fee) to receive services during the summer sessions. *Newly admitted students are eligible to receive immunizations required to meet the N.C. Immunization statute without paying the summer fee.


  • Students not enrolled during the Summer

    Students who were enrolled during the previous spring semester and are pre-registered for the following fall semester are eligible to receive Student Health Services. However, there is a fee for each summer session. This is charged by the Student Health Services at the time of the first visit each summer session.


  • Students enrolled during the summer:

    The Summer Health Service Fee is prorated by the number of on-campus hours enrolled. There is a separate fee for each of the two summer sessions.

A Missed Appointment Administrative Fee will be applied after an appointment is missed, for the following appointment types:
  • ●Sports Medicine
  • ●Psychiatrist
  • ●Massage Therapy

Payment for any charges incurred by a student is due on the day of service. At SHS, we accept several forms of payment: Cash, Check, MasterCard/Visa, or students may charge the balance to the University Cashier’s Office*. Flexible savings accounts (FSA) are also accepted.

The Student Health Service holds with utmost regard a patient’s right to privacy, and information concerning a visit is not accessible by any person outside of Student Health Service without expressed written permission from the patient.

Charges may also be applied to Student Accounts. Every student has a university student account, where tuition and fees are charged. A Student Account is not the same as the SpartanCard. Charges posted at the Cashier’s Office are noted as a “Medical Service Charge” and this posting reveals no specifics concerning the actual visit. It can take up to 4 days to appear on the account.

Student Accounts payments can be made on the 1st floor of the Mossman building or online through the Spartan Genie. Students are strongly encouraged to periodically review their Student Account through Spartan Genie.

It is important to CHECK OUT at the end of your medical clinic appointment or pharmacy encounter to see if there are any charges incurred for the visit.

A walkout statement for the date of service is available at check out for the patient to use for insurance filing, personal record, or excused absence purposes. If the patient does not check out any charges incurred will be billed to their student Genie account.

**An important note about charges sent to the Cashier’s Office: If charges are deferred to the cashier, payment should be made to the University Cashier’s office within 30 days following services rendered or before the end of the current semester, whichever is sooner. Until payment is received, please be aware that records may be tagged, which may prevent registration for classes, receiving of course schedules, graduation, or being able to receive transcripts. Beyond the current semester of enrollment, balances remaining on the student’s account will begin to accrue interest and may be submitted for collections to the North Carolina Attorney General which could cause garnishment of state income tax refunds and involvement of external collection agencies

SHS is an in-network provider for Student Blue Cross Blue Shield, Cigna, and MedCost insurance plans and will file claims for students who present a current copy of their insurance card at the time of service; any charges unpaid or denied by their insurance plan will be charged to the University Cashier’s Office after the claim is processed.

If you have ENROLLED into the Student Health Insurance Plan via the Student Portal at studentbluenc.com. your covered charges will be submitted to Student Blue for payment. Verify your insurance enrollment status before your medical appointment.

If you have WAIVED the SHIP coverage, SHS will courtesy file the claims to your outside health insurance carrier. You must provide your outside insurance card for the HIM Staff to bill your claims. After billing your primary insurance, the charges for those services will be place on your student account. For questions related to charges incurred here at Student Health Services, contact the Health Information Management department at 336-334-5340 (option # 2).

If you do not want the HIM Staff to file your claim. Students have the option to submit the statement to their private insurance for processing. After each visit a receipt/walk-out statement can be provided at check-out or via the health portal

Our Pharmacy is set-up for to file most outside pharmacy insurance plans. Please check with the Pharmacy to verify if your Pharmacy claim can be filed here at Student Health Services, 336-334-5340 (option #4). You must have your pharmacy insurance card at the time of the encounter.

For questions related to services rendered “outside” of Student Health Services, please contact Student Blue, 1-888-351-8283 or by email, email@studentbluenc.com.

To protect your privacy, we will not post medical details on your student account. We will give you an itemized statement upon request. When you use your health insurance, the policyholder (the main person on the health insurance plan) may receive an Explanation of Benefits (EOB) from the insurance company. The EOB lists the services you received, how much the insurance paid, and the amount (if any) that you are responsible for. You can decide at each appointment whether to use your insurance for that visit. If you elect not to use your insurance, you will need to notify the nurse and/or provider at the time of your service.
  • 1. Accident-Means an occurrence which:
    • (a) is unforeseen;
    • (b) is not due to or contributed to by sickness or disease of any kind; and
    • (c) causes injury.

    2. Co-Insurance–The percentage of covered expenses you share with your insurance company

  • 3. Co-pay or Co-payment–The dollar amount you must pay toward the cost of a benefit. Usually paid at your doctor’s office visit.

  • 4. Deductible–The dollar amount of eligible expenses you must pay during each policy year before benefits are payable by the insurance company.

  • 5. Covered Person-Means a covered student while coverage under the Policy is in effect.

  • 6. Elective Treatment-Means medical treatment, which is not necessitated by a pathological change in the function or structure in any part of the body, occurring after the Covered Person’s effective date of coverage.

  • 7. Eligible Expense-Means a charge for any treatment, service or supply which is performed or given under the direction of a doctor for the Medically Necessary treatment of a Sickness or Injury that is:
    • (a) not in excess of the Reasonable and Customary charges;
    • (b) not in excess of the charges that would have been made in the absence of this coverage;
    • (c) is the negotiated rate, if any, and
    • (d) incurred while the Policy is in force as to the Covered Person except with respect to any expenses payable under the Extension of Benefits Provision.

  • 8. Emergency Medical Condition-Means a medical condition that manifests itself by acute symptoms of sufficient severity, including, but not limited to, severe pain or by acute symptoms developing from a chronic medical condition that would lead a prudent layperson, possessing an average knowledge of medicine and health, to reasonably expect the absence of immediate medical attention of the Injury or after onset of sickness to result in any of the following:
    • (a) placing the health of an individual, or with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy;
    • (b) serious impairment to such person’s bodily functions;
    • (c) serious dysfunction of any bodily organ or part; and,
    • (d) serious disfigurement.

  • 9. Exclusions–Medical and other expenses that your health insurance policy does not cover.

  • 10. Injury-Means bodily injury due to an accident which:
    • (a) results solely, directly and independently of disease, bodily infirmity or any other causes;
    • (b) necessary for and appropriate to the diagnosis, treatment, cure, or relief of a health condition, illness, Injury, or disease, or its symptoms;
    • (c) the negotiated rate, if any; and
    • (d) the prevailing charge made for a covered service in the geographic area by those of similar professional standing.

  • 11. In-network–A provider or health care facility that is part of a health insurance plan’s network. In general, insured individuals pay less money out-of-pocket when they see in-network providers.

  • 12. Medical Necessity/ Medically Necessary-Means the covered services or supplies:
    • (a) provided for the diagnosis, treatment, cure or relief of a health condition, illness, Injury, or disease; and except as allowed for Clinical Trials, not for experimental/investigational or cosmetic purposes;
    • (b) necessary for and appropriate to the diagnosis, treatment, cure or relief of a health condition, illness, Injury, or disease, or its symptoms;
    • (c) within generally accepted standards of medical care in the community; and,
    • (d) not solely for the convenience of the Covered person, his or her immediate family, or the provider.

  • 13. Network–A group of doctors, hospitals, and other providers with whom a health insurance company contracts to provide discounted services to insured individuals.

  • 14. Out-of-network–Describes a provider or health care facility which is not part of a health plan’s network. In general insured individuals usually pay more money out-of-pocket when they see out-of-network providers

  • 15. Pre-Existing Condition*-Means a Sickness, Injury, or pregnancy for which medical care, treatment, diagnosis, or advice was received or recommended within the 6 months prior to the Covered Person’s effective date of coverage under the Policy.
  • 16. Reasonable and Customary (R&C)-Means the charge, fee, or expense which is the smallest of:
    • (a) the actual charge;
    • (b) the charge usually made for a covered service by the provider who furnishes it;
    • (c) the negotiated rate, if any; and
    • (d) the prevailing charge made for a covered service in the geographic area by those of similar professional standing.10. Sickness means disease, illness, or complications of pregnancy including related conditions and recurrent symptoms of the Sickness which begins after the effective date of a Covered person’s coverage. All Sicknesses due to the same or a related cause are considered one Sickness.

  • 17. *Pre-Existing Conditions Limitation-Expenses incurred by a Covered Person as a result of a Pre-Existing Condition will not be considered Eligible Expenses for a period of 12 months of continuous coverage while covered under the Policy. This limitation will not apply if, during the period immediately preceding the Covered Person’s effective date of coverage under the policy, the Covered Person was covered under prior creditable coverage for 12 consecutive months. Prior Creditable Coverage of less than 12 months will be credited toward satisfying the Pre-existing Condition limitation. This waiver of Pre-existing Condition limitation will apply only if the Covered Person becomes eligible and enrolls for coverage within 63 days of termination of his or her prior coverage. Pre-existing Conditions limitations does not apply to:
    • (a) a newborn Dependent child;
    • (b) a child adopted by the covered Student or placed with the Covered Student for adoption, if adoption or placement for adoption occurs while covered under the Policy; or
    • (c) a foster child placed with the Covered Student while covered under the Policy.
If your health insurance company says a covered benefit “applies to deductible and co-insurance,” you must pay the amount of your deductible. Your deductible is a declining balance.You must pay the amount of your deductible before your insurance company begins toreimburse you for medical expenses. After you have paid your deductible, then you only need to pay co-insurance, or a portion of your medical expenses. Your health insurance company pays the rest. Under most health insurance plans, there is a limit to the amount of co-insurance you have to pay. This is known as an “out-of-pocket maximum.” In general, you pay your deductible and co-insurance directly to the doctor’s office, not to the insurance company.
You pay a co-pay (or co-payment) at the doctor’s office. A co-payment is a fixed amount of money that you pay when the doctor delivers (or renders) services to you. Co-pays DO NOT count toward your deductible or co-insurance. Depending on your insurance policy and on the kind of doctor you see, the amount of your co-pay may not always be the same. For example, you might pay a $20 co-pay to see a Family Practitioner, but you might pay a $50 co-pay to see a specialist, such as an Oncologist. In general, if the doctor’s title has “ist” at the end, the doctor is a specialist and not a primary care doctor. Please pay your bill at the cashier’s office in a timely manner.

SHS CHARGES

UNC Greensboro Student Health Center recognizes the impact of the cost of medical care on students’ budgets, and we work to provide comprehensive care and services at minimal cost to students. We have compiled a list of the most frequent Student Health Center charges for review. The list is not inclusive and pricing is subject to change.

Click here for a list of SHC charges and fees.