Embedded Files
REMINDERS
REMINDERS
Vouchers are given to folks with no insurance or with private insurance. Vouchers are used as a secondary payment. The victim/survivor's private insurance will be billed first.
Vouchers cover the cost of the forensic exam and medications in the ER.
Vouchers do not cover in-patient services or surgery related to the assault. Please refer victim/survivor to the Northwest CASA office closest to them where an Advocate can discuss Crime Victims Compensation and go over seeking reimbursement for these expenses.
Vouchers will not be issued to folks with Medicaid or Medicare. The cost of the visit will be covered by those programs.
FOLLOW-UP CARE
FOLLOW-UP CARE
Follow-up Care Must be Performed by:
Hospital
Health Care Professional
Laboratory
Pharmacy
Services include (but are not limited to):
Physical Exam
Laboratory tests to determine presence or absence of STIs
Appropriate medications, including HIV prophylaxis
Limited to follow-up care within 90 days of initial ER visit.
Limited to follow-up care within 90 days of initial ER visit.
Healthcare providers are not required to accept voucher, always suggest discussing voucher with health provider prior to visist.
Ask nurse for multiple copies of voucher for victim/survivor.
GENERATING A VOUCHER FOR SEXUAL ASSAULT SURVIVOR'S FOLLOW-UP (ILILNOIS HEALTH AND HOSPITAL ADMINISTRATION)
GENERATING A VOUCHER FOR SEXUAL ASSAULT SURVIVOR'S FOLLOW-UP (ILILNOIS HEALTH AND HOSPITAL ADMINISTRATION)
Voucher Instructions - MEDI Login Information.pdfHOW TO USE VOUCHER
HOW TO USE VOUCHER
How to Use the Attached Authorization for Payment Voucher.pdfVOUCHER EXAMPLE
VOUCHER EXAMPLE
SASETA Authorization for Payment Voucher Example.pdfPage updated
Google Sites
Report abuse