Miami University Digital Benefit Guide 24-25

Page 1

A Guide to Student Health Care Resources

2024-2025

Welcome to another great semester at Miami University!

In this guide, you will find resources like: Where to go for health care on and off campus.

Mental health services through the Student Counseling Service.

Health Insurance 101

Information on the Student Health Insurance Plan (including how to waive or enroll).

And more!

HUB Campus Health Solutions 2024. All rights reserved.

Where to Go for Care

One of the top ways you can save money on health care expenses is going to the appropriate place to receive care when you need it. Try using the emergency room for true emergencies only to save money on your health care expenses.

Telemedicine

Use telemedicine for the timely treatment of acute or common illnesses, or when it is hard to access primary or urgent care. Providers can treat almost any condition or illness via telemedicine and it is the most affordable way to access care.

Primary Care

Visit your primary care physician for the timely treatment of acute or chronic illnesses, preventive care, and injuries. Student Health Services is a great place to seek primary care!

Student Health Services

421 South Campus Ave

Monday-Friday: 8 a m -6 p m

Saturday: 9 a.m. -4 p.m.

Sunday: Closed

Urgent Care

Visit an urgent care for illnesses and injuries that require immediate attention but are not life-threatening. The closest urgent cares to campus are:

Oxford Priority Care

5151 Morning Sun Rd

513-524-5522

Monday-Sunday: 10 a.m. -6 p.m.

Emergency Room

The Little Clinic at Kroger

300 S Locust St

513-273-2115

Monday-Friday: 8:30 a.m. -7:30 p.m.

Urgent Care of Hamilton

1 N Brookwood Ave

513-805-4499

Monday-Sunday: 10 a.m. -8 p.m.

Visit an emergency room or call 911 for more serious or life-threatening conditions.

McCullough-Hyde Memorial Hospital - TriHealth

110 N Poplar St

513-523-2111

Open 24/7

Bethesda Butler TriHealth Hospital

3125 Hamilton-Mason Rd

513-894-8888

Open 24/7

Learn more: Most insurance carriers offer the ability to estimate the cost of your care before you go. Check out this video for more tips on where to go for care!

Student Health Services (SHS)

In an effort to support a healthy college experience, Student Health Services (SHS) provides quality outpatient care that includes general medicine, injury care, and immunizations as well as gynecology, laboratory, and psychiatry services.

All Miami students have access to Student Health Services- you do not need to be on the Miami-sponsored student health insurance plan to visit!

Clinical Health Sciences & Wellness Facility

421 S Campus Ave

Oxford, OH 45056

General Medicine

Sick visits

Minor injuries

Wart removal

Suture repair/removal

Wellness exams

International travel vaccines

Lab testing

Physical Therapy

Orthopedic services

Monday-Friday: 8 a.m. -6 p.m.

Saturday: 9 a m -4 p m

Sunday: Closed

Closed when university is closed, hours subject to change during breaks

Services Offered:

Gynecology

Routine exams and paps

Diagnosis and treatment of gynecological problems

Contraception

Pregnancy testing

Prenatal referral

Abortion referral

STI diagnosis and treatment

HPV vaccination

Appointments are preferred but walk-ins are allowed.

To schedule, call

513-529-3000 and press 1.

513-529-3000

shsMiami@TriHealth com

You can also access Telehealth through TriHealth Now!

Psychiatry

ADHD (previously diagnosed) Anxiety

Bipolar Depression

Eating disorders

Schizophrenia

Sleep disorders

The entrance to SHS is located closest to the parking garage, catty corner to the Rec Center and Goggin Ice Center.

The Importance of Primary Care

The most important factor in living a healthy life is to take a proactive approach. It is vital to make sure you are visiting your doctor each year for your annual physical and to build a relationship with your provider for ongoing primary care.

Preventive screenings are also crucial because they can help detect health conditions before they become a serious concern.

And best of all - preventive care is free!

Your preventive care visits and screenings are covered 100% by most insurance plans (including the student health insurance plan) if you see an in-network provider!

Annual Physical

Your annual visit to the doctor to receive your physical is covered 100% if you see an innetwork provider.

Vaccinations

Flu shots

Tdap

Meningococcal

Measles/Mumps

Routine Screenings and Services

HIV screening

Blood pressure

Alcohol misuse screening

PrEP medication

Diabetes testing

Birth control (for individuals born female)

Not all primary care is covered 100%, but there are lots of services your primary care physician can provide!

Learn more: Check out this short video on the importance of having a primary care physician!

Mental Health Services

Student Counseling Service (SCS) is focused on assisting students in developing and maintaining healthy personal, emotional, and psychological functioning as they work to achieve academic goals.

Services offered:

ADHD Screening and Treatment

Drug and Alcohol Use Treatment

Group Counseling

Individual Counseling

Sexual Assault Services

Student Withdrawal for Medical Reasons

Private Practice Referral

Student Counseling Service

421 S Campus Ave

Monday-Friday: 8 a m -5 p m.

Want to schedule an initial appointment at SCS?

Call 513-529-4634

If you are seeking specialized or intensive clinical services that require meeting with the same therapist beyond one semester, or more than once per week, we recommend receiving care by a provider in the local community.

SCS can partner with you to find an ongoing provider in the community Contact our Care Coordinator, Nancy Roane, at roanenl@MiamiOH.edu.

Need Crisis Support

Miami University students also have access to

Togetherall is a safe, online community to share feelings anonymously and get support to improve mental health and well-being The community is safely monitored by licensed and registered mental health practitioners. Log on to the Togetherall portal and access the message boards 24/7!

?
Crisis
24/7 Crisis HOPE Line: 855-249-5649 SCS
Appointments (during business hours): 513-529-4634 National Crisis Lifeline: 988 Crisis Text Line: Text GO to 741741
!
Togetherall! Learn more: Check out this short video for a quick look inside Togetherall
Urgent Care or Emergency Room UrgentCare. Fever? UrgentCare. UrgentCare. Sore Throat? Attacked by a kitten? Attacked by a RedHawk? Emergency Room. Emergency Room. Emergency Room. Passed out? On Fire?
to visit urgent care? Try SHS first!
*Need

Student Health Insurance Plan

Starting in the fall of 2024, Miami’s student health insurance plan will be administered by UnitedHealthcare Student Resources. You will still have the same great coverage for an affordable price. Here’s what you need to know:

Who: You!

What: Miami University Student Health Insurance Plan.

When: Plan year runs August 1, 2024, through July 31, 2025

Where: To enroll or waive the plan, go to uhcsr.com.

Why Should I Choose the Student Health Insurance Plan?

Access to Care

If you plan to waive the plan because you have alternate coverage, make sure it provides coverage for services in the Oxford, OH area.

Rich Benefits

The average health insurance deductible is almost $2,000! The deductible for Miami’s plan is only $350

Am I required to have health insurance

?

Cost Effective

It could be cheaper for you to elect the student health insurance plan versus staying on your parent’s plan. Make sure you compare the cost!

Adequate health insurance coverage is required for the following groups of students:

All domestic undergraduate students enrolled in 12+ credit hours.

All domestic graduate students enrolled in 9+ credit hours.

All international students enrolled in 1+ credit hours.

If you do not have alternate coverage (for example through a parent’s plan, a spouse’s plan, a U.S. -based employer’s plan or VA Tricare) you must enroll in Miami’s plan.

All students are automatically enrolled in the student health insurance plan unless they waive coverage by August 1. If you do not waive the insurance plan, you will be charged for the coverage on your next tuition statement.

Student Health Insurance Plan

What’s the Benefit?

Miami University’s student health insurance plan pays for part or all of the medical services you receive while you are a student

How Does it Work?

You receive an ID card (can be physical or digital) to share with your health care service providers, such as your primary care physician, that will give them information about whom to bill for the services you receive If your plan does not cover the claim in full, you will get an Explanation of Benefits (EOB) from your medical carrier after your visit. This document will tell you how much of the total cost was covered by the insurance plan and the portion remaining for you to pay your medical providers (if applicable)

Considerations:

Many students believe the student health insurance plan is too expensive or not as robust as their alternate coverage. That may not be the case, so be sure to take the following into consideration.

Are you an only child or the last child to leave home? It might be worth it to look at Miami’s plan If you select the student plan, your parent may be able to change coverage tiers (employee + family to employee + spouse or employee only) and save money by removing you from the plan!

Estimate your medical expenses for the upcoming year If you expect to have any surgeries, procedures, or take any high-cost medications, having good health insurance coverage is essential to avoiding high medical bills.

If you choose to waive the student plan, be sure to check that your alternate coverage works in the Oxford, OH area

Benefits In-Network Out-of-Network Deductible $350 $350 Coinsurance 80/20 60/40 Out-of-Pocket Maximum $1,500 $5,000 Office Visits Primary Care Visit Specialist Visit Annual Physical 20% coinsurance 20% coinsurance Covered 100% 40% coinsurance 40% coinsurance 40% coinsurance Emergency Room 20% coinsurance 20% coinsurance Urgent Care 20% coinsurance 40% coinsurance Prescriptions Tier 1 Tier 2 Tier 3 Specialty $15 copay $40 copay $70 copay See plan documents $15 copay $40 copay $70 copay See plan documents Student Health Insurance Plan New for the 2024-2025 school year, the student health plan will be administered by UnitedHealthcare Student Resources. **Disclaimer: It is recommended that you use in-network providers to receive care. You may be balance billed if you receive care from an out-of-network provider. What does balance billed mean? Check out Health Insurance 101 on the next page for this and other terms! Please note: The annual premium is split into two payments assessed on your bursar bill at the beginning of fall and spring semesters. 2024-2025 Premium for Annual Coverage: $2,151

Health Insurance 101

Use the glossary of terms below to brush up on your insurance knowledge. Still have questions or not sure what something means? Find a full glossary of health insurance terms on HealthCare.gov!

Deductible

The amount you owe for health care services each year before the insurance company begins to pay.

Out-of-Pocket Maximum

The maximum amount you have to pay for your health care during a year, excluding the premium After you reach the out-of-pocket maximum (OOPM), your insurance begins to pay 100% of the allowed amount for covered health care services for the rest of the year.

Coinsurance

Your share of the costs of a covered health care service; calculated as a percent of the allowed amount for the service.

Copay

A fixed amount you pay for a covered health care service. The amount can vary by the type of service (e g , primary care versus urgent care)

Balance Billing

When a provider bills you for the difference between the provider’s charge and the allowed amount by the insurance company This can occur when you seek care out-of-network

Provider A doctor, hospital, facility, or pharmacy providing services. Premium
amount you pay for your health insurance.
The

Important Contact Information

Student Health Services

513-529-3000

shsmiami@trihealth.com

421 South Campus Avenue

Oxford, OH 45056

Student Counseling Service

513-529-4634

StudentCounseling@MiamiOH.edu

421 South Campus Avenue

Oxford, OH 45056

UnitedHealthcare Student Resources

UHCSR.com

This packet is intended to provide a brief overview of your benefits. If there is a discrepancy between the enclosed documents and the certificate of coverage, the certificate of coverage will be the final determining document. HUB Campus Health Solutions 2024. All rights reserved.

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.