Except for situations listed below, all students enrolled in a school-sponsored health insurance plan in need of medical care in Manhattan are required to first seek treatment and be evaluated at the SHC. If the evaluation by the SHC provider determines that the services are not available at the SHC, an off-site referral will be issued. Any copays or coinsurance fees incurred will be the responsibility of the student.
*Referrals are required for follow-up visits after an emergency.
Students may use any provider outside the borough of Manhattan without an off-site referral from SHC. Any copays or coinsurance fees incurred will be the responsibility of the student.
We encourage students to first seek services by an SHC provider who will be able to supervise and coordinate care with minimal out-of-pocket expense for medically necessary treatment.
Students seeking care from providers outside the SHC should choose a provider who participates in the MagnaCare (NY/NJ area) or MultiPlan networks to ensure maximum benefits and reduce out-of-pocket expenses. To find a MagnaCare (NY/NJ area) or MultiPlan provider go to www.chpstudent.com or call (877) 373-1170 and a CHP representative will assist you in locating a participating provider. Any copays or coinsurance fees incurred will be the responsibility of the student.
The school-sponsored health insurance plans require Pre-Certification/Authorization for certain out-patient and in-patient services. Hines Associates Inc., administers the Pre-Certification/Authorization process for the plans. To contact Hines Associates, call (866) 327-4520.
If pre-certification is not secured, eligible expenses will be subject to a $500 per admission or out-patient service deductible in addition to any applicable co-pays or co-insurance.
Physical Therapy treatment plans must be authorized to continue treatment after the initial 12 visits.