Insurance & Billing

If you have any billing questions, please contact our Billing Department through Newton-Wellesley Collegiate Health at 617.726.3884.

Otherwise, please refer to the information below or to this guide that better explains general insurance and billing information as well as terminology. Check out Page 4!

Insurance & Billing

It is important to be aware of basic insurance information and how your insurance coverage works!

Just like any other medical practice including your PCP, Health Services bills your insurance for appointments. Below are a few general guidelines at Health Services regardless of your insurance type!

 

  • There are typically NO co-pays at Health Services.
    • Wellesley College will cover co-payments up to $50 per visit for Wellesley College students recieving care at Health Services. Please note that Wellesley College will not cover co-pays for specialist appointments or any off-campus health care.
  • You will not pay up-front costs for any appointments at Health Services.
    • ​Newton-Wellesley Medical Group will submit claims for services directly to your insurance. Please note that services that are not covered by your insurance will be billed to you at a later date.
  • You are responsible for any charges not covered by your insurance.
    • ​Depending on your insurance type and coverage, the charges you are responsible for may vary. You can typically find this information by navigating your insurance company's website or by calling your insurance company directly. This contact information can be found on the back of your insurance card.

 

*** All students attending college in Massachusetts are required by state law to enroll in a Student Health Insurance Plan (SHIP) or be covered by a health insurance plan with comparable coverage.

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What Student Health Insurance Plan (SHIP) is provided by Wellesley College?

Wellesley College offers a Student Health Insurance Plan (SHIP) for students who do not have insurance or wish to have separate insurance from their parent or guardian. This SHIP is a Blue Cross Blue Shield PPO plan and is managed through Student Financial Services (SFS) and University Health Plans (UHP).

 

If you have any questions regarding your insurance benefits, please contact SFS or UHP for assistance.

 

If you need further assistance, please refer to the following resources below.

  • Click here for quick information about insurance coverage and benefits.
  • Click here for more detailed information regarding insurance coverage and benefits.
  • Click here to get your SHIP ID number.

 

*** Please note that Newton-Wellesley Hospital is an In-Network/Low Cost Share Hospital with this plan.

 

What if I have non-SHIP insurance?

It is your responsibility to know how your insurance coverage works! Health Services does not have access to this information. You can find this information by navigating your insurance company's website or by calling your insurance company directly. This contact information can be found on the back of your insurance card. Below are a few general questions to be aware of when learning about your insurance coverage.

 

  • Do I have an HMO or PPO plan?
    • ​HMO plans require you to have a Primary Care Physician (PCP) on file.
      • Additionally, these plans require a PCP referral to see a specialist or have a specialist appointment covered. Please note that you can only seek care specific providers in-network in order to have coverage.
    • PPO plans do not require you to have a Primary Care Physician (PCP) on file.
      • Additionally, these plans do not require a referral to see a specialist and you can seek care from providers out-of-network for a higher cost.
  • Do I have a co-pay?
    • This is not applicable to visits at Health Services.
      • However, a co-pay will be collected at specialist appointments which include but are not to physical therapy, mental health management, etc. Information regarding expected co-pay amounts can often be found on the front of your insurance card or on your insurance company's website or summary of benefits.
  • Do I have a deductible or co-insurance?
    • Please note that if you have a deductible or co-insurance that is unmet, you may recieve a bill for a portion of your appointment which includes but is not limited to blood work, urine samples, etc. It is important to be familiar with this information. Information regarding expected deductible or co-insurance amounts can often be found on your insurance company's website or summary of benefits.

 

*** For any additional billing questions or concerns specific to Newton-Wellesley Collegiate Health, please contact our Billing Department at 617.726.3884.

 

What if I need dental insurance?

SHIP has a pediatric dental policy for students under the age of 19 years old, meaning students aged 19 years old and older do NOT have dental benefits under SHIP. Students can elect to purchase a supplemental dental plan through Delta Dental instead if they wish.

 

*** Please note that wisdom tooth extractions are covered by SHIP under the outpatient surgery benefit.

 

If you are unsure where to seek dental care, the following offices listed below accept Blue Cross Blue Shield. If you have a different insurance plan, please call these offices to verify that your insurance is accepted.

 

What if I need vision insurance?

SHIP covers one routine eye exam every two years. Students can elect to purchase a supplemental vision insurance through VSP Vision Care if they wish.

 

If you are unsure where to seek vision care, the following offices listed below accept Blue Cross Blue Shield. If you have a different insurance plan, please call these office to verify that your insurance is accepted.

Contact: Health Services Provided by Newton Wellesley Medical Group | 727 Washington Street Wellesley, MA 02481 | HealthMD@wellesley.edu | Office : 781.283.2810 | Fax : 617.831.7234 | Patient Gateway : https://patientgateway.massgeneralbrigham.org/