University Health Services will bill the patient's primary health insurance plan if the patient provides current insurance coverage information (insurance card or photocopy of it) and signs an authorization at the time of the visit to allow us to do so. An itemized statement, suitable for submission to a secondary carrier, is available upon request from the Business Office, Foust 202.
Insurance information and student I.D. card should be presented at the time of service. If you have insurance information, but do not possess a card, click here for a downloadable form to fill out and bring with you at the time of your visit.
If you have specific questions regarding your coverage and benefits, please contact the customer service number on the back of your insurance card.
Participating Insurance Plans:
University Health Services participates with:
- Blue Cross Blue Shield (BCBS) including:
- Community Blue PPO (including CMU's plan)
- Blue Preferred
- Blue Preferred Plus
- MESSA Traditional
- CMU Student Health Insurance
- Medicaid - Straight & Priority Health Medicaid
- Medicare - Not Medicare Advantage
- Tricare US Military (standard)
- Priority Health
- Aetna - HMO Aetna requires authorization from primary care provider
- Co-Finity Network
- Blue Care Network -requires authorization from primary care provider
Charges to participating insurances will not be transferred to your University account until an Explanation of Benefits (EOB) has been received from your insurance company. After the EOB has been received, charges for any co-pays, deductibles or non-covered services, as required by the health insurance plan, will be transferred to your University account.
Non-Participating Insurance Plans:
CMU Health Services will provide billing to non-participating insurances as a courtesy. It is highly advisable that students contact their insurance company prior to scheduling an appointment to confirm coverage and benefits for services at the clinic. Insurance plans vary and may be subject to co-pays, deductibles, out of network charges, and pre-authorization requirements. Charges will be held at CMU Health Services for 30 days after the claim has been submitted to the insurance company to allow time for claims processing. After 30 days charges will be transferred to the University account. If any payment is received by CMU Health Services prior to 30 days, only the un-paid patient responsibility will be transferred to the University account. If any payment is received after the charges have been transferred to the University account, the account will be credited by the paid amount. The patient is responsible for payment of the total amount of charges by the posted due date on the monthly statement from the CMU Student Account Services and University Billing Office.
Managed Care Plans: HMOs and PPOs
Patients enrolled in a non-participating HMO, PPO, or POS plan who wish to have their plan pay for the care provided at University Health Services must contact their plan's service representative or their primary care physician about authorization for non-emergency out-of-network care, prior to being seen at University Health Services. If authorization is denied by the insurance carrier, the patient can still be seen at University Health Services on a fee for service basis.