Billing and Insurance

Billing and Insurance

We are excited to announce, effective May 10, 2021, the LSU Student Health Center (SHC) has partnered with LSU Healthcare Network and is now "in-network" with most major US-based insurance plans, including Louisiana Medicaid. Students are now able to conveniently use their insurance benefits at the SHC.

Student Health Center Insurance Forum

The Student Health Center is offering a live, virtual forum to provide students with an opportunity to learn more about the insurance and billing process. Although appointments are not necessary, click the link to view dates, times and, register.

Register on TigerLink 

Submitting Insurance Information

Student should submit their insurance information before their first visit to the SHC by logging on to the Patient Portal, and uploading their insurance card. View our pdf instructions on how to upload your insurance card to the Patient Portal. Co-payments, if applicable, will be collected at the time of service and will be used as a credit toward the office visit fee. Students should bring a valid picture ID/ Tiger Card, insurance card, and a form of payment to each visit.

Insurance claims can be filed for primary care, gynecology, specialist visit and psychiatry services only.

Student health and wellness is critical to academic success, and unexpected healthcare costs can be a burden and impact your education. While currently not required, we strongly urge all students to have health insurance. The LSU United Healthcare Student Resources Plan is an option designed specifically for LSU students and their eligible dependents that offers maximum coverage for services at the SHC.

Healthcare costs depend on what kind of care you need and your insurance plan, if you have one. Health insurance plans vary a great deal, and may only cover part of the cost. You are responsible to pay any part that  is not covered by health insurance or the Student Health Fee.

For details, click the section below:

Students pay the Student Health Fee (SHF), as part of full-time tuition and fees; part-time students and non-student spouses have the option to pay the SHF. As noted in the SHC eligibility policy, any student wishing to use the SHC must pay the SHF. This fee is not covered by insurance, nor is it an insurance plan. It is eligible to transfer to the student fee bill.

The SHF covers the following services and supplies at the Student Health Center:

  • Telephone nurse triage;
  • Physical rehabilitation;
  • Health history and immunization processing and compliance verification;
  • Public health services or benefits that are essential for either personal safety or campus community health and safety;
  • Counseling services including crisis intervention, individual counseling and group sessions;
  • Wellness coaching, programs, services, and events;
  • Nutrition counseling;
  • Lighthouse services;
  • Referral Coordination and Case Management Services
  • Administrative support costs;
  • Facilities maintenance, repair, and enhancement;
  • Health and well-being strategic initiatives

The Student Health Center is now in-network with most major US insurance providers. To determine if we are in-network with your plan, please view the "accepted insurance plans" section below.

If we are not in-network with your insurance, we can file a courtesy claim with them.

Medical co-pays, deductibles, and co-insurance associated with your insurance plan are applicable at the SHC. Co-payments will be collected at the time of check-in and used as a credit towards your office visit balance, so please ensure that you bring a form of payment with you to each visit. Failure to pay a co-pay will result in your appointment being rescheduled. If you are not aware if your insurance has a copay and/or the amount, it can usually be found directly on the insurance card or by calling the customer service number listed on the insurance card.

Additional charges apply for tests and treatments. Your health insurance may cover some or all of those costs. Any uncovered costs will be billed to you by Acadiana Computer Systems, Inc (ACS), the billing company handling SHC claims. These charges are not eligible to transfer to your fee bill. Any payment and/or payment arrangements must be made directly with ACS.

Most labs will be sent to reference labs for processing, mainly LabCorp. Bills for these services will be sent to you directly from the reference lab, unless paid date-of-service at checkout. These charges are not eligible to transfer to your fee bill. Any payment and/or payment arrangements must be made directly with the reference lab used. If you wish to use a lab other than those used by the SHC, you may request a copy of your orders to take to the lab of your choice for collection.

To learn what your plan covers at the SHC, call your insurance company and ask about coverage benefits for billing tax ID 26-1531455 or visit your plan’s website which is usually found on your insurance card.

Please note, by choosing to file all or a portion of your visit to insurance, you are consenting to the SHC releasing any necessary documents for payment.  

*Accepted insurances are subject to change. Confirm your insurance provider prior to your appointment.

Medical Services:

  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Centene
  • Cigna
  • Coventry
  • Gilsbar 360
  • Humana
  • Louisiana Medicaid (Healthy Louisiana/ Bayou Health)
  • Aetna
  • Better Health of Louisiana
  • AmeriHealth Caritas (formerly LaCare)
  • Healthy Blue (Amerigroup)
  • Louisiana Healthcare Connections (LHC/ Centene)
  • United Community
  • Medicare (Traditional & Medicare Advantage Plans)
  • LSU First
  • Multi Plan/ Beech Street
  • Peoples Health Network (PHN)
  • PPO Plus/ Zelis
  • Railroad Medicare
  • Tricare
  • Triwest
  • United Healthcare
  • Vantage Health Plans
  • Verity
  • Wellcare
  • Zelis/ PPO Plus

Behavioral Health:

  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Gilsbar 360
  • Healthy Blue
  • Humana
  • LSU First/ Verity
  • Medicare/ Medicaid
  • Magnolia
  • Optum (for both UHC and PHN)
  • Tricare
  • Vantage
  • Wellcare
  • Zelis/ PPO Plus

Effective May 10, 2021, the SHC does participate in Louisiana Medicaid. All policies and stipulations to your Medicaid policy, including visit counts, are applicable at the SHC.

In order to have SHC services covered by your Medicaid plan, you must assign one of our providers as your primary care provider (PCP) on your Medicaid Patient Portal. This must be done 48 hours prior to your appointment. Once set, you may see any SHC provider for future appointments. Failure to do this prior to your appointment will result in the rescheduling of your appointment to a future date.

View the instructions on how to set your PCP.

 

Additional charges apply for tests, treatments, and labs. Your health insurance plan may cover some or all of those costs. Per Medicaid's policy, any uncovered service(s) must be paid in-full prior to the service without exception, including labs. Therefore, bring a form of payment with you to each visit. These charges are not eligible to transfer to your fee bill.

Please note, per Medicaid policy, any uncovered service(s) must be paid in-full prior to the service without exception, including labs. Therefore, bring a form of payment with you to each visit.           

Most labs will be sent to reference labs for processing, mainly LabCorp. Bills for these services will be sent to you directly from the reference lab, unless paid for date-of-service at checkout. These charges are not eligible to transfer to your fee bill. Any payment and/or payment arrangements must be made directly with the reference lab used. If you wish to use a lab other than those used by the SHC, you may request a copy of your orders to take to the lab of your choice for collection.

Please review your plan's policies and coverage by visiting the Louisiana Department of Health or by contacting your local Medicaid office at (888) 544-7996, before scheduling an appointment.

You do not need health insurance to use the SHC. A self-pay rate is available to students who do not have health insurance.           

A co-pay of $20 will be collected at the time of check-in and used as a credit towards your office visit fee, which will vary based on the care you receive. Please bring a form of payment with you to each visit. Failure to pay a co-pay will result in your appointment being rescheduled.

Additional charges apply for tests and treatments. Without insurance to help share costs, you are responsible for all costs incurred during your visit. We encourage you to discuss with your provider the costs associated with your visit prior to receiving the care. Any balances not paid at check-out will be billed to you by ACS, the billing company. These charges are not eligible to transfer to your fee bill. Any payment and/or payment arrangements must be made directly with ACS.

Most labs will be sent to reference labs for processing, mainly LabCorp. Per LabCorp's policy for the uninsured, or those whose insurance does not cover clinical laboratory testing, payment for the tests ordered must be collected at the time of service. If you wish to use a lab other than those used by the SHC, you may request a copy of your orders to take to the lab of your choice for collection.

If you are unable to accept care at the SHC due to financial restraints, the SHC’s case manager can assist you with finding a facility to meet your needs. Referral coordination is a service we provide to all LSU students.

Healthcare can be expensive. We strongly urge all students to have health insurance. Explore the LSU Sponsored United Healthcare Student Resources plan as an option. Other resources can be found at Healthcare.gov.

You can request not to use your insurance, recognizing that the medical costs will typically be more. You will be charged the self-pay rate and payment in-full may be required on the date of service.

  • To exclude an appointment, notify Patient Access prior to check-in
  • To exclude a specific lab or procedure, notify the staff at Lab/X-ray check-in.

It is your responsibility to verify all charges and exclusions with the cashier at checkout, prior to leaving the clinic.

When payment-in-full is not required, a bill from ACS or the reference lab used will be sent. Please verify with the appropriate staff, which address bills should be sent to.

Please note, by choosing to file all or a portion of your visit to insurance, you are consenting to the SHC releasing any necessary documents for payment. 

When you use your health insurance, ACS files a claim with the health insurance company for the charges incurred at your visit. When the insurance company processes that claim, they send the policy holder a statement called an Explanation of Benefits (EOB). The SHC has no control over what address the EOB is sent to.

If you have insurance but you do not want the policy holder to know about your visit to the SHC, you may choose not to use your insurance for that appointment. You can request not to use your insurance, recognizing that the medical costs will typically be

more. You will be charged the self-pay rate and payment in-full may be required on the date of service.

It is your responsibility to verify all charges and exclusions with the cashier at checkout, prior to leaving the clinic.

When payment- in-full is not required, a bill from ACS or the reference lab used will be sent. Please verify with the appropriate staff, which address bills should be sent to.

If you choose to file any portion of your visit to insurance, you are consenting to the SHC releasing the necessary documents for payment. While not common, the insurance company may request the medical record to verify medical necessity to approve payment. The complete chart note for the date of service in question will be released; however, any excluded items will not be processed for payments and will not show up on the EOB received by the policy holder.

Any use or disclosure of your medical records for purposes other than those permitted by HIPAA such as treatment, payment, and health care operations, require a Release of Information.

Effective May 10, 2021, the SHC is in-network with most major US-based insurance plans, including Medicaid. You are now able to conveniently use their insurance benefits at the SHC. Depending on their coverage, students may be responsible for a copay or uncovered services at the visit.

Acadiana Computer Systems, Inc (ACS) will handle billing operations for the SHC. Charges incurred during a visit to the SHC will not be eligible for transfer to student fee bills. Payment should be remitted in a timely manner. Payment plans are available by contacting ACS directly. Failure to pay outstanding balances may impede your ability to schedule future appointments at the SHC.

To discuss charges, make a payment, or arrange a payment plan, contact ACS directly at (855) 631-6628.

View the online bill pay system for all LSU Healthcare Network facilities, including the SHC.

We ask all patients to arrive at least 20 minutes prior to their appointment time. Arrive on time to maximize your interaction with your provider and avoid increasing waiting times. If fail to do so, you may be asked to reschedule and may incur a no-show fee. 

Please cancel/reschedule an appointment you cannot make in a timely manner, so another student can take advantage of the appointment time.

 

Helpful Resources

Premium: A premium is the amount of money charged by your insurance company for the plan you’ve chosen. It is usually paid on a monthly basis, but can be billed in a number of ways. You must pay your premium to keep your coverage active, regardless of whether you use it or not.

  • Example: Your health plan costs $189 per month, which is your premium. In order to keep your benefits active, you will need to pay your premium on time every month.

 

Deductible: A deductible is a set amount you have to pay every year toward your medical bills before your insurance company starts paying. This amount varies by plan and some plans do not have a deductible.

  • Example: Your health plan costs $189 per month, which is your premium. In order to keep your benefits active, you will need to pay your premium on time every month.

 

Coinsurance: Coinsurance is the percentage of your medical bill you share with your insurance company after you have paid your deductible. Unless you have a policy with 100% coverage for everything, you have to pay a coinsurance amount.

  • Example: You have an “80% / 20%” plan. This means your insurance company pays for 80% of your costs after you have met your deductible. You pay for the other 20%. Coinsurance is different and separate from a copayment.            

 

Copayment: A copayment, or copay, is the flat fee you pay every time you go to the doctor or fill a prescription. Copays do not count toward your deductible.

  • Example: Your plan has a $20 copayment for routine doctors’ office visits. This means you have to pay $20 each time you have a visit. Copays are different that coinsurance.

 

Explanation of Benefits: An explanation of benefits (EOB) is generated when your provider submits a claim for the services you received and is a statement from your insurance plan describing what costs it will cover for medical care or products you’ve received. The statement details the cost of the care you received, any money you saved by visiting the in-network providers, and any out-of-pocket expenses you will be responsible for. An EOB is not a bill. You will receive a separate bill for the amount you may owe with instructions on how and to whom payment should be remitted.

Who is Eligible?
All full-time and part-time students registered for resident study, excluding Continuing Education participants, are eligible to purchase the plan for themselves and their dependents.

Please note: All non-immigrant, international students in F-1 and J-1 student visa status are required to purchase and maintain adequate medical insurance coverage while they are enrolled at LSU. Therefore, these students are automatically enrolled in and charged for the university-sponsored plan, Gallagher Student Health/United HealthCare. Students who wish to decline the university-sponsored plan coverage must submit an online waiver form and proof of comparable, alternative medical insurance coverage to Gallagher Student Health by the 14th class day of each semester. The alternative insurance policy must provide similar or more extensive coverage, as compared to the university-sponsored plan, for it to be accepted, https://www.lsu.edu/intlpro/is/insurance/mandatory.php. Only after confirmation of the approval is presented will the charge for the university-sponsored plan be credited to the student’s fee bill. 


How to Enroll
Students may enroll themselves through myLSU (Additional Services section of Registration Services tab) or directly online with the insurance company. This can be done from class registration through the 14th class day of that semester.
 
*The open enrollment period for Annual 2021-2022 or Fall 2021 coverage is July 12, 2021–September 17, 2021* 


myLSU Health Insurance Codes:

Code: Dates Active: Price:
05004 Annual (8/14/21–8/13/22) $2722
05001 Fall (8/14/21–1/5/22) $1083

 

Students wanting to utilize any of the following options MUST do so online directly with the insurance company: 

  • enroll in the monthly payment plan
  • purchase coverage for dependents

Visit www.gallagherstudent.com/lsu-batonrouge for more details.

*If your class schedule is purged for any reason, you must ensure the insurance is reassessed on the subsequent Bursar Office bill. 


Plan Information

2021-2022 SHIP SUMMARY BROCHURE - DOMESTIC

2021-2022 SHIP SUMMARY BROCHURE - INTERNATIONAL

 

It is extremely important that you read the plan brochure to understand the specific terms and conditions, benefits, coverage limitations and policy exclusions that are described therein. The plan has cost containment features to keep your health costs as low as possible while maximizing your premium dollar and conserving your benefits, as appropriate. Please pay special attention to the Referrals section. You are responsible for obtaining new or renewal referrals when they are required. Full Plan Certificates are available on the insurance company's website.

Students enrolled in the University-sponsored insurance must use the resources of the LSU Student Health Center first, where treatment will be administered or a referral issued. In order to access the Student Health Center services, they must pay the Student Health Fee each semester.

  • Part-time students will be required to pay this fee.
  • If a nonstudent spouse would like to access Health Center services, their student spouse must be eligible, and they, too, must pay the Student Health Fee.

For more information about the Student Health Center Eligibility, visit the Eligibility Policy page.

Students and their dependents also have the ability to select stand-alone Vision and Dental programs administered by Humana. Coverage under one of the health plans is not required to purchase the Vision or Dental products. Enrollment in the Vision and Dental programs should be handled online directly with the insurance company.

Insurance Company Contact:
Gallagher Student Health
Phone: 844-288-4920
Fax: 617-479-0860
Web: www.gallagherstudent.com/lsu-batonrouge
Email and Live Chat options available on above site
Claims company: www.uhcsr.com
24/7 medical advice: HealthiestYou, www.healthiestyou.com