Insurance forms
FAQ Insurance and Medical Coverage
Athletic Injuries or Illness Procedures:
What happens when a student athlete is injured while participating with their assigned sport?
Our sports medicine team on campus includes Athletic Trainers, Team Physicians and Physician Assistant. These individuals are the gate keepers for every student athlete and will determine the appropriate care. There are no fees for any services provided in the Athletic Training Room and Medical Clinic. Â
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What about services ordered for sport related illness or injuries:
When participating in your assigned sports and are injured during practice, workouts or games with your assigned sport and must use outside medical services (such as getting an MRI at the local hospital), the Medical Provider will file claims with your primary insurance first. Once your primary processes, then the Medical Provider will submit claims to the current athletic insurance company (A-G Administrators) which is a secondary coverage. If there is a balance remaining after A-G Administrators, then the final bill will be paid by the JMU Athletic Department. There should be no costs to the family of any student athlete injured while participating with their assigned athletic activity. If you would receive any bills, forward them to the Athletic Trainer or email them to the Insurance Coordinator at
green2kn@jmu.edu or fax them to 540-568-3902.
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What if I want to get a second opinion?
On certain occasions, the Department of Sports Medicine will suggest the referral of a second opinion.  On such an occasion, the Department of Sports Medicine will reimburse the student-athlete medical bills obtained as a direct result of the referred opinion upon the presentation of a claim statement.  No reimbursement will be provided for any travel expenses, meals or other purchases associated with such a referral.  Student-athletes may seek a medical referral to any practitioner on one’s own; however,Â
ALL costs incurred as a result of a self-referral without pre-approval from the Team Physician and Director of Integrated Health and Sports Performance are the sole responsibility and financial bearing of the student-athlete. Any student-athlete who seeks external medical consultation for any condition while still participating in intercollegiate sports at James Madison University must inform their certified athletic trainer of such consultation and outcome prior to a return to participation.  The Department of Sports Medicine is ultimately responsible for the overall care of each and every student-athlete and must be informed of all conditions in order to provide the most appropriate, efficient, and safe care.Â
Non-Athletic Injuries or Illness:
What happens when there are services ordered for non-sport illnesses or injuries, like an MRI or Ultrasound?
You are not charged when being seen by the Team Physician for non-sport issues. However, if you are sent to an outside Provider (such as the hospital, or a specialty provider) their office will bill your personal insurance for these services. Any balance that remains after your insurance has paid will be your (or parent/guardians) responsibility.Â
You will be required to sign a Financial Waiver for all non-athletic issues that require outside medical services stating that you understand that JMU is NOT responsible for these services.Â
Other:
I wear contacts, do you pay for these?
JMU Athletics encourages everyone to have a yearly eye exam, we do NOT pay for the evaluation. However, if you have a current prescription, we can pay for a 6-month supply of contacts or sports goggles.
We do NOT pay for glasses. Please speak with your athletic trainer if you have additional questions.Â
Insurance Coverage Details:
Why should I have health insurance if I am a student-athlete?Â
James Madison University encourages all student athletes to have health insurance to help with expenses that might arise from illnesses or injuries that are not athletics related. JMU does provide insurance coverage at no charge for athletic injuries/illnesses, however this is considered a secondary coverage (after primary insurance). JMU will
NOT cover any non- sport related illness or injuries
(pre-existing = before JMU injuries, colds, diabetes, asthma, vision, routine dental care, club, or pick-up sports, etc.) or any injuries sustained outside of the NCAA sanctioned/approved training and practice times.
What if my insurance changes during the year?
You are asked to update your information at the beginning of each year. If your insurance changes during the academic year, contact your Athletic Trainer or the Insurance Coordinator for Athletics at 540-568-6966.
Why do you need a copy of my insurance card?
There is information on there that is needed by medical providers and the pharmacy that helps to process claims. This is information other than the policy number.
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What if I am not covered by any personal insurance?Â
There are several options. The university has an agreement with McGriff Services, a local insurance broker who partners with American Exchange who is available and qualified to provide insurance direction for JMU students and their parents/guardians. Call the American Exchange at 888-995-1674 to speak with one of their licensed agents. Identify yourself as a JMU student (or parent/guardian of a JMU student) who needs assistance with determining best options for coverage.
I am an international student, what should I do?
The University requires you to have insurance. The Travel insurance that you may purchase will most likely only cover you during travel and for emergency hospital visits. Please contact the JMU International Student and Scholar Services to discuss what health insurance plan that the University offers by calling 540-568-5209 or by email at
isss@jmu.edu
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Why do you need the date of birth and social security number of a student-athlete and the insurance policyholder?
Most medical providers and insurance companies still use these items to identify policyholders and patients. Your insurance information will be placed on our secure server and is treated as medical information. If you are not comfortable with releasing your entire social security number, the last four digits will be sufficient.
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How long will the student athlete have insurance coverage for an injury?   Â
- The Athletic insurance secondary policy can cover the costs for two years from the date of injury.
- North River Insurance Company and AG Admin will cover medical claims up to 104 weeks from date of injury. James Madison University Athletic Department covers approved medical services/ claims up to 104 weeks after a student-athlete has been removed from the team roster and if they have been compliant with treatments. ALL ongoing medical services must have prior approval by the Director of Integrated Health and Sports Performance.Â
- If a student-athlete quits a team, is removed from their team, is discharged for non-compliant reasons, transfers to another school, or signs a professional contract then JMU Athletics has the right to deny any ongoing or future medical claims starting at the exit date from JMU. If a student-athlete has subsequent participation at another university after transferring, JMU will not cover medical expenses.
- The NCAA provides life-long coverage for what are considered Catastrophic Injuries. There are certain qualifiers that must be met to get this coverage. The Athletic Department will monitor each injury to help achieve the best coverage possible.
There are certain qualifiers that must be met to get this coverage. The Athletic Department will monitor each injury to help achieve the best coverage possible.Â
All this insurance stuff confuses me, who can help?Â
The best resource for any issues related to what is covered and not covered for athletic injuries and/or non-athletic injuries and illnesses is your Athletic Trainer and Insurance Coordinator. Call 540-568-6966 with questions.
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