Important Notice Regarding COVID-19 and UC SHIP
Students enrolled in UC SHIP must obtain a referral from SHC's Insurance Services Department in order for the COVID-19 vaccine provider to be reimbursed for the fees it charges to administer the vaccine. There is no charge for the actual vaccines. However, providers may bill insurance plans for their fees to administer the vaccines. Providers are not allowed to bill students directly for the vaccine or for their vaccine administration fees. To request a referral prior to being vaccinated or to request a retroactive referral after being vaccinated, please email: firstname.lastname@example.org or call 949-824-2388.
The UC SHIP waiver of co-pays and/or coinsurance for medically necessary screening, testing and/or treatment related to COVID-19 will remain in effect for the remainder of the 2020-21 UC SHIP plan year and will be extended through the 2021-22 plan year. Cost sharing includes, but is not limited to, copays, deductibles or coinsurance. Medically necessary screening, testing and treatment for COVID-19 may include hospital services (including emergency department), urgent care visits, provider office visits, telehealth encounters (e.g., LiveHealth Online) and clinical labs where the purpose of the visit is to be screened, tested and/or treated for COVID-19.
For additional information regarding the type of scenarios for which testing may or may not be deemed to be medically necessary, please visit UC SHIP and COVID-19: A Guide for Students and Parents. Students will be financially responsible for any COVID-19 related services that are deemed to be NOT medically necessary.
The current fees for some of the more common services provided at SHC can be found here >>> Fees for Common Services.
The Fees for Common Services document includes fees for common medical services, mental health services, vaccines, lab tests, X-rays, and other services. In addition, this document includes pricing related to over-the counter products that are currently available at the SHC Pharmacy.
These fees are reviewed annually at the start of the Fall term and are subject to change without notice. Additional fees for services such as treatment supplies and medications that are related to your visit may apply
Preventive Care Services - No Copayment or Coinsurance Payment Required (UC SHIP Enrolled Students)
If you are enrolled in UC SHIP, there are many preventive care services for which you have no copayment and/or no coinsurance payment responsibility. Please refer to the document below for a current list of services that are considered preventive care and, therefore, are not subject to a copayment and/or coinsurance payment.
If you are NOT enrolled in UC SHIP, then you are responsible for payment of the entire fee related to any service rendered at SHC. However, you may seek reimbursement from your health insurance carrier. Please note that managed care/HMO insurance plans (e.g., Kaiser, Medi-Cal/Cal-Optima, Sutter Health, Blue Shield HMO, other HMO's) will likely NOT reimburse you for non-urgent, routine and/or preventive care services.
Payment for Services
If you are a registered UC Irvine student, no payment is necessary at the time you are seen. Your student account will be billed. There is no processing fee for charges that are transferred to your campus student billing account. Visit Zot Account Online.
- SHIP students: Your Zot Account will be charged for any office visit copays and/or coinsurance for which you are responsible after the insurance carrier pays its portion to SHC. This process may take up to 2-3 weeks following your date of service.
- Non-SHIP students: • Non-SHIP registered students are considered “Fee-for-Service”. Your Zot Account will be charged immediately for any charges that you incur related to your visit. SHC does not bill any insurance carrier other than SHIP. You may obtain an itemized billing statement online through the Student Health Patient Portal and submit a claim to your insurance carrier for potential reimbursement. Please contact your health insurance carrier as SHC cannot estimate the amount of reimbursement, if any, that your carrier will provide to you.
- Non-Registered Students: Non-registered students (e.g., Extension students) do not have a campus billing account. Therefore, payment for services rendered are due at time of service and are paid at the SHC cashier window in the lobby immediately following your visit. Payment can be made by cash, check or credit card (Visa/Mastercard/Discover/AMEX).
- Faculty/Staff: Payment for services rendered are due at time of service and are paid at the SHC cashier window in the lobby. Payment can be made by cash, check or credit card (Visa/Mastercard/Discover/AMEX). SHC does not bill 3rd party insurance plans for medical services with the exception of Pharmacy prescriptions.
Fees for Missed or Canceled Appointments
In order to mitigate the problems created when many appointments go unused if students fail to come to their medical and mental health appointments, a fee is charged for missed appointments or appointments canceled with less than twenty-four (24) hours notice. In addition to the fee for a missed or canceled appointment, students will also be charged the cost associated with any special drug or other perishable medical supply item that was scheduled to be used during their appointment but cannot be returned to inventory.
Fees for missed or canceled appointments are included here >>> Fees for Common Services. Students have the right to appeal these fees and should contact the SHC Billing Department at 949-824-7084 or by email at email@example.com for information and instructions regarding the appeal process.