Macori Insurance (LSUHSC-S Student Accident and Sickness Insurance Plan)

Macori, Inc.1-800-285-8133 : http://www.macori.com/ : mailto::macori@macori.com

Student Health Program

• For children of students, pediatric care will be administered by the Department of Pediatrics.  Steven N. Bienvenu, M.D., Associate Professor of Pediatrics is the Director of this service.
  
• Mental health care for students and their dependents will be administered by the Department of Psychiatry.  Rowena R. White, M.D., Assistant Professor of Psychiatry, is the Director of this Student Mental Health service.

• LSUHSC requires that students purchase and maintain health insurance either through Macori, Inc., Agent or independently.  Students are admonished to purchase health insurance for their dependents.  The policy offered through Macori is comprehensive medical insurance coverage.  If purchased independently, the policy obtained by the student must offer comprehensive medical insurance coverage comparable to or exceeding the level of coverage offered through LSUHSC-S.  The policy deductible shall be no greater than $300 per year.  If the health insurance policy purchased by the student has a deductible greater than $300, the student will be responsible for paying the amount in excess of $300.00, up to the amount of the deductible for the student's policy, for health related charges incurred at LSUHSC-S. Furthermore, if the student's health insurance is under a PPO or other managed care organization, which does not allow payment to LSUHSC-S, then the student will be responsible for charges incurred at LSUHSC-S, above $300.00.
• Consistent with the rules stated above governing student health insurance, LSUHSC-S will bill the student's health insurance company for LSUHSC-S physicians' fees; likewise, LSUHSC-S will bill the health insurance company of a student's dependent for LSUHSC-S physicians' fees.  The insurance payment will be accepted as payment in full under the Student Health Program, unless the requirements noted above are not met regarding the deductible amount, and the maintaining of comprehensive medical insurance coverage. 
• If LSUHSC-S provides Laboratory, X-Ray, hospitalization, etc. (services other than provided by a physician), to the student or student's dependent, LSUHSC-S will bill the health insurance company of the student / student's dependent, as appropriate.  In either case, the proviso is that the individual is insured appropriately, having comprehensive medical insurance with a deductible as described above.  If the student is not insured, he/she is responsible for the incurred charges above $300.00.  If the student's dependent is not insured, the student is responsible for the charges above $300.00.
• LSUHSC-S will cover the cost of post-exposure chemoprophylaxis of students exposed to HIV blood (needle sticks, etc.). This is a four-week course of post-exposure therapy involving Combivir for the basic regimen, plus the addition of a protease inhibitor, as Indinavir, when an expanded regimen is required.  Such treatment will be coordinated, including follow-up, through the Occupational Health Clinic (Employee Health).

DEPARTMENT OF INTERNAL MEDICINE

Student Health Nurse - Occupational (Employee/Student) Health Clinic

Medical Services Available

Faculty members or the Chief Resident of the Department of Internal Medicine (or their designees) provide health care and general health maintenance.
Consultation for sub-specialty care is available by referral and appointment.

Policies for Routine Medical Care

Eligible students or dependents in need of acute medical care during routine work hours (7AM - 4PM, Monday - Friday) should go to the Occupational Health Clinic on the 8^th floor in the hospital (Room 8-H8; Ph.675-6281). A designated Student Health Nurse in the Occupational Health Clinic will evaluate you and then contact the Chief Internal Medicine Resident to see you, as necessary.

Emergency care is available 24 hours a day through the Emergency Department in the Emergency Room, where Emergency Medicine staff will attend to the student or dependent.

Follow-up or routine care may be sought in the Faculty Clinic with Dr. Banks. Limited time slots shall be made available on Monday mornings and afternoons in the Clinic; arrangements may be made by contacting Ms. Cathy Couvillion at 675-5980 or ccouvi@lsuhsc.edu. Individuals who have co-payments as part of their insurance plan should expect to pay these at the time of registration into the Clinic.

The Faculty of the Department of Internal Medicine will provide all physician services (both routine and any consultations by sub-specialty Faculty) for students or their adult dependents. However, we are unable to adjust any clinic or hospital charges that may be incurred as the result of the care given (i.e., laboratory, radiology or pathology charges). In addition, hospital and clinic charges are billed through the hospital billing system and must be settled with that department.

STUDENT MENTAL HEALTH SERVICE, DEPARTMENT OF PSYCHIATRY, LSU HEALTH SCIENCES CENTER - SHREVEPORT

Instructions for students who wish to consult the LSUHSC-S Student Mental Health Service

Medical School, Allied Health School, and Graduate School are fast-paced and stressful, and addressing such stress will often help academic performance. This service is available to you as a student at no extra charge beyond the student health fee that you have already paid. The Department of Psychiatry has set up a good system for providing mental health care for students here at LSUHSC-S. Dr. Rowena White, Director of Student Mental Health Services, can be contacted directly at RWhit2@lsuhsc.edu to arrange an appointment. If Dr. White is not readily available, please call Mary in the department office (675-6046); she will facilitate your seeing one of the other faculty members.  

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
POLICY FOR GYNECOLOGIC AND OBSTETRICAL CARE OF STUDENTS AND
SPOUSES OF STUDENTS

ROUTINE CHECK-UPS AND SCHEDULED APPOINTMENTS

Students or their spouses who are in need of gynecologic care and obstetrical care will be scheduled through the Ob/Gyn Department. Appointments can be obtained by calling 675-5370 (Jannese Ryland), 675-8295 (Kay Robinson), 675-5372 (Delores Brown) or 675-5380 (Constance Spann) Monday-Friday, 8:30 A.M. - 4:00 P.M. Students or spouses of students will be scheduled to see either Dr. London, Dr. Cooper, Dr. McCathran, or Dr. Brouillette for routine gynecologic care. Students or spouses of student seeking care for pregnancy will be scheduled to see Dr. Cooper, Dr. McCathran, or Dr. Brouillette. Appointments will be assigned on a rotational basis between these faculty. As the faculty of the OB/Gyn Department have only limited time-slots available to see patients it is important that the patients be on time and call at least 24 hours in advance to cancel appointments. STUDENTS WHO FAIL TO CANCEL APPOINTMENTS AND ARE "NO SHOWS" WILL NOT BE RESCHEDULED. REGISTRATION IS DONE AT THE TIME OF YOUR APPOINTMENT. PLEASE ARRIVE APPROXIMATELY 30 MINUTES EARLY TO EXPEDITE THE INITIAL APPOINTMENT. Students or spouses of students who have co-payments as part of their plan should expect to pay these at the time of registration. Students and spouses of students whose insurance plans require referrals should arrange for the appropriate paper work prior to the appointment. If either co-pays or referrals are required these MUST be obtained prior to any physician care. THESE REQUIREMENTS CANNOT BE WAIVED BY ATTENDING PHYSICIANS.

EMERGENCY CARE AFTER HOURS

Emergency care can be obtained 24 hours a day through the Emergency Department. On Monday-Friday 8:00 A.M. - 4:00 P.M., students or their spouses can be seen in the Gyn Acute Clinic in the Women's and Children's Clinic by the Gyn house staff under supervision of the faculty. After 4:00 P.M. and on weekends, students or their spouses can be seen in the Labor Unit on 4K. They will be initially screened by the Ob/Gyn house staff and then seen by the Ob/Gyn faculty on call.

INSURANCE COVERAGE - PROFESSIONAL COURTESY

The faculty of the Department of Obstetrics and Gynecology will in general provide all physician services for insurance only as professional courtesy to students or their spouses. Provision of professional courtesy is at the discretion of the physician. You must bring your bill for professional services (doctor bill) to the Ob/Gyn department in order for the billing staff to process this request. This is NOT done automatically. All patients will have a bill for professional services submitted as required by the institution. We are unable to adjust any HOSPITAL charges that may be incurred as a result of the care given, i.e., laboratory, radiology, or pathology charges or any other technical charges. Again physician services will generally be for insurance only or gratis at the discretion of the physician; however hospital charges are billed through the hospital billing department and must be settled with that department.

DEPARTMENT OF PEDIATRICS 

Pediatric Care Access:

The Department of Pediatrics is pleased to offer both well-baby and routine pediatric care for the children of eligible students. Patients will be seen and followed by our pediatric residents under the supervision of pediatric faculty, as follows:

Routine well-child and well-baby care is available weekday mornings except holidays in the Continuity Care Clinic conducted in the new LSU Children's Clinic, located on the first floor of the Women and Children's Clinic building. Information and appointments may be obtained by contacting the Continuity Care receptionist at 675-8600. Please identify yourself as an LSUHSC student or spouse when calling.

Care for routine illnesses and telephone advice is available through the Children's Clinic, from 8 am-4:30 pm weekdays. Information and appointments may be obtained by calling the clinic at 675-8600 (front desk). Please identify yourself as an LSUHSC student or spouse when calling.

After-Hours weekdays (4:30 pm - 8 am), and all day (24 hrs) on weekends and holidays, care should be sought in the Pediatric Emergency Care Center in the hospital. This will be considered emergency care. The PECC is presently open only during these times; the reception desk number is 675-8252. Care there is supervised on an alternating basis by Pediatric Staff and ER Staff.

Help for Significant Injuries or Ingestions should always be sought in the General Emergency Room (ER).

Students or parents presenting their children for care should identify themselves as LSUHSC student or spouse on arrival to help facilitate registration and care.

Fees:

Pediatric Physician services (including any necessary consultations by pediatric subspecialty faculty) will be provided for "insurance only" as a professional courtesy.
Hospital charges, clinic charges, or charges by non-pediatric department physicians incurred during the course of care (such as laboratory, radiology, pathology, etc.) are the responsibility of the individual, as we are unable to adjust or defer them. All hospital and clinic charges are handled by the hospital billing system, and must be settled with that department.