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In the event of injury or illness while competing or
practicing in athletics at DWU, the student-athlete must complete the
following procedure:
- Report the injury to the athletic training department staff at
DWU. Non-referred treatment is NOT covered under DWU’s athletic
insurance policy. Failing to report an incident to the DWU Athletic
Training staff will result in the denial of all claims by the university’s
insurance carrier.
- Dakota Wesleyan Athletic Training staff, or the head coach of the
sport in the event of an emergency and absence of an athletic trainer,
will refer the athlete to the appropriate medical provider. Athletes
wishing to seek treatment by medical providers must communicate this
desire to the athletic training staff BEFORE such action is taken
to ensure insurance coverage is maintained. Those seeking second
opinions must be prepared to absorb all costs associated with the
new medical provider and can not assume Dakota Wesleyan’s insurance
carrier will help in payment of these bills.
Once the athlete has been cleared for competition by the attending physician,
all medical procedures related to the same injury will be the responsibility
of the athlete unless written approval is given by DWU’s sports medicine
personnel.
- All medical bills incurred by athletes from injuries sustained
while participating in intercollegiate sports at DWU must FIRST be
filed with the athlete’s primary insurance carrier. DWU’s
policy acts only as a secondary or excessive coverage policy.
- After the primary insurance carrier has made a determination of
payment, the athlete (or his/her parents/guardians) must submit a
copy of the primary insurance company’s Explanation of Benefits
to the head athletic trainer at DWU. This EOB will explain the amount
that the primary insurer has paid on the claim, applied to a deductible,
etc. Please forward all EOBs with copies of unpaid medical bills
to:
Garry Grant, Head Athletic Trainer
Dakota Wesleyan University
1200 W. University Ave
Mitchell, SD 57301
- The head athletic trainer, and/or medical provider will then file
this claim with DWU’s insurance carrier, Student
Assurance Services, for consideration of payment on any unpaid
balances.
- Currently, DWU’s policy carries a $1000 deductible that applies
to all injuries. This deductible must be met before payments from
the university’s carrier will begin. EOBs from all claims filled
with the university’s policy should be returned to the primary
policy holder showing the payment applications.
- Injuries that are sustained while not involved in intercollegiate
athletic practice or competition will NOT be covered under the university’s
athletic policy.
- All claims on athletic injuries must be filed within one (1) year
of injury in order to be covered by DWU’s athletic insurance
carrier.
- Any questions or concerns regarding athletic insurance coverage
or policies at DWU should be directed to:
Garry Grant, Head Athletic Trainer
Dakota Wesleyan University
1200 West University Ave
Mitchell, SD 57301
(605) 995-2144
gagrant@dwu.edu
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