ASU Health Services

Health Services Billing

What you need to know about billing and payment

What will I pay for services at the ASU Health Services? We provide care for all students, no matter how you pay for services. The amount of money that ASU charges for services is based upon the type and complexity of the service and procedure we provide. The more complex care or procedure is a higher charge. Just as if one goes to the automobile repair shop, costs vary depending on what is wrong with the vehicle and how complex or costly the item is to repair. We accept the AZ Board of Regents student insurance through Aetna Student Health, private health insurance, or we can charge your student account. You do not need to bring in money for your visit to be seen. Our pharmacy doesn't accept insurance but their costs for many prescriptions are as low as or lower than other pharmacies.

What do I need to bring to help with paying for services? When seeking treatment at ASU Health Services? always bring your ASU ID. If you do have insurance, please bring your insurance card.

What if I do not have insurance? After the clinician is done with your visit they will determine the complexity of the visit, any procedures that are done, and a charge will be placed into our system. We use a "cash" discount rate of 15% below the standard 2008 Medicare published reimbursement rates as our cash discount price. This amount is charged to your student account or any of the various options listed below in payment options. If you are a student at the Tempe, West or Polytechnic campus, you may also choose to join our Bridge Discount Service Plan that allows students to pay one fixed fee per semester and then receive very low flat fees (currently $10 for primary visits, $20 for lab and X-ray visits). The Downtown Phoenix campus also has a plan for discount health care charges called the Nurse Care Health Plan which after paying a annual fee offers up to a 50% discount off their usual charges.

Do you take my insurance? ASU Health Services contracts with the following insurance companies: Aetna, Arizona Foundation, Blue Cross/Blue Shield, CIGNA, FirstSource, Great-West, Health Net, Private Health Care Systems Inc, Schaller-Anderson, and United Health Care.

What does this mean? ASU Health Services has entered into an agreement with these insurance companies to participate in the health plan and to accept a negotiated payment rate. You will be charged the co-pay or deductible amount.

How does insurance work? Let's say, for example, you twist your ankle running to class and you come to ASU Health Services for treatment. You provide your insurance card and ASU ID to registration staff. Usually there will be a co-pay amount required by your insurance company that will be charged directly to your student account. After registering, the ASU Health Services provider would examine you, decide on what tests or treatment you need like ordering an x-ray of your ankle and applying an ace bandage and giving you crutches.

What happens next? ASU Health Services submits your charges and your insurance information to our billing company, for submission to your insurance company. Your insurance company then processes the ASU Health Services claim for payment according to your plan benefits and sends the payment. Your insurance company will also send you a notice (by mail or electronically via the plan website) that the claim has been processed. This notice is called an Explanation of Benefits or EOB. Below is an example of a claim that has been paid. In this example, the Allowed Amount is the amount that ASU Health Services agreed by contract. The Contract Adjustment is the difference between the Charge Amount and the Allowed Amount. This amount is not billed to you. The Co-payment amount is the amount your insurance company says you owe. You are responsible for the co-pay amount dictated by your insurance plan. If you do not pay the co-pay on the day of your visit, the co-pay amount will be charged to your ASU Student Account.

 

CODE Description Charge
Amount
Allowed
Amt
Contract
Adjustment
Deductible Payment Co-pay/Co-ins
99213 Office Visit $75.00 $60.00 $15.00 .00 $40.00 $20.00
73610 Ankle
x-ray
$60.00 $27.26 $32.74 .00 $27.26 .00
ACE Ace
Bandage
$5.00 $.00 $5.00 .00 .00 .00
E0114 Crutches $40.00 $32.00 $8.00 .00 $22.40 $9.60

In this example, the plan has a deductible of $500.00. This means that you are required to pay the first $500.00 of allowable charges. After you have paid $500.00, the plan will pay for the charges according to the plan benefit. Any balance due from you is charged to your ASU Student Account. If you have a plan with a high deductible, you may want to consider purchasing the Bridge Discount Service plan through ASU.

 

CODE Description Charge
Amount
Allowed
Amt
Contract
Adjustment
Deductible Payment Co-pay/Co-ins
99213 Office Visit $75.00 $60.00 $15.00 $40.00 .00 $60.00
73610 Ankle
x-ray
$60.00 $27.26 $32.74 $27.26 .00 $27.26
ACE Ace
Bandage
$5.00 .00 $5.00 .00 .00 .00
E0114 Crutches $40.00 $32.00 $8.00 $32.00 .00 $32.00

What if ASU ASU Health Services is not contracted with my insurance company? ASU Health Services will bill your insurance plan for you but, most likely, the claim will be processed as out-of-network benefit and your benefit will be reduced or the insurance plan may not pay at all. In these cases ASU 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 plan and ask if you will be covered for services rendered at ASU Health Services. If not, you may want to consider purchasing the Bridge Discount Service Plan through ASU. Below is an example of a claim that was processed.

 

CODE Description Charge
Amt
Allowed
Amt
Contact
Adjustment
Deductible Payment Co-pay/Co-ins
99213 Office Visit $75.00       $50.00 $25.00
73610 Ankle
x-ray
$60.00       $48.00 $12.00
ACE Ace
Bandage
$5.00       $4.00 $1.00
E0114 Crutches $40.00       $32.00 $8.00

What about lab work, how do the charges get processed? Certain lab tests are done here at ASU Health Services and billed to your insurance company. Other tests are sent out to a Reference Lab (Sonora Quest or LabCorp). If you have a lab test that is sent out, Sonora Quest or LabCorp 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 Sonora Quest or LabCorp.

What are some of the reasons my insurance won't pay?

  • You received services Out-of-Network Provider.
  • You did not call your insurance company for prior approval before receiving treatment, if required.
  • The service you received is not covered under your plan (for example MMR vaccination).
  • Your insurance company needs verification of your student status (print one from My ASU).
  • Our billing company needs more information from you.
  • You have an HMO plan and it only covers you when you see certain doctors or healthcare facilities.
  • Your coverage has expired.
  • You have switched insurance plans but forgot to let us know.

What are my Payment Options? To pay for services today, go to the pharmacy cashier. We accept cash, check, Suncard, Master Card, Visa or Student account. To pay charges online sign in to MyASU. To pay charges in person go to any cashiering office at any campus. To pay charges by mail, send to ASU Cashier, PO Box 870303, Tempe AZ 85287-0303. Appeal late fees at sbs@asu.edu or by letter to PO Box 870303, Tempe AZ 85287-0303. Quoted prices are subject to verification or change without notice

Who do I contact with questions about my insurance claim or my bill? First contact should be to your insurance company via telephone or the plan website. You may contact the ASU Health Services Billing Office at 480-965-8559 or at insurance@asu.edu.

What about my confidentiality? We cannot discuss your 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 parent's/spouse's/significant other's home, an EOB form from the insurance company (see insurance How Insurance Works) will be sent to that address. If you want us to discuss your health charges with your parent or spouse, you can sign a consent to disclose health care information form allowing others to have access to your information, (scheduling treatment, discuss treatment, handle finances concerning health care). Please ask any ASU Health Services team member for this form.