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WKU Health
Services
IN NETWORK
First Health
OUT-OFNETWORK
First Health
No copay
AHP pays 100%
$50 copay
AHP pays 100%
$50 copay
AHP pays 60% - you
pay 40%
IN NETWORK
First Health
(Greenwood Urgent Care)
OUT-OF-NETWORK
First Health
$50 copay
AHP pays 100%
$50 copay
AHP pays 60% - you pay 40%
WKU Health Services
IN NETWORK
First Health
(QUEST at WKU)
OUT-OFNETWORK
First Health
No copay
AHP pays 100%
Some of these include:
UA, Glucose, CBC, Flu,
Strep, Mono,
Pregnancy Test, Wet
Prep Stain, prep for
fungal elements on
skin
$50 copay
$50 copay
AHP pays 100%
AHP pays 60% - you
Some of these include: pay 40%
Pap Smears, Lipid
Panel, Liver Tests,
Comp Metabolic Panel,
Gonorrhea &
Chlamydia testing
IN NETWORK
(Greenview and Medical Center)
First Health
OUT-OF-NETWORK
First Health
$150 copay
AHP pays 100%
(pays up to $750 – you are
responsible for amount over $750)
$150 copay
AHP pays 60% - you pay 40% (pays
up to $750 – you are responsible for
amount over $750)
An ER visit may cost MORE……..
Doctor’s Visits and/or Laboratory and Diagnostic charges related to the
medical emergency will be considered under those separate benefits.
IN NETWORK
First Health
OUT-OF-NETWORK
First Health
Hospital Expenses
80% of Preferred
Allowance
$1800 maximum per
day
60% of Usual and
Customary Charges
$800 maximum per day
Surgery
($3000
Inpatient/Outpatient
Maximum per
condition)
80% of Preferred
Allowance
60% of Usual and
Customary Charges
WKU Health
Services
IN NETWORK
First Health
Vaccinations/Immunizations
Including flu shot, Menactra,
HPV, Twinrix (Hep A &B)
100% Paid
No Copay
100% Paid
$50 Copay
Prescription Drugs ($250
maximum per policy year)
$15 copay for
generic
$30 copay for
brand name
No benefits