How do I pay for services?

Charges will be billed to your student account. CHWS does not bill insurance companies. Students can access itemized receipts through their CHWS Communication Portal that they may submit for potential reimbursement to their insurance companies as out of pocket claims.

Counseling Appointments

  • Initial and ongoing counseling appointments are FREE. However, you will be charged $25 for missed counseling and group appointments or cancellations less than 24 hours before the appointment time.
  • Specialized assessments sanctioned by Student Accountability & Restorative Practices (e.g., mandated substance use and anger management evaluations) are $75. 
  • The psychiatric visit fees are $70 for initial, 50-minute sessions and $40 for follow-up, 30-minute appointments. The no show fees for the psychiatric appointments are $100 for initial sessions and $50 for follow up visits.

Medical Appointments

  • General medical or nutrition appointments are $40.
  • Physicals and study abroad consultations are $55, gynecological exams are $40, and Peace Corps evaluations are $150.
  • No show or late cancellation fees for general appointments are $25.
  • There are additional costs for medications, procedures, immunizations, laboratory tests, and supplies. Check with your provider for current prices.
  • CHWS maintains a small dispensary with some of the most commonly prescribed medications. Generally, we are able to offer these medications at a lower cost to students than they would find in local pharmacies.
  • X-rays are typically performed at TRA Medical Imaging and are charged through that facility.


CHWS does not bill insurance. The resources below may be useful for reimbursement for CHWS care or for off-campus care.

Kaiser Permanente Insurance 

Does your home insurance company have a reciprocal agreement with an insurance company in the Puget Sound area? For example, if you have Kaiser Permanente insurance, you may receive care at local Kaiser clinics.


Health Insurance Checklist

If you are out of your normal health insurance service area, your health insurance policy may work differently than it would at home. Knowing the answers to the following questions will help you with health insurance while attending the University of Puget Sound.

  • If you are listed on your parents’ health insurance policy, at what age do you lose coverage?
  • Does your policy cover routine care and preventive care outside your service area?
    (The service area is usually the local region where your primary care physician, the local hospital, and the network of specialists specified by your insurance are located. Routine care may include sprains, rashes, colds, etc. Preventive care may include any physical exam, immunization, PAP smear, etc.)
  • Does your policy specify that out-of-service-area care will be limited to emergency care provided in a hospital emergency room or free-standing health clinic?
  • Do you need to obtain prior authorization from your health insurer before seeking any care out of your normal health service area? Do you have any co-payments or a deductible?
  • Can you be reimbursed for out-of-pocket expenses incurred at Counseling, Health, & Wellness Services?
  • Do you need prior authorization for specialist referrals from your primary care provider in your home service area, and will the cost of specialist care here be reimbursed at the same rate as if you were at home?
  • Are laboratory, X-ray, and other diagnostic tests covered if ordered by practitioners outside your normal service area?
  • Do you have a co-pay for prescription medications? What is the co-pay, and what does it cover concerning the brand name or generic medications? Do you need to show a prescription card when you pick up medications from a pharmacy? Does your insurer offer a mail-order service for regularly-used medications (such as blood pressure meds) at a lower rate?
  • Does your health insurer have a drug formulary and cover only certain medications?
  • Do you have mental health coverage, and what is your mental health co-pay? Are you limited to a certain number of mental health visits per year?
  • Does your home insurance company have a reciprocal agreement with an insurance company in the Puget Sound area? For example, if you have Kaiser Permanente insurance, you may receive care at local Kaiser clinics.