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Medical Care and Insurance

Northern Illinois University Student-Athlete Medical Care and Insurance Policy and Procedure

Physical Examinations:
Every new student-athlete must have a physical examination for clearance to compete in intercollegiate athletics. The Athletic Training Staff, University Health Service Team Physicians, and Administration, will schedule all athletic pre-participation physicals. No physical will be performed without a completed parent insurance information form on file.

Student-athletes who have sustained injuries to the head, neck, back, shoulders, knees, feet, internal organs, or have had recent fractures, dislocations, severe sprains or new medications are required to report these injuries or changes to the university team physician. Furthermore, the student-athlete who has had an infectious disease during the previous calendar year must report the illness to the team physician. Failure to report any significant injury and/or illness relieves the University of all liability. The university team physician may re-examine and change the athlete's clearance status at any time.

Tryouts:

In the event that a team chooses to have an evaluation of a tryout student-athletes, those students working out must complete the tryout clearance procedure which includes a form from compliance, coaches meeting, physical examination that has been completed within 90 days, compliance clearance, a waiver form, and proof of insurance. Following the evaluation period, the athletic training staff will make the necessary arrangements for physicals by our university team physician for those athletes who made the team.

Athletic Related Injuries:
The student-athlete is responsible to report to a representative of the athletic training staff all athletic injuries associated with athletic participation within forty eight (48) hours of sustaining the injury. The athletic trainer will make the necessary medical referrals as indicated. IN THE EVENT OF AN EMERGENCY, THE ATHLETE IS TO REPORT OR BE TAKEN TO THE KISHWAUKEE HOSPITAL EMERGENCY ROOM. The athlete should then report the emergency incident to the athletic trainer as soon as possible. Failure to report injuries of illness in a timely manner may result in the student athlete being financially responsible for any expenses, or changes in participation status. The athlete is not permitted to seek medical attention without prior authorization from the athletic training staff except in the case of emergencies. Doing so will make the student-athlete responsible for any expenses that are incurred.

Practice or Game Participation for an Injured or Ill Athlete: Decisions regarding the medical status of an athlete for practice or game participation shall be the sole responsibility of the team physician and/or the athletic training staff. Failure to comply by either the athlete and/or the coach with these decisions shall relieve the athletic training staff and team physician(s) of any responsibility for the injured or ill athlete.

Referral to a Medical Specialist:
If, in the opinion of the team physician, an athlete should be referred to a specialist for consultation, the following procedures must be followed:

1. A referral slip for out-patient specialty evaluation will be filled out by the athletic trainer and/or team physician. A reasonable attempt will be made to consult a specialist in the Northern Illinois area or within the Insurance Provider area.
2. The University Health Service staff or athletic trainer will make an appointment with the consulting specialist.
3. Arrangements for transportation to the consultant will be made by the athletic trainer.
4. It is the responsibility of the student-athlete and their parent/guardian(s) to:

a. Submit all medical bills to their respective insurance company.
b. Send copies of those medical bills to the athletic training staff within seven (7) days of receipt.
c. Follow up with a member of the athletic training staff regarding all medical bills.
d. Refer to the NIU Intercollegiate Athletics Insurance Policies and Procedures.

5. The Athletic Department will not be responsible for any expenses incurred by examination by a consultant if these procedures are not followed.

Injury or Illness Not Caused From Athletic Participation:
The Athletic Department will not be responsible for injuries when the student-athlete is not actively engaged in a formal game and/or practice under the direct supervision of their coaching staff or a member of the strength and conditioning staff. The Athletic Department will not be responsible for illnesses that are not directly related to athletic participation as determined by the team physician(s). The Athletic Department will not be responsible costs associated with illnesses. Summer coverage will be limited to injuries that occur while the student-athlete is under the direct supervision of a member of the strength and conditioning staff. Injuries that occur while playing in leagues, tournaments, camp games, pick-up, 7 on 7 will not be covered. The student-athlete will be responsible for medical expenses incurred (pharmacy, hospital and physician bills, etc.) when an injury and/or illness is not directly related to intercollegiate athletic participation at Northern Illinois University.

Insurance Coverage

The university mandates that all full time students have health insurance for the entire academic year as well as summer if enrolled in classes. It is the responsibility of the student-athlete and his/her parents/guardian(s) to provide primary insurance coverage. The Athletic Department provides secondary insurance coverage for ONLY THOSE INJURIES AND ILLNESSES THAT ARE A DIRECT RESULT OF PARTICIPATION IN INTERCOLLEGIATE ATHLETICS. This policy will only take effect after all claims have been acted upon by the primary insurance company and the appropriate information has been given to the athletic training staff. It is the student-athletes and his/her parents responsibility to see that all bills are submitted to their insurance company. Failure to do so will relieve the athletic Department of liability to pay benefits. The athletic department WILL NOT BE FINANCIALLY OR LEGALLY REPONSIBLE for injuries that are NOT directly related to Intercollegiate Athletic participation at NIU.

If the student-athlete is not insured by a parent or individual policy, they must purchase the Student Health Insurance policy available to all students through the university. The Athletic Department is not responsible for payment of this insurance.

Liability:
Extended to cover;

  • Only those injuries reported to the athletic trainer and/or team physician within forty eight (48) hours from the injury producing incident if, and only if, it is a direct result of intercollegiate athletics participation.
  • Those injuries received during the athlete's season which in the opinion of the team physician(s) and the Athletic Director(s) are directly attributable to participation in intercollegiate athletics while a full time student at Northern Illinois University.
  • Medical expenses from athletically related injuries only when the student-athlete is enrolled in school at Northern Illinois University.
  • Those expenses resulting from medical services which have been authorized by the team physician through a referral to a medical specialist.
  • Injury to sound, natural teeth while participating in an official practice session or contest. Athletes participating in Football are required to wear the protective device which is provided by the Athletic Department
  • Lost or damaged contacts and damaged glasses will be replaced if and only if damages occurred during an organized practice/competition.
  • Expenses resulting from the breakage of prescriptive safety eye glasses broken or damaged while participating in a game or regular, supervised practice session. The athlete must report the damage to the athletic training staff at the time of the damage to the glasses.
  • The full payment of prescriptive drugs authorized by the team physician.

    -Not covered are medications for pre-existing conditions (asthma, diabetes, high blood pressure, etc.), sexually transmitted diseases, diet supplements, antacids and birth control pills

    Medical Bills:
    Athletic Department insurance requires that all medical bills be first submitted to the individual's primary insurance (family or individual plan). The university and secondary insurer cannot pay any portion of the bills incurred until the individual's insurance has acted on the claim. Once the itemized bill and a copy of the Explanation of Benefits are received in a timely manor, the claim will be processed. This information can be mailed directly to:

    Athletic Training
    Northern Illinois University
    Huskie Stadium
    DeKalb, IL 60115
    Attn: Medical Insurance

    Parents or guardian(s) are asked to keep copies for their records. The athletic department is not responsible for any delays in payments, collection notices, credit reports, etc, that occur due to bills not being submitted in a timely manner.