Mandatory Health Insurance

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Student Health Services

Primary care at Student Health Services and referrals for specialist care

• Where do I get my primary medical care under the Emory/Aetna student plan?  At Student Health Services?
  
  
• What if I don’t have the Emory/Aetna plan?  Can I still go to Student Health Services?
  
  
• What if I don’t have the Emory/Aetna plan and I get billed for ancillary services at Student Health Services?
  
  
• I have heard that I have to have a referral to see a specialist under the Emory/Aetna student health insurance plan.  Is that true?
  
  

Where do I get my primary medical care under the Emory/Aetna student plan?  At Student Health Services?

Yes. Emory Student Health Services is the primary care provider under the plan. Visits to EUSHS are free for enrolled students, and the insurance plan pays 100% of covered services at EUSHS (lab tests, medical supplies, medications, immunizations, Travel Clinic, etc.).

What if I don’t have the Emory/Aetna plan?  Can I still go to Student Health Services?
Yes, absolutely!  Your visits are still free (covered by your tuition).

What if I don’t have the Emory/Aetna plan and I get billed for ancillary services at Student Health Services? 
EUSHS accepts cash, checks, EmoryCard, Visa and MasterCard for ancillary services (lab, medications, etc.). Although EUSHS participates in the Emory/Aetna student insurance plan, we are non-participants (sorry!) in all other plans.  However, we will file any charges a student incurs at EUSHS with his/her primary insurance carrier.  Since we are non-participants, it is possible that the carrier may not pay for these charges.  We will also provide students with copies of all relevant paperwork they will need to resolve any payment issues with your carrier.  We will wait 90 days from the date of filing the claim to receive payment.  If the charges are unpaid at that time, we will transfer the balance to the Bursar’s office for billing on the student’s account. But please take note: if a student’s account becomes past due, Emory may withhold transcripts, grades, registration or other University provided services or goods until all past due amounts are paid.    

I have heard that I have to have a referral to see a specialist under the Emory/Aetna student health insurance plan.  Is that true? 
Yes, it is.  There is a referral requirement under the plan.  Emory University Student Health Services (EUSHS) offers students comprehensive primary and specialty services coordinated by EUSHS. All covered students and covered dependents age 12 years or older in need of medical care should, except in the case of a medical emergency, first seek treatment and be evaluated at EUSHS.  You may be referred to an outside medical provider if required specialist medical care is unavailable at EUSHS.  

If you are enrolled in the Student Health Insurance Plan, a referral is necessary to receive the maximum benefit under your Student Health Insurance Plan, except in the following instances:

1. Treatment of an Emergency Medical Condition; or
2. When EUSHS is closed; or
3. When the service is rendered at another facility during breaks or vacation periods; or
4. When medical care is received by a Covered Person who is more than 50 miles from campus; or
5. When medical care is received by a Covered Person who is no longer able to use the EUSHS due to a change in student status; or
6. Ob/Gyn services.
7. Dermatological services. 

A new referral must be obtained if continuous treatment is being received from one Policy Year to the next.  Please note that dependents under age 12 are not permitted to use EUSHS and therefore are exempt from the referral limitations and requirements.