无意外法案/善意评估

Nobody likes to be surprised by the cost of their medical care. 这就是为什么它是 important to underst和 the health insurance you carry to determine what your financial 对你的医疗负责.  我们致力于信息共享 in ways that will help you make informed decisions about health care services.  A component of the federal “No Surprises Act” is your right to receive a 诚信评估 explaining how much your medical care will cost if you are uninsured or are electing 支付没有保险的医疗费用.  善意评估将通过电子邮件发送给所有未投保的人 or self-pay patients at the time of scheduling their appointment.   作为一个病人， 你有权利.  Upon receiving your bill, if the total costs exceed $400 from the 诚信评估，你可以对账单提出异议.  如有疑问或了解更多信息 关于你进行诚信评估访问的权利 www.cms.gov / nosurprises. 

莫菲特健康中心 诚信评估 for Health Care Items 和 服务

• 服务描述:  办公室访问= CPT待定
• 附加服务:  实验室/ x光/药物/程序= CPT TBD
• 诊断代码:  ICD-10代码待定
• 预计费用:  $20 office visit plus any lab/x-ray/medication/procedure cost TBD
• 设施地点: 西四街2899号. 哈蒂斯堡，邮编39406
• 免责声明信息:  此善意估计是一个估计，可能会发生变化. 这个估计是 not a contract, 和 there may be additional items or services not contained in the 善意估计. You have the right to initiate a patient-provider dispute resolution process if the cost exceeds the 诚信评估 by at least $400.

无直通计费(外部实验室费用)

所有不在现场的实验室 莫菲特健康中心 lab will be billed to the patient by the outside performing lab (Labcorp or Quest 诊断.)

诊所

We currently accept 和 file claims for any healthcare insurance. 比如安泰保险，安信保险 Health, Blue Cross Blue Shield MS 和 surrounding states, Cigna, HealthFirst, Humana, 三健和联合医疗在我们诊所. 我们不被认为是网络提供商 for some of these carriers so be sure to check with your insurance carrier before 去看我们的医生. We are currently unable to accept Medicare, Medicaid, 和 CHIPS.

对于那些有医疗保险的人，帮助他们找到 医疗保险提供者，联络 医师查找线 在哈蒂斯堡诊所 601.261.3518.

药店

振子结构药房 is currently able to accept the following insurances: Aetna, Advance PCS, Anthem, Blue Cross Blue Shield of Mississippi, Caremark, Caremark Federal, Catalyst, Catamaran, 快捷药方(信诺); Humana, Medco, MedImpact, OptumRx, Paid, Prime Therapeutics, Rx Solutions, United 医疗保健和UMR.

请注意，此列表可能会更改，恕不另行通知. 

Patients having health insurance will receive an EOB (利益解释). 这 will be sent to the mailing address obtained by the health insurance carrier. 保持 in mind, such mail may contain information on it that you consider private. 请注意 that you have the option not to file services to your insurance company. 这个区块 会在诊断的同时包括访问的编码吗. 病人有权利 问 莫菲特健康中心 不申请某些访问. 通知医生是病人的责任 莫菲特健康中心 员工不提交文件.

定义为:

• 没有任何健康保险公司承保的病人.
• Patients that have health insurance that is a non-participating carrier of 莫菲特健康中心.

病人承认 that they are responsible for the payment of all services rendered, 包括你来访当天的药房服务.

你必须提供 莫菲特健康中心 还有你的保险卡复印件. 你的保险必须是有效的. 百分百 services will be sent to your insurance carrier; you are only responsible for $20.00 提供服务当日的提供商费用. 这笔钱必须在你来访当天支付， 现金、支票或信用卡都行. 我们也可以将金额记入您的USM ID.

Once payment is determined, (co-pays, deductibles, 和 non-covered services) faculty/staff members will receive a statement via mailing address or campus address. 学生将 查看其SOAR帐户上的任何剩余费用.
  
Payment must be made before the end of the semester in order to register for the next 学期，收到成绩单，或者收到你的文凭.

Patients having health insurance with a health insurance company that 莫菲特健康中心 does not participate with, are classified as Out of Network accounts. 我们会开账单 100% of service charges to 保险公司; you are only responsible for $20.00 提供服务当日的提供商费用.

If the Out of Network insurance company does not cover all or any of the charges for the patient’s services, the patient will owe the remaining balance.

您必须提供 振子结构药房 还有你的保险卡复印件. 如果他们接受保险公司，那么他们 will process your claim in real time, 和 provide you with the co-pay. 病人承认 that they are responsible for the payment of the provided co-pay.

Graduate Assistant patients are required to have insurance coverage at USM. 如果你 are participating with a separate insurance coverage, a waiver must be signed. If you do not sign the waiver, you will automatically be enrolled in the USM Student 保险计划. 请致电601与研究生办公室联系.266.4369查询更多信息. 

你必须提供 莫菲特健康中心 还有你的保险卡复印件. 涵盖了USM收到的所有服务 完全符合USM学生计划. 您还必须向USM药房提供一份副本 你的卡片. Charges may occur from the pharmacy, depending on the medication. 问 the pharmacist or pharmacy tech before filling the prescription.

USM学生保险计划于8月1日开始实施. 保险由联合医疗保险公司提供. For more information on application, premiums, 和 coverage, please view the 保险手册. 

GA, RA, 和 International 学生 can find more information on the USM人力资源网站. 

注意: 莫菲特健康中心不监督这项健康计划. 政策的管理 是由USM人力资源部处理.

莫菲特健康中心 will not release any personal information without the patient’s h和written consent. We cannot discuss any information to a parent, caregiver, friend, or anyone else requesting 未经患者同意的信息. 您可以在办理登机手续时索取同意书 柜台 莫菲特健康中心.

未经同意，可以讨论财务信息.

The patient or responsible party agrees to pay any portion of charges that are not 由患者或责任方的保险公司支付. 病人也承认 that they are responsible for the payment of all services rendered, if not paid by 保险公司.  

员工: Balances not paid after 2nd notice will be deducted from payroll. 

莫菲特健康中心 和 振子结构药房 能够接受以下付款方式: 

• 现金
• Check (mail check payments to 学院道118号 #5066, 哈蒂斯堡，邮编39406)
• 维萨和万事达
  • 如以 健康储蓄账户(HSA)卡 请在结帐时通知我们的前台工作人员. 诊所或药房收费需要 to be paid with an HSA card must be paid at 莫菲特健康中心. 

• 财务助理(从你的学生账户中支付)

Employees needing to make payments can call in their payments using a debit or credit 我们可以通过跨部门邮件发送收据. 

学生 who choose to have their charges sent to their student account can make payments 通过商务办公室使用以下方法: 

在线

• 登录SOAR. Click on Student Dashboard > Student Account > Make a Payment. (弹出式 拦截器将阻止“付款”链接加载.)
• 信用卡/借记卡.收取75%便利费
• 支票(不收取便利费)

九游国际棋牌

• 位于福雷斯特县大会堂101号(FCH) 
• 支票、现金或汇票(不含信用卡/借记卡)
• 星期一至五上午八时至下午四时三十分