Health Services

13.1 General Policies

13.11(ad/ss) Student responsibility. When a student becomes ill or has a significant health concern, he or she is urged to contact Health Services.

13.2 Scope of Health Services

13.21 Services available. The University has a nationally-accredited health and wellness program. Medical care is provided for routine, acute and chronic problems. Additional services are available for contraception, gynecological health care, and limited sexual assault services. A community health  nurse assists with problems arising from health-related hospitalization and/or health with­drawal and return to campus. Other services include: allergy/immunization clinic, medical care for mental health issues, and international travel clin­ics. Clinical support includes laboratory, pharmacy, and radiology depart­ments.

The Office of Health Education and Promotion coordinates health promo­tion activities on campus. Provided are: programs and individual/group support to promote healthy lifestyle choices, confidential HIV testing and counseling, nutrition counseling, stress management/wellness counseling, biofeedback, light therapy, massage therapy, smoking cessation services, alcohol and other drug counseling, education and support for students liv­ing with chronic illnesses and an extensive resource library.

13.22 Special services. Payment for medical care obtained off campus is the responsibility of the student. For exceptions, see 13.31 and 13.33 below.

13.3 Fees and insurance

13.31(ad/ss) Fees. Students are asked to share the cost of providing for their health care needs. This is accomplished through a combination of a required prepaid health fee, insurance, and/or direct payment of fee-for-services. The required student health fee covers many outpatient primary care needs, as well as health education and promotion services that are obtained at Health Services. However, charges not covered by the health fee are the responsibility of the student. Students should check with the Health Services Business Office with any questions.

13.311 Fee Policy. Payment of the UNH Health Services fee is required of all full-time graduate and undergraduate degree candidates. Part-time graduate and undergraduate degree candidate students are charged a partial fee. See http://www.unh.edu/business-services/tuitug.html for more information on part-time fees.

13.312 Fee Waiver Policy. Waivers of required fees are rare and may be granted only in extreme circumstances. The services and facility are available to all; the extent to which a student uses them is not a factor by which assessment is determined.

13.313 Health Insurance. The University requires full-time degree stu­dents to have health insurance as a condition of enrollment. Student health insurance is separate from the health fee. It provides health care coverage beyond the primary care and services covered under the health fee. Information regard­ing health insurance can be found at www.unh.edu/health-services/shbp. International stu­dents are required to purchase the Student Health Benefits Plan sponsored by the University. This plan provides coverage for 12 consecutive months effective September 1 of each year.

13.314 Unpaid Accounts. Health Services accounts unpaid 30 days after ser­vice is received are transferred to the University Business Office for collec­tion and are handled as any unpaid University account.

13.32(ad/ss) Office Hours of Health Services. During the academic year, nor­mal operating hours are 7:30 a.m.–4:30 p.m. on Monday, Tuesday, Thursday, and Friday; 7:30 a.m.–7:30 p.m. on Wednesday; and 12:00 noon–4:00 p.m. on weekends.

13.33(ad/ss) Urgent care outside of regular clinic hours. For fee-paying students, after-hours care is facilitated through a medical call center.  Students are connected to trained staff and registered nurses who may offer advice and/or refer to local health care provider or hospitals.

13.4 Patients’ Bill of Rights

1. The patient shall be treated with consideration, respect, and full recognition of his/her dignity and individuality, including privacy in treatment and personal care and including being informed of the name, licensure status, and staff posi­tion of all those with whom the patient has contact, pursuant to RSA 151:3-b.

2. The patient shall be fully informed of a patient’s rights and responsibilities and of all procedures governing patient conduct and responsibilities. This infor­mation must be provided orally and in writing before or at admission, except for emergency admissions. Receipt of the information must be acknowledged by the patient in writing. When a patient lacks the capacity to make informed judgments, the signing must be by the person legally responsible for the patient.

3. The patient shall be fully informed in writing in language that the patient can understand, before or at the time of admission and as necessary during the patient’s stay, of the facility’s basic per diem rate and of those services included and not included in the basic per diem rate. A statement of services that are not normally covered by Medicare or Medicaid shall also be included in this disclosure.

4. The patient shall be fully informed by a health care provider of his or her medical condition, health care needs and diagnostic test results, including the manner by which such results will be provided and the expected time interval between testing and receiving results, unless medically inadvisable and so docu­mented in the medical record, and shall be given the opportunity to participate in the planning of his or her total care and medical treatment, to refuse treat­ment, and to be involved in experimental research upon the patient’s written consent only. For the purpose of this paragraph “health care provider” means any person, corporation, facility, or institution either licensed by this state or otherwise lawfully providing health care services, including, but not limited to, a physician, hospital or other health care facility, dentist, nurse, optometrist, podiatrist, physical therapist, or psychologist, and any officer, employee, or agent of such provider acting in the course and scope of employment or agency related to or supportive of health care services.

5. The patient shall be transferred or discharged after appropriate discharge planning only for medical reasons, for the patient’s welfare or that of other patients, if the facility ceases to operate, or for nonpayment for the patient’s stay, except as prohibited by title XVIII or XIX of the Social Security Act. No patient shall be involuntarily discharged from a facility because the patient becomes eligible for Medicaid as a source of payment.

6. The patient shall be encouraged and assisted throughout patient’s stay to exer­cise his/her rights as a patient and citizen. The patient may voice grievances and recommend changes in policies and services to facility staff or outside repre­sentative free from restraint, interference, coercion, discrimination, or reprisal.

7. The patient shall be permitted to manage patient’s personal financial affairs. If the patient authorizes the facility to assist in this management and the facility so consents, the assistance shall be carried out in accordance with the patient’s rights under the subdivision and in conformance with state law and rules.

8. The patient shall be free from emotional, psychological, sexual and physi­cal abuse and from exploitation, neglect, corporal punishment and involuntary seclusion.

9. The patient shall be free from chemical and physical restraints except when they are authorized in writing by a physician for a specified and limited time nec­essary to protect the patient or others from injury. In an emergency, restraints may be authorized by the designated professional staff member in order to pro­tect the patient or others from injury. The staff member must promptly report such action to the physician and document same in the medical records.

10. The patient shall be ensured confidential treatment of all information con­tained in patient’s personal and clinical record, including that stored in an auto­matic data bank, and patient’s written consent shall be required for the release of information to anyone not otherwise authorized by law to receive it. Medi­cal information contained in the medical records at any facility licensed under this chapter shall be deemed to be the property of the patient. The patient shall be entitled to a copy of such records, for a reasonable cost, upon request. The charge for the copying of a patient’s medical records shall not exceed $15 for the first 30 pages or $.50 per page, whichever is greater, provided, that copies of filmed records such as radiograms, x-rays, and sonograms shall be copied at a reasonable cost.

11. The patient shall not be required to perform services for the facility. Where appropriate for therapeutic or diversional purposes and agreed to by the patient, such services may be included in a plan of care and treatment.

12. The patient shall be free to communicate with, associate with, and meet privately with anyone, including family and resident groups, unless to do so would infringe upon the rights of the patient. The patient may send and receive unopened personal mail. The patient has the right to have regular access to the unmonitored use of the telephone.

13. The patient shall be free to participate in activities of any social, religious, and community groups, unless to do so would infringe upon the rights of other patients.

14. The patient shall be free to retain and use personal clothing and possessions as space permits, provided it does not infringe on the rights of other patients.

15. The patient shall be entitled to privacy for visits and, if married, to share a room with his or her spouse if both are patients in the same facility and where both patients consent, unless it is medically contraindicated and so documented by the physician. The patient has the right to reside and receive services in the facility with reasonable accommodation of individual needs and preferences, including choice of room and roommate, except when the health and safety of the individual or other patients would be endangered.

16. The patient shall not be denied appropriate care on the basis of race, religion, color, national origin, sex, age, disability, marital status, or source of payment, nor shall any such care be denied on account of the patient’s sexual orientation or gender identity.

17. The patient shall be entitled to be treated by the patient’s physician of choice, subject to reasonable rules and regulations of the facility regarding the facility’s credentialing process.

18. The patient shall be entitled to have the patient’s parents, if a minor, or spouse, or next of kin, or a personal representative, if an adult, visit the facility, without restriction, if the patient is considered terminally ill by the physician responsible for the patient’s care.

19. The patient shall be entitled to receive representatives of approved organiza­tions as provided in RSA 151:28.

20. The patient shall not be denied admission to the facility based on Medicaid as a source of payment when there is an available space in the facility.

21. Subject to the terms and conditions of the patient’s insurance plan, the patient shall have access to any provider in his or her insurance plan network and referral to a provider or facility within such network shall not be unreason­ably withheld pursuant to RSA 420-J:8, XIV.

13.41 Responsibilities of Patients and Clients

1. To maintain enrollment in a health insurance plan that meets the University’s requirements.

2. To provide full information about his/her illness or problem, current health, all current medications/dietary supplements, and any allergies or sensitivities to allow proper evaluation and treatment in order to ensure optimal care.

3. To ask sufficient questions to ensure appropriate comprehension of ill­ness or problem, as well as the health professional’s recommendation for continuing care. If the care or course of treatment is unacceptable for any reason, it should be discussed with staff of the health service or a student advocate.

4. To inform his /her clinician about any living will, medical power of attor­ney, or other directive that might affect her/his care.

5. To follow the treatment plan prescribed by her/his clinician.

6. To show courtesy and respect to health personnel, staff, and other patients.

7. To not lend his/her personal identification to others as this may lead to errors in treatment and false documentation.

8. To cancel or reschedule, as far in advance as possible, if unable to keep an appointment.

9. Not to give medication prescribed for self to others.

10. To communicate with a health provider if conditions worsen or aren’t fol­lowing the expected course.

11. To refrain from behavior which would offend or harm others.

12. To follow the rules and regulations of UNH Health Services and respect the property of Health Services.

13. To provide a responsible adult to transport her/him from Health Ser­vices to her/his residence and remain with her/him for 24 hours if required by her/his clinician.

14. To take responsibility for his/her own health by following good health practices and by seeking medical services in a timely manner.

15. To provide feedback on positive and negative aspects of the health care process.

16. To accept personal financial responsibility for any charges not covered by the health fee or his/her insurance.

13.5 Notice of Privacy Practices

Health Services is committed to protecting the privacy of its patient’s health information. Please read Health Service’s Notice of Privacy Practices at http://www.unh.edu/health-services/confidentiality to under­stand how a patient’s medical information may be used and disclosed and a patient’s rights regarding this information.

Questions concerning your rights and responsibilities as a patient at Health Services should be directed to the Executive Director of Health Services:

Kevin Charles

Health Services

4 Pettee Brook Lane, Durham, NH 03824

Phone: 862-9355(WELL); Fax: 862-4259