HopeHealth Benefit Coverage for 2009-2010 School Year

• Effective Dates: August 10 - December 18, 2009 and January 11 - May 7, 2010.
• All Hope students registered for 12+ credits in the current semester automatically have the HopeHealth benefit as part of their tuition package.
• Part-time students may choose to purchase the HopeHealth benefit through Business Services.
• Students studying abroad or off-campus DO NOT have the HopeHealth benefit during that semester.
• Benefit is available only during the Hope Health Center operating hours.
• Benefit is not useable during any of the scheduled school breaks.
  

HopeHealth Benefit to cover 100% of the following costs when the student seeks health care in the Hope Health center,

up to a maximum of $1,000 per student per school year.

1. Sickness visits to Hope Health Center

• Office visit fees for mental health and acute/chronic illnesses are covered. (Exceptions may be found under Student Health Plan Exclusions policy @ www.uhcsr.com)
• Exposure to communicable disease and/or sexually transmitted disease is covered.
• Radiology and/or laboratory fees related to the office visit when ordered by health center staff.

2. Injury visits to Hope Health Center

• Office visit fees for injuries are covered.
• Radiology fees related to office visit when ordered by health center staff.
• To include the cost for on-site supplies such as slings, braces, wraps, splints, etc.

3. Women's Health Care visits to Hope Health Center

• To include fees associated with laboratory testing ordered by health center staff

4. Prescription medications that are dispensed from the Hope Health Center will be covered with the following conditions:

• The student will be assessed a prescription medicine co-pay, based upon the cost of the medication, using the following scale:

  Medications up to $50 = $5 co-pay

  Medication cost of $51 - $100 = $10 co-pay

  Medication cost of $101 - $150 = $15 co-pay

  Medication cost over $150 = $20 co-pay

• The maximum benefit to be used toward prescription medications is $500 per student per school year (not including the cost of the co-pays).

• Only prescription medications dispensed from the Hope Health Center pharmacy are to be covered.

• Prescriptions may be dispensed in up to 30-day amounts.

5. Preventive Services provided at Hope Health Center

• TB skin testing is covered with a maximum of one test per school year.
• Athletic physicals for recognized college teams.
• Immunizations that are required for attendance at Hope College are covered. Meningococcal vaccine and yearly flu vaccine is covered.
• Maximum immunization benefit per student per school year not to exceed $150.

6. Off Campus Referrals Available under the Hope Health benefit when pre-approved by Hope Health Center staff:

• South Washington Family Medicine
• Behavioral Health Services
• Office visits covered at 100% after a $20 co-pay per visit.

7. HopeHealth benefit will not cover the following: (students should refer to their major medical coverage.)

• Travel immunizations*
• Emergency Room and/or Urgent Care Centers
• Referrals to off campus specialists excluding the two listed above.
• Orthotics
• Physical therapy
• MRI and/or CT Scan
• ADD and/or ADHD diagnosis, follow-up, and treatment.
• Wart treatment.
• Medications not carried on-site in the health center
• Dental related injury/illness and medications associated with.
• Laboratory fees related to home doctor lab orders*
• Physicals for study-abroad, work or camp requirements*
• Eating Disorders
• Addictions
• Alopecia

8. Academic Class Requirements

• Laboratory testing required for academic classes will carry a $20 co-pay if performed in the Hope Health Center.

*Service is available at the Hope Health Center. Students may choose to pay for the service or have fees placed onto their student account. An insurance statement can be requested if students wish to submit the charges to their major medical insurance for reimbursement.