Health care is an important and often contentious issue. Recognizing that, Pacific Union College wants to be proactive regarding the health care needs of every student that attends. In response to increasing health care costs, PUC has determined that providing our own insurance plan for all students is both smart and economical.
Beginning September 1, 2012, all students registered for six units or more are automatically enrolled in the new student health plan. Under the plan, all services requiring a physician, whether provided on or off campus, are fully covered, and visits to the on-campus health clinic are free. If PUC cannot provide a necessary service while a student is at school, we will make any additional arrangements necessary. We customize each student's coverage to address both ongoing and unexpected needs.
The plan is designed to ensure that no student is without essential medical coverage, and that all student requiring medical services can get back to their studies and on with their lives as quickly as possible.
Student are strongly encouraged to familiarize themselves with our student health plan (PIA) limitations. To be able to utilize the plan you MUST access the campus clinic first. We often can provide the care you need saving you significantly compared to accessing care on your own. All off campus services not authorized by the clinic will become the financial responsibility of the individual. Please refer to the Student Health Plan for details or contact the plan administrator PIA at (800) 468-4343.
Whenever possible students are to call (707) 965-6789 before accessing emergency care after business hours. During business hours students are to contact the clinic at (707) 965-6339.
Students must contact the PUC Health Services Clinic within 24 hours from the date of receiving emergency medical care services and/or being discharged from a hospital emergency room or facility.
The student is required to return to the PUC Health Services Clinic the following day for necessary follow up care.
The Student Health Plan pays 80% of eligible expenses after the plan year deductible has been met and the $100.00 copay per emergency room visit fee has been met.
NOTE: The $100.00 emergency room copay is waived if the participant is directed by the PUC Health Services clinic to obtain emergency services.
Benefits payable for emergency room care include St. Helena Hospital or CMG, an approved EPO emergency room facility as well as any non-EPO emergency room facility and/or physicians who are always paid at the same level as EPO benefits under the plan.
Coverage and benefits for emergency services are subject to review for medical necessity and appropriateness. Eligible health care services that do not meet the definition of medical necessity are not covered under the plan.
Ambulance (ground only), urgent care, and emergency room physician charges are also subject to review and are paid at 80% after plan deductible and copay has been met as listed above.
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