| |
Student Medical
Insurance Plan |
Optional
On Campus
Health
Care Plan |
Private
Insurance |
| Laboratory tests: |
|
Chemistry Screen |
Covered |
Covered |
$39.00 |
| Chlamydia Test |
Covered |
Covered |
$39.00 |
| Complete Blood Counts (CBC) |
Covered |
Covered |
$32.00 |
| Erythrocyte Sedimentation Rate |
Covered |
Covered |
$20.00 |
| Gonorrhea Culture |
Covered |
Covered |
$39.00 |
| Hemoccult Stool Test |
Covered |
Covered |
$10.00 |
| Herpes Culture |
Covered |
Covered |
$97.00 |
| Mononucleosis Test (Monospot) |
Covered |
Covered |
$45.00 |
| Pap Smear |
Covered |
Covered |
$55.00 |
| HIV test |
No charge |
No charge |
$49.00 |
| Pregnancy Test (Urine) |
No charge |
No charge |
No charge |
| Rapid Strep Test |
Covered |
Covered |
$42.00 |
| Stool Culture |
Covered |
Covered |
$100.00 |
| Syphilis Test (RPR) |
Covered |
Covered |
$18.00 |
| Throat Culture |
Covered |
Covered |
$35.00 |
| Thyroid Test (TSH) |
Covered |
Covered |
$63.00 |
| Urinalysis |
Covered |
Covered |
$25.00 |
| Urine Culture With Sensitivity |
Covered |
Covered |
$45.00 |
| Vaginal Wet Prep Analysis |
Covered |
Covered |
$20.00 |
| All Other Laboratory Tests |
Covered |
Billed Per Test |
Per Test |
|
| Procedures: |
| Allergy Injection (1) |
Covered |
Covered |
$l0.00 |
| AllergyInjections (2 or more) |
Covered |
Covered |
$20.00 |
| Air Cast |
$50.00 |
$50.00 |
$50.00 |
| Crutches |
$25.00 on unreturned crutches (For all students) |
| Dressings |
Covered |
Covered |
$30.00 |
| Nebulizer Treatment |
Covered |
Covered |
$20.00 |
| PPD |
No charge |
No charge |
No charge |
| Splinter Removal |
No charge |
No charge |
No charge |
| Suture Removal |
No charge |
No charge |
No charge |
| Wart Treatment (skin) |
Covered |
Covered |
$50.00 |
|
| Prices are subject to change without notice if warranted by circumstances beyond our control. |
Vaccinations are not covered by any of the plans.
The cost of vaccinations, subject to change, is: |
| Hepatitis A |
$70.00 each |
| Hepatitis B |
$55.00 each |
| Meningitis |
$110.00 |
| MMR |
$50.00 |
| Polio (IPV) |
$50.00 |
| Tetanus |
$25 |
| Tdap (tetanus/pertussis) |
$45.00 |
| HPV |
$130.00 each |
| Typhoid |
$65.00 |
| Mumps |
$40.00 |
| Varicella |
$85.00 |
|
| |