Insurance Coverage and Procedures
San Jacinto College provides limited accident insurance for the benefit of an athlete injured while participating in a sanctioned practice or competition. Subject to the terms of the policy, this insurance will pay certain medical expenses to the extent not covered by other insurance or medical plans, including HMOs or PPOs. Certain deductibles, coverage limitations, or coinsurance provisions may apply. Medical expenses not paid by the College’s accident insurance are the responsibility of the athlete, not San Jacinto College. Such expenses may be significant. For this reason, San Jacinto College strongly urges students to obtain their own medical/accident insurance at their own expense. San Jacinto College’s athletic support staff or the athlete’s coach must approve treatment in advance.
The following are additional procedures governing the insurance coverage:
- Immediately report all athletic related injuries to your trainer, coach or assistant coach, whether or not medical attention is required.
- An accident claim form must be completed and signed by the injured athlete/cheerleader, as well as the trainer, coach or assistant coach.
- If medical attention is required, your trainer, coach assistant coach or his/her designee should accompany you, if possible.
- Provide the admitting clerk at the medical facility with your accurate name and address (or parent/guardian) as the responsible party. You are responsible for these medical expenses.
- Provide the admitting clerk at the medical facility with YOUR primary insurance information, as well as the completed San Jacinto College accident claim form. Explain that you are an athlete at San Jacinto College with secondary coverage under the San Jacinto College excess policy.
- A release from your physician must be provided to your coach or trainer prior to returning to practice or competitive play.
- After your primary insurance has paid its portion of the medical claim, you will need to ensure that the remaining balance is filed with Student Assurance Services.
- Payments for medical services will not be processed by Student Assurance Services until after they have received proof of payment from your primary insurance. To expedite secondary insurance payment, a copy of the Explanation of Benefits (EOB) which is provided to you by your primary insurance must be sent to the San Jacinto College Safety/Risk Management Office, 4624 Fairmont Parkway, Suite 209, Pasadena, Texas 77504.
Student Assurance Services will process payments for medical services of $100 or less.
- The College’s secondary insurance will serve as primary insurance for those athletes that are not insured. This primary coverage is for injuries sustained during covered intercollegiate sports competitions or practices. A letter from your parent or guardian is required stating that you are not insured.
- Neither San Jacinto College nor Student Assurance Services will be responsible for any pre-existing conditions, regardless if medical treatment has been received or not. It is the responsibility of the athlete to disclose any condition or injury that they have incurred and/or receiving treatment to the San Jacinto College Athletic Training and Medical Staff.
- Insurance provided by San Jacinto College is only responsible for those medical expenses incurred for an injury sustained while representing San Jacinto College Athletics Program, i.e. games or practices.
Student Rights and Responsibilities
The San Jacinto College Athletic Trainers are dedicated to giving you the best health care and customer service possible. As a student-athlete here at San Jacinto College, you may expect to receive considerate and respectful care. We will honor your rights to be informed and to be involved in making decisions about your care. You have the following rights and responsibilities as a student athlete at San Jacinto College.
- Privacy and confidentiality regarding your medical care.
- Expect that your medical records will be kept confidential and that access to information about you will be limited to those legitimately involved in your care. Your medical records will be released only in cases of medical emergencies, in response to court ordered subpoenas or to persons you specify with your written consent.
- Access all information contained in your medical record.
- Know about your injury/illness and proposed treatment and to participate in the development of your plan of care. Information will be given to you by the sports medicine staff or its physicians in a manner in which you can understand including the right to know why you need a surgical procedure or treatment and who will perform that procedure or treatment. This includes the right to refuse care or treatment and to know what may happen if you do not have this care or treatment.
- Receive the necessary information to participate in decisions about your care including cost, risk benefits, limitations of and alternatives to diagnostic and therapeutic modalities.
- Give your informed consent before any diagnostic or therapeutic procedure is performed.
- Be treated in a professional, courteous and caring manner which does not discriminate because of age, race, disability, handicap, national origin, religious beliefs, gender, sexual orientation or veteran status.
- A second opinion or appropriate referral.
- Express suggestions and concerns in an appropriate manner.
- Know the names and positions of people involved in your care by official name tags or personal introduction.
- To ask questions and seek clarification if you do not understand the explanation of your diagnosis, treatment, prognosis or any instructions.
- To provide accurate information about your present illness and past medical history and wishes for your medical care.
- To follow instructions concerning medications, follow-up visits, education recommendations, and other essential steps in your treatment plan and to notify the Sports Medicine Staff if this plan cannot be followed or if problems develop.
- For treating Sports Medicine staff and personnel in a respectful manner.
- To arrive as scheduled for appointments and to notify the Athletic Trainer in advance in case of canceled appointments.
- For following all rules and regulations that are posted within the Athletic Trainer.
- For following through on your agreed plan of care.
- For considering and respecting the rights of others.
- For being courteous.
Confidentiality of Medical Records/HIPAA Compliance
San Jacinto College ensures that the athletic training staff values and respects the confidentiality of student-athlete medical records and maintains compliance with the HIPAA federal regulations.
Confidentiality of the students’ medical records must be maintained, as these are considered legal documents. Records are not permitted to leave the Athletic Training department. Any questions or concerns from the press, professional scouts, or others must be directed to the staff athletic trainer. If medical records are needed for a case study, then the athletic trainer must fill out a Student Athlete Medical Records Release Form and have it approved by both the athlete and the Athletic Director prior to using any information obtained from such records. This form provides the athletic trainer access to the medical records of only the athlete noted on the form. The records still may not be taken out of the facility or photocopied under any circumstances. Anyone associated with access to documents that are the property of the Department of Athletic Training will fully comply will all regulations set forth by the Health Information Portability and Accountability Act (HIPAA). Sports Medicine Staff members must remember that discussing the status of a student athlete with other student athletes is forbidden. This is considered a breach of confidentiality. The staff member must be aware of his/her surroundings at all times when discussing the health status of a student-athlete.
Training Room Policies and Procedures
- Athletes must sign in before being treated.
- Shoes off at the door.
- No cell phones!
- No food allowed in the training room.
- Treatment will begin an hour before practice time unless noted otherwise.
- If you need treatment at a different time than office hours, call ahead of time to set up an appointment.
- Proper attire is required for treatment.
- Ask before taking anything unless it comes out of the scrap tape box.
- Only San Jacinto College athletes allowed in the training room for treatment.
- Report all injuries immediately.
- If a student athlete is not adhering to the San Jacinto College athletic training room rules, he or she can lose privileges to the facility. Coaches will be notified of any student athlete who is not compliant with these rules and disciplinary action will be taken.
Medical and Insurance Forms
Medical History Form: please visit www.sanjacsports.com.
Consent to Treatment Form: please visit www.sanjacsports.com.
Emergency Information Form: please visit www.sanjacsports.com.