Chapter 2 -- Medical Treatment
cc cat, thanks for the NY Times link. Very insightful and disturbing -- even though it is dated (I had not seen it before).
Now, unlike additional financial compensation for student-athletes, this is an issue I can get behind.
SInce it is up to each institution to provide whatever level of insurance deemed necessary, as a parent or recruit, that is one of my top questions before committing. How will I be covered if I get hurt playing at your school? And, can I have that in writing?
If the answer is not sufficient, move on to another school that gives you a sufficient answer (in writing). If the answer is not sufficient and that's your only scholarship option, then that's the decision-consequence battle you have to weigh.
If the new union's goal is to improve this aspect of student-athlete life, I'm for it. But something tells me when executives at UAW and legal folks are at your press conference, they are NOT doing it for the concern of health insurance for the players. And I think there will be better results if a school's athletes in all sports band together and approach the administration with specific requests (demands?) vs. a national union effort.
And shame on Ohio University for treating a player like that.
Actually, the student-athlete/families own medical coverage is the primary insurer in case of injury. Something many coaches probably do not even know. The University is 2nd and in many cases there is not 100% coverage.
That was not the case for me. I suffered a concussion and the treatment was covered by the university. Even my CAT scan at O'Bleedness.
Here is OHIO Universities official policy on injuries, and there are many things the athlete and the parent must due to ensure bills are paid. Policy clearly outlines, responsibilities and procedures.
The student athlete handbook:
http://grfx.cstv.com/photos/schools/ohio/genrel/auto_pdf/...
Athletic Insurance Procedures
Please read the following information regarding athletic insurance and medical billing procedures. You must follow all instructions
below before Ohio Athletics will act toward paying any balances. Please save this information for future reference.
When an athletic injury occurs, it will be evaluated by the Ohio Athletics Medical Staff including the Athletic Training Staff and ICA Team Physician(s). The athlete may be referred to medical specialists. Should the athlete require hospitalization or surgery, you will be notified as soon as possible. There are many medical providers who may be billing for the services provided. Examples include hospi- tal, physician/surgeon, anesthesia, emergency room, radiology (X-ray/MRI), physical therapy, and others. The following are specific instructions for Ohio University’s athletic insurance procedures:
1. An annual insurance information form must be provided by the Athletics Department must be completed for every student- athlete before they are permitted to practice. The Athletics Department will not be held responsible in the event an athlete or parent does not notify or indicate changes within their insurance coverage. When returning the completed and signed insurance information form, parents are requested to submit a photocopy of all insurance cards (including dental, prescrip- tion) provided by the insurance carrier. This is requested to eliminate confusion in billing and expedite authorization for medical services for the student-athlete.
2. All medical bills, including athletic-related, are initially filed with the student-athlete’s primary insurance coverage.
3. The primary insurance will issue an explanation of benefits (EOB) stating payment or denial of charges. You must forward
a copy of the EOB and medical bill to the Assistant Athletic Director for Sports Medicine Services. Ohio University’s ath-
letic insurance policy requires an EOB for each and every separate medical bill.
4. Compliance in sending the EOBs to Ohio University is necessary before any balance due charges will be paid.
The Athletics Department will assist by sending the parents of the student-athlete a letter indicating need for specific in- formation, i.e. which EOBs and/or medical bills Ohio University needs for insurance processing.
6. Charges that are not paid by the primary insurance will then be considered by Ohio University’s athletic insurance.
7. Once Ohio University’s athletic insurance receives all pertinent information, payment will then be processed. This process
can take up to 4-6 weeks. This process, however, is not perfect. There are instances where delays in payment have ex- ceeded 6 months. Generally, the most common reason for holdup in payment is due to delays to send EOBs and/or medi- cal bills to the Athletics Department.
8. It is common procedures for a medical billing office to automatically bill you once a month, once a semester, etc. until the bill is paid in full. Often, Ohio University Athletics does not receive notification of outstanding bills from the medical pro- vider directly. You should send a copy of the statement or call the contact people listed below.
9. Student-athletes/parents have one year to turn in medical bills. Ohio University and its insurance carrier (Summit Ameri- ca) will not be responsible for bills older than 12 months from the date of occurrence.
10. Failure to comply with all insurance procedures releases Ohio University from any financial responsibility.
Last Edited: 1/30/2014 6:03:35 AM by BillyTheCat