Insurance Billing
Frequently Asked Questions
What you need to know about Butler University Health
Services billing and payment? Show Answer
We provide care for all students no matter how you pay for
services. The amount of money that BU charges for services is based
upon the type and complexity of the service and procedure we
provide. We accept all insurance plans, including the Butler
University offered United Healthcare plan. You do not need to
bring money to your visit to be seen; all charges incurred can be
put on your student account. Never let the cost of services
prevent you from getting needed healthcare at the Health
Services.
What do I need to bring to help with paying for
services? Show Answer
When seeking treatment at BU Health Services always bring your
BU identification card and your insurance card with you to each
visit.
What if I do not have insurance? Show Answer
It is the University's policy for undergraduates to provide
evidence of a minimum amount of health insurance or to enroll in
the University sponsored plan. The online verification process
begins in the summer months. If you wish to enroll in the
University plan go to www.gallagherkoster.com/butler. Students who do
not comply with this policy by the established deadlines will
automatically be enrolled in and billed for the University
sponsored plan.
At any time, students may elect not to utilize their health
insurance. Health Services charges may be charged to your student
account or you may pay cash, or write a check. Any charge that
appears on your student account billing statement will simply read,
"Health Services" or "Health Services lab."
Do you take my insurance? Show Answer
BU Health Services is contracted with the following insurance
companies:
Anthem BC/BS
Aetna
Cigna
Community Health Alliance
Humana
Medicaid
Medicare
MultiPlan/PHCS (PPO)
Mutual Medical of Ohio
Sagamore
Tricare
United Healthcare
If your insurance plan is not on this list, please provide your
insurance card during check in. Often times your plan may be
considered "in-network" with the myriad of insurance rental
networks. BU Health Services will bill all insurance plans,
including plans considered "out-of-network."
How does insurance work? Show Answer
Let's say you have a sore throat and you come to BU Health
Services for treatment. You provide your insurance card and your BU
ID to the registration staff. Usually there will be a co-pay amount
required by your insurance company that can be charged directly to
your student account. After registering, the BU Health Services
provider would examine you, decide on what tests or treatment you
need (like ordering a strep test or a throat culture or both and
possibly prescribe a medication).
Health Services will bill your health insurance for these
services rendered. You are responsible for any remaining balance.
Health Services will charge this balance to your student account.
We want to bill your health insurance not your account so please
bring a copy of your health insurance card to your visit.
What is a Co-Pay? Show Answer
Co-pay is a fee that you are responsible for; it is determined
by your insurance plan. At BU Health Services, the office visit
co-pay can be applied to your student account. Most often this
amount is shown on your health insurance card. If you have
questions you should check with your insurance company to find out
more about your co-pay amount.
Can I use my flexible spending card? Show Answer
At this time BU Health Services does not have a way to work with
flexible spending accounts (FSA). Be sure to ask your nurse for a
receipt at the time of service if you plan to file for a
reimbursement from an FSA account.
Will BU Health Services file my insurance claim for
me? Show Answer
Yes, BU Health Services will submit your charges and your
insurance information to our billing partner, Vivature, for
submission to your insurance company. Your insurance company will
processes the Health Services claim for payment according to your
plan benefits. In addition, your insurance company will also send
you a notice that the claim has been processed. This notice is
called an Explanation of Benefits or EOB. You are
responsible for services not covered by your insurance
plan.
What if BU Health Services is not contracted with my
insurance company? Show Answer
BU Health Services will bill your insurance company for you but
most likely the claim will be processed as an "out-of-network"
benefit and your benefit will be reduced or your insurance will not
pay at all. In these cases, BU Health Services will bill these
charges to your student account. To avoid this, if you do not see
your insurance company above or if you are unsure, contact your
insurance company and ask if you will be covered for services
rendered at your campus health clinic.
What about lab work? How do the charges get
processed? Show Answer
Certain lab tests are done here at the campus clinic and are
billed directly to your insurance company. Other tests are sent out
to a reference lab (Mid America Clinical Lab). If you have a lab
test that is sent out, Mid America Clinical Lab will perform the
test, send the results to your doctor, and send the charges
directly to your insurance company. If your insurance company does
not pay for the lab test in full, you will receive a separate bill
from Mid America Clinical Lab.
What are some of the reasons my insurance wont
pay? Show Answer
- You received services from an "out-of-network" provider
- You did not call your insurance company for prior approval
before receiving treatment, if required
- The service received is not covered under your plan (e.g.
Measles, Mumps/Rubella [MMR] vaccination)
- Your insurance company needs verification of your student
status
- Our billing company needs more information
- You have an HMO plan and it only covers you when you see
certain doctors or healthcare facilities - e.g. Aetna, BlueCross
BlueShield (multiple states), CIGNA, Humana, Kaiser Permanente,
United Healthcare - to name a few
- Your coverage has expired
- You have switched insurance plans and forgot to tell uss
What if I have a Health Maintenance Organization (HMO)
plan? Show Answer
Please check the list of insurance companies that BU Health
Services is considered as an "in-network" provider. We will file
your claim but your insurance may cover a small portion of the
charges incurred at Health Services or none at all. You will be
responsible for all charges not covered by your insurance.
What if I have a Point-of-Services (POS) insurance
plan? Show Answer
You may need to bring a referral from your Primary Care Provider
(PCP) each time you visit Health Services to receive maximum
insurance benefits. Patients seen without referrals may have higher
out-of-pocket expenses than those with referrals. Please check with
your insurance company to determine if this applies to your plan.
If it does, it is your responsibility to obtain the appropriate
referral before you come to Health Services for your visit.
What do you charge for services? Show Answer
We base our charges on "Usual and Customary" insurance
reimbursements for comparable medical services. Student who choose
not to use their insurance in our facility are charged at a
slightly lower rate for services since they must either pay at date
of service or have their student account charged at date of
service.
What are my payment options? Show Answer
We accept cash, check or we may charge it to your BU student
account.
Whom do I contact with questions about my insurance
claim or bill? Show Answer
- First contact should be your insurance company via phone or the
plan website.
- If you are covered by a family insurance plan, you may contact
our billing partner (toll free), Vivature by calling 1 (866)
890-6390.
- If you have enrolled in the University sponsored plan United
Healthcare StudentResources is responsible for processing your
claims. Their dedicated claims analysts and customer service
representatives can address any questions you have on an
outstanding claim or on how a claim has been paid.
United Healthcare StudentResources
PO Box 809025
Dallas, TX 75380-9025
800-767-0700
Email: GKClaims@uhcsr.com
Register for Online Claims Look-Up at www.uhcsr.com
What about my confidentiality? Show Answer
We cannot discuss our charges with anyone except you, including
your parents, without your permission. By signing the consent to
treat, you authorize us to release information to your insurance
company in order to have the bill paid. Recognize however, that if
the billing address for your insurance plan is your
parents/spouses/significant others home an EOB form from the
insurance company will be sent to that address. If you want us to
discuss your health charges with your parents or spouse, you can
sign a consent to disclose health care information form allowing
others to have access to your information, (e.g. scheduling,
treatment, discuss treatment, handle finances concerning
healthcare). Please note that in Indiana, a signed health
disclosure is only good for 60 days.