An inherent risk of injury is assumed with the decision to participate in intercollegiate athletics/cheer unit (cheerleaders, precision dance, mascots). The University of Delaware seeks to provide the finest training, physical rehabilitation and medical care possible for its’ studentathletes and cheer unit. The training complex consists of the Bob Carpenter Center Training Room and the Delaware Field House Training Room. These facilities feature modern equipment and combine to form one of the finest training centers of its kind. Additionally, the University has a well-equipped Sports Medicine Clinic located in the Bob Carpenter Center as part of its’ overall Student Health Services. These services are guided by thoroughly trained professionals who are recognized experts in their field. Insurance Coverage of Student Athletes/ Cheer Unit The University of Delaware provides a medical and catastrophic insurance program for its’ intercollegiate athletes/cheer unit injured in practices or contests. THIS POLICY, HOWEVER, IS SECONDARY TO, OR IN EXCESS OF, PERSONAL FAMILY MEDICAL INSURANCE COVERAGE. The “Parent Information Form”, which was mailed to each parent with the Director’s letter, must be fully completed and returned before any further processing can occur. Bills should not be sent to Athletics/Recreation Services until family coverage is applied. Therefore, all medical bills must first go to the family. Then ALL bills (both paid and unpaid) must be submitted to Athletics/Recreation Services. Personal family medical insurance will respond first to the cost of injuries incurred by the student-athlete/cheer unit member during participation in our intercollegiate program. (If personal family medical insurance does not cover the student-athlete/cheer unit member, the Explanation of Benefits or Denial from the primary insurance company MUST be sent to the Athletics insurance secretary before the University medical insurance will be applied as primary coverage for eligible items within the limits of the policy.) TO BE ELIGIBLE FOR UNIVERSITY MEDICAL COVERAGE, STUDENT-ATHLETES/CHEER UNIT MEMBERS MUST ARRANGE ALL SURGERY, TREATMENT, THERAPY AND CARE IN ACCORDANCE WITH REQUIREMENTS OF THEIR PRIMARY INSURANCE COVERAGE. When family primary coverage is HMO, PPO, or a provider outside of the United States, all medical care must be arranged so that full coverage applies. This may include returning to the home state or country for care. Any costs not covered by insurance become the responsibility of the student-athlete/cheer unit member and/or his/her parent(s)/guardian(s). Covered vs. NOT Covered The University’s medical insurance covers only injuries resulting from participation in the intercollegiate program during the dates of the primary competitive and designated off-seasons as approved by the Director of Athletics and Recreation Services. It does not cover injuries or illness that are the result of non-intercollegiate-athletic activities or are recurrences of old injuries which were sustained before participating in the intercollegiate sports program; nor does it routinely cover orthotics, allergies, braces or eyewear. Intramural, club sports and recreational activities (nonintercollegiate activities), as well as individual training/conditioning activities that occur outside the primary competitive and designated off-season periods are NOT affiliated with Athletics/Recreation Services insurance coverage. However, to assist in clarification, please be aware that your family medical insurance is primary insurance for those activities. If your policy does not cover your son/daughter, you may wish to consider optional Student Health and Accident Insurance which is available at a nominal cost to students at the time of registration. This optional policy will not cover intercollegiate athletic injuries. The importance of having some form of personal insurance coverage cannot be overemphasized. Expenses for medical and psychological services beyond those covered by our insurance and/or provided at the Student Health Service on campus are the personal responsibility of the student and his or her family. To be Eligible The University of Delaware requires the studentathlete/cheer unit member to complete a physical examination at the Bob Carpenter Center Sports Medicine Clinic before that student is permitted to attend practice sessions or compete in any athletic event at the University. ANY TESTS OR CONSULTATIONS NEEDED TO GAIN APPROVAL FOR PARTICIPATION ARE THE RESPONSIBILITY OF THE STUDENT/PARENT/GUARDIAN. A “certification of participation” will be awarded to the student-athlete/cheer unit member upon successful completion of the exam. The medical certification must be performed every year. The University will NOT provide insurance coverage to any athlete/cheer unit member not following this procedure. Upon completion of eligibility in their final sport/season, student-athletes/cheer unit members are requested to schedule an appointment with the Sports Medicine Clinic, prior to the conclusion of the academic term, for the purpose of an exit physical. This will include a review of the injuries received during participation and follow-up if needed. IF THE STUDENT ELECTS NOT TO RECEIVE THE EXIT PHYSICAL, THE UNIVERSITY WILL BE RELIEVED OF ANY LIABILITY AND/OR FINANCIAL RESPONSIBILITY FOR ANY DAMAGES OR INJURIES SUSTAINED AS A RESULT OF ATHLETIC/CHEER UNIT PARTICIPATION. Athletic/Cheer Unit Injury Medical Care Any certified intercollegiate athletics/cheer unit participant who receives an injury or becomes ill during approved participation periods/activities must report the injury immediately to the Training Room or Sports Medicine Clinic to activate insurance coverage. Please note that the injury/illness must have been incurred in a practice or contest that was supervised by approved University coaching staff during a practice/contest period/activity that was approved by the Director of Athletics and Recreation Services according to NCAA regulations, to be eligible for insurance coverage. The primary insurance carrier must be notified within 24 hours of injury by the student or his/her parent/guardian. If the student needs to see a physician outside the University staff, i.e. a specialist, that referral will be made by the Sports Medicine Physician. When consultation is requested or recommended, any recommendations for testing/surgery/repeat visits made by the consultant must be communicated to the University Sports Medicine Physician BEFORE any arrangements are made. If that referral results in a recommendation for non-emergency surgery, the student MUST inform the Sports Medicine Clinic PRIOR TO finalization of any arrangements. If the student decides to see a physician/specialist WITHOUT being referred by the Sports Medicine Clinic, the student will be responsible for all bills incurred. In addition, if the student elects a surgeon who is not approved by his/her medical insurance carrier, he/she is also financially responsible. Any student seen by an outside (off campus) physician, must return to the Sports Medicine Clinic for follow-up and final clearance prior to active participation status. In emergency situations, transportation is provided by the University’s Public Safety Department, otherwise it is the students responsibility to provide his/her own transportation. Prescriptions Prescriptions, for intercollegiate athletically related injuries only, authorized by the Sports Medicine Clinic during approved and coach-supervised practices and competitions for both the championship season and the non-championship seasons as designated by the Director of Athletics and Recreation Services are filled at the Student Health Dispensary. To receive an authorized prescription, the student will be given a “pink” Sports Medicine prescription slip which he/she should present to the Student Health Dispensary for filling. If the student receives a prescription from a specialist (a physician other than one associated with the Sports Medicine Clinic or Student Health Services staff) to whom they have been referred by the Sports Medicine Clinic, it will be necessary for the student to bring that prescription to the Sports Medicine Clinic for it to be recorded on the “pink” prescription slip for filling. No prescriptions will be paid for unless this procedure is followed. If, after a prescription slip has been issued by an outside physician, the student finds the Sports Medicine Clinic closed, the student should take the prescription to the nurse on duty at the Laurel Hall Student Health Service. The student will receive a temporary supply of medication. The Division of Athletics and Recreation Services will not pay for a non-pink prescription filled at any pharmacy. Parent Information Form Please note the importance of returning the “Parent Information Form” to the University. It is mailed to the parent(s) or guardian(s) each summer with the Director’s letter, the “Sports Medicine Clinic & Training Room Procedures for the Student-Athlete & Cheer Unit” brochure, and the “Medical Insurance Coverage & Procedures for the Student-Athlete & Cheer Unit” brochure, which you are now reading. The University needs your primary insurance information FOR EVERY STUDENT-ATHLETE OR CHEER UNIT MEMBER. Without primary insurance information medical bills cannot be paid. Medical bills left unpaid for this reason will become the financial liability of the parent(s) or guardian(s) / student-athlete or cheer unit member. If left unpaid, it could result in a negative impact on your family credit rating. If you have not received a “Parent Information Form” please contact Linda Kelly at 302-831-2256 to receive a copy with instructions. Medical Expenses NOT Covered by UD Athletics University of Delaware Athletics/Recreation Services medical insurance coverage will not apply to the situations indicated below. Therefore, STUDENT-ATHLETES/ CHEER UNIT MEMBERS AND/OR THEIR PARENTS OR LEGAL GUARDIANS WILL BE FULLY RESPONSIBLE FOR ALL MEDICAL EXPENSES RELATING TO THEM. 1. Any tests or consultations needed to gain approval for participation. 2. Any athletic injuries incurred outside the dates of the primary competitive or designated off-season periods/activities for the given program, as approved by the Director of Athletics and Recreation Services. 3. Any prescriptions (a) that are not related to athletic injuries and/or; (b) for athletically related injuries that occur outside the scheduled and coach-supervised practices and competitions as approved by the Director of Athletics and Recreation Services and/or; (c) that have been filled at a pharmacy without following appropriate “pink slip” procedures. 4. All injuries or illnesses that are recurrences of old injuries which were sustained before participation in the intercollegiate sports program/cheer unit activities. 5. Costs of orthotics, allergies, braces or eyeware. 6. All non-intercollegiate activities (including, but not limited to intramural/club sports, recreational activities and individual training/conditioning activities outside the approved primary competitive and designated offseason periods.) 7. Expenses incurred after completion of eligibility, for athletic injuries received during participation, IF the student-athlete/cheer unit member elects not to participate in an exit physical. 8. Costs of Sports Medicine Clinic items such as crutches, etc. that are not returned within a reasonable time. 9. Medical costs related to seeing a physician WITHOUT referral by the Sports Medicine Clinic. 10. Medical expenses beyond the limitations of, or not covered by the Athletics/Recreation Services insurance policy. 11. Expenses for athletic injuries incurred after completion of eligibility. Note: This list is not deemed to be all-inclusive but, rather, it represents the most common exclusions to University of Delaware Athletics/Recreation Services Medical Coverage. “Must Do” Procedures 1. Notify primary insurance carrier within 24 hours of injury. 2. If you wish to see a physician other than the Sports Medicine Physician. a. You must have a referral by the Sports Medicine Clinic prior to appointment. b. If the referral results in a recommendation for tests, diagnostic procedures or nonemergency surgery, you must inform the Sports Medicine Clinic before finalizing any arrangements. c. If subsequent appointments are recommended by the referral physician, you must receive approval for each visit by the Sports Medicine Clinic. d. After referral appointments, return to the Sports Medicine Clinic for follow-up. Note: In the unlikely event the Sports Medicine Physician cannot be reached, contact the Student Health Center. Do not schedule an appointment with a non-University physician without contacting the Sports Medicine Clinic, as the expenses will not be covered by Athletics/Recreation Services medical insurance. In a life-threatening situation, seek emergency help immediately. 3. It is the responsibility of the student-athlete/cheer unit member to fulfill the requirements of the primary insurance. This includes, but is not limited to the requirement for surgery to be performed in the home state. Sports Medicine Telephone Directory Sports Medicine Clinic 2482 Bob Carpenter Center Training Room 2255 Delaware Field House Training Room 8857 Student Health Services 2226 Insurance Information 2256 831- UNIVERSITY OF DELAWARE 831831831831- The University of Delaware is committed to assuring equal opportunity to all persons and does not discriminate on the basis of race, color, gender, religion, ancestry, national origin, sexual orientation, veteran status, age, or disability in its educational programs, activities, admissions, or employment practices as required by Title IX of the Education Amendments of 1972. Title VI of the Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Americans with Disabilities Act, and other appropriate statutes. Inquires concerning these statutes and information regarding campus accessibility should be referred to the Affirmative Action Officer, 305 Hullihen Hall, (302) 831-2835 (voice) (302) 831-4552 (TDD). Medical Insurance Coverage & Procedures for the Student-Athlete & Cheer Unit 2004 - 2005