The student and Spouse should use the services of the Health Center first where treatment will be administered or referral issued. Expenses incurred for medical treatment rendered outside of the Student Health Center for which no prior approval or referral is obtained will be paid at the Out-of-Network level of benefits as specified in the Schedule of Benefits. A referral issued by the SHC must accompany the claim when submitted. Only one referral is required for each Injury or Sickness per Policy Year.
A Bill and Lucille Magers Family Health and Wellness Center referral for outside care is not necessary only under any of the following conditions:
1. Medical Emergency. The student must return to Bill and Lucille Magers Family Health and Wellness Center for necessary follow-up care.
2. When the Bill and Lucille Magers Family Health and Wellness Center is closed.
3. When service is rendered at another facility during break or vacation periods.
4. Medical care received when the student is more than 50 miles from campus.
5. Medical care obtained when a student is no longer able to use the Bill and Lucille Magers Family Health and Wellness Center due to a change in student status.
6. Maternity, obstetrical and gynecological care.
7. Mental Illness treatment and Substance Use Disorder treatment.
Dependent children under the age of 6 are not eligible to use the Bill and Lucille Magers Family Health and Wellness Center, and therefore, are exempt from the above limitations and requirements.