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Vanderbilt Student Health Center Referral Requirements

The Student Health Insurance Plan also has referral requirements for students enrolled on the plan.  This means that care outside of the Student Health Center requires an annual referral.  If you do not get a referral, covered benefits will be considered at the out-of-network coverage cost sharing.  Students can request the referral from their primary care provider at the Student Health Center by messaging that provider or calling Student Health at 615-322-2427.  Students who do not have an established relationship with a primary care provider at Student Health can call 615-322-2427 to schedule a brief appointment for a referral request and/or to schedule an appointment to establish care with a primary care provider at Student Health.  In many cases, students end up finding that Student Health may be able to fully meet their needs without the need for the outside referral and the costs associated with care outside of Student Health. Students who wish to maintain a relationship with a primary care provider outside of Student Health are welcome to do that, but the insurance still does require an annual Student Health referral for those claims to be paid at an in-network rate.

In the following cases, referrals are not required:

  • Mental Illness Treatment and Substance Use Disorder Treatment
  • Maternity, obstetrical and gynecological care
  • Care that occurs when the Student Health Center is closed
  • Medical Emergencies
  • Medical care received when an Insured Student is more than 40 miles from the Vanderbilt University campus
  • Medical care received when an Insured Student is no longer eligible to use the Student Health Center due to a change in student status (for example, while a student is on medical leave of absence)
  • Medical care for Insured Dependents