If your child requires the use of an EPI-PEN for their allergy, an Anaphylaxis Emergency Action Plan must be on file. Please ask the physician to provide this plan. Upon approval by the Health Center, the student may keep an Epi-Pen in his/her room. A spare Epi-Pen will need to be kept in the Health Center for your child.
will only be administered to students under the care of an allergist. Changes and additions to immunotherapy schedules must be handled in an allergist’s office. The allergist must give the initial allergy injection. There will be a $10 charge for each injection administered by the Health Center nurse.
– if your child is allergic to food, it must be listed on Page HCF-1 of the health forms. The Health Center shares this information with the Dining Hall chef.
– if your child is allergic to medications, it must be listed on Page HCF-1 of the health forms. This information is shared with our medical providers.
– if your child suffers from any seasonal allergies, please list them on Page HCF-1 of the health forms. Please note that it is not uncommon for a student who has never suffered from seasonal allergies to experience them during the fall and spring.
– if your child suffers from any other allergy besides food, medication or seasonal, please be sure to list them on Page HCF-1 of the Heatlh forms.
Students are required to receive a physical examination between April 1, 2016 and July 31, 2016. The medical doctor (MD), doctor of osteopathy (DO), physician’s assistant (PA) or nurse practitioner (NP) is required to complete and sign several of the health forms. A checklist has been provided with the forms as a guide for the forms that need to be signed by the medical provider.
While we understand that health insurance may not cover a physical examination if completed before the one-year mark, we ask that you move forward with getting your child’s physical examination by either paying out-of-pocket (without using insurance) or visit your local medical aid unit/emergency room/clinic where you could pay a flat fee.
Please note that it is NOT acceptable for students to arrive on campus without a physical examination and with incomplete health forms. We appreciate your understanding and cooperation in meeting the deadlines and requirements.
If your child has a history of asthma or a severe allergy/anaphylaxis or seizure disorder, please have your doctor complete the appropriate emergency action plan which are included in the health forms.
Please send an extra pair of eyeglasses, contact lenses, or current prescription for new lenses with the student, in the event that eyeglasses and/or contact lenses become broken, lost or torn.
Since our students and faculty live and breathe in such close proximity of each other, the nurses at the Health Center offer and administer the flu vaccine each fall term (end of September / beginning of October) under the direction of the School Physician. Each year, we strive for a healthy campus and in order to ensure that, we highly recommend that all students receive a flu vaccine. In a boarding school atmosphere students share everything, including their illnesses! Please help us keep our students healthy!
During flu season, the Health Center may reach full capacity; on these occasions, students who reside in the tri-state area may be sent home to recuperate.
Students who receive the flu vaccine from the Health Center will be charged a fee of $10, which will be billed to the student’s miscellaneous billing account. Parents/Guardians must fill out and sign the Flu Vaccine Form that is included in the health forms. Please note that the Health Center does NOT administer the flu mist (nasal spray). We only offer the flu vaccine that is injected into the arm.
If the student prefers to receive his/her flu vaccine at home, whether it is before school starts or during the long weekend in October, the Health Center requires documentation from the medical provider as to which vaccine the student received and the date that it was administered.
For a copy of the 2016-2017 Influenza Vaccine Information Statement, please visit http://www.cdc.gov/vaccines/hcp/vis/index.html.
Students may borrow equipment from the Health Center (i.e. heating pads, crutches, etc.). If the borrowed equipment is not returned or is damaged upon return, the cost will be charged to the student’s miscellaneous billing account.
Out of concern for the health and welfare of all our students, St. Andrew’s School requires that every student be covered by a comprehensive injury and sickness plan, which includes a United States address and phone number for claims and customer service. It is important to contact your insurance company to confirm that your insurance plan will cover your child(ren) in the State of Delaware. Some insurance companies provide away from home coverage and others may provide out-of-network coverage, but at a higher expense.
Travel insurances are NOT accepted as medical insurance due to inadequate medical coverage. Any student who cannot provide proof of a medical plan with appropriate coverage must enroll in the School's United Healthcare Student Resources Insurance plan (indicated below).
When contacting your insurance company, please refer to our
Medical Resources Contact List
for the medical providers (i.e. doctors, dentist, orthodontist, labs, etc.) that we use in our area. The Health Center only uses
local medical providers (we cannot and will not make appointments and transport students to medical providers of your choice).
Insurances Offered through SAS
– For those parents/guardians whose medical insurance does not provide adequate away from home coverage for their child, St. Andrew’s School offers two different kinds of insurance plans.
The Student Injury and Sickness Plan underwritten by United Healthcare Insurance provides primary, first dollar benefits for students who do not have any insurance or whose coverage is not accepted outside their geographical area. This Plan provides coverage for 10 months (August 15, 2016 through June 14, 2017) for $2,055.00 USD. Some of the benefits that this plan provides are as follows: zero deductible; coverage of pre-existing conditions; doctor’s visits covered at 100% of usual and customary charges; and prescription drugs covered at 100% up to $2,000 annually.
To sign up for this Plan, please complete the bottom portion of the “Health & Accident Insurance for 2016-2017” form, which is Page HCF-2 of the Health Forms. If you have questions regarding this plan, please contact the Health Center at 302-285-4240 or via email: email@example.com.
The Student Accident Insurance underwritten by A.W.G. DEWAR, Inc. is a supplemental plan that offers coverage for accidental bodily injury from August 31, 2016 through June 3, 2017 for $100.00 USD. If your child participates in sports and/or is prone to accidents, we highly recommend this plan. There is no limit on the number of accidents covered during the policy period. The plan will pay 100% of eligible expenses incurred for medical services up to $2500 for each injury. Claims are submitted by the Health Center. Since this Plan is a supplemental plan, it cannot be purchased and/or used as primary health insurance coverage.
To sign up for this Plan, please complete the bottom portion of the “Health & Accident Insurance for 2015-2016” form, which is Page HCF-2 of the Health Forms. If you have questions regarding this plan, please contact the Health Center at 302-285-4240 or via email: firstname.lastname@example.org.
Away From Home Coverage
As a parent/guardian, it is your responsibility to contact your insurance company to discuss what medical benefits will be curtailed and what deductibles and co-payments will be required when your child receives care away from home. Please contact your insurance company to see if they provide “away from home” care coverage for your child while they reside at SAS.
When the parent/guardian determines that their medical insurance provides adequate away from home coverage for their child, they will need to complete the top portion of the “Health & Accident Insurance for 2016-2017” form, which is Page HCF-2 of the Health forms.
HMO or MEDICAID Plans
If your insurance is a HMO plan, your child is only able to be treated by the primary care physician listed on your policy. Therefore, if your child will require medical attention while at school, they will be taken to the local medical aid unit or emergency room.
MEDICAID plans do not provide adequate coverage outside of their home state. If you have a Medicaid plan, please contact the Health Center to discuss coverage options for your child.
International Students Insurance Information
If you have international insurance that provides domestic (US) claim coverage, you must provide a United States address and phone number for this insurance carrier. Since our medical providers do NOT accept international insurances that have international addresses and phone numbers, we recommend that you purchase the Plan I insurance through SAS or from a reputable insurance company. Travel insurances are NOT accepted due to inadequate medical coverage.
Insurance Cards Requirements
The Health Center is required to fax a copy of the front and back of all pertinent insurance cards, as well as the Student Information & Medical Authorization form (Page HCF-1 of the Health forms) and the Insurance and Care Provider Information form (Page HCF-3 of the Health forms) to the medical provider prior to the student’s visit. It is very important that you write legibly and provide us with the information requested on all forms, including an ENLARGED copy of the FRONT and BACK of all insurance cards (health, prescription, and dental). The Health Center will accept the actual insurance card(s), if you prefer to obtain an extra card(s) from your insurance company.
It is also the responsibility of the parent/guardian to obtain referrals if/when needed, as well as follow through with all insurance paperwork; this includes the submission of claims.
Insurance Changes During the School Year
If your insurance changes at any time during the school year, it is the parent/guardian’s responsibility to send us the updated insurance information. We require an enlarged copy of the front and back of the new/updated insurance card(s).
The Health Center will make appointments and provide transportation for any visits to physicians for illness or injury. Our medical providers give us the first available appointment; however it does not guarantee same day service. We request that parents make arrangements for any visits to sub-specialists such as a dermatologist, ear, nose and throat (ENT), cardiologist, pulmonologist, allergist, etc. while the student is at home or during school breaks. If a student has an appointment at home while school is in session, the parent must notify the Health Center AND the Dean’s Office prior to the date of the appointment.
The Director of Health Services has the authority to deny requests for transportation to medical providers that create a disruption to the daily operations of the Health Center. Non-urgent speciality appointments will be arranged secondary to the daily operations of the Health Center and only when said appointment cannot take place at home. A $5 transportation fee per appointment may be billed to the student’s miscellaneous billing account for all specialty appointments within the Middletown area, including physical therapy and chiropractic services.
In the event that your child needs to see a specialist and a referral is needed from the Primary Care Physician, it is the responsibility of the parent/guardian to make the necessary phone calls before the appointment can be made for the student.
Medical Resources Contact List
PROCEDURE FOR SCHEDULED MEDICATION
The school nurse can administer prescription medication and over-the-counter medication to students if the following requirements are met:
- A current prescription is required for all medication administered by the school nurse
- International prescriptions or medications are not acceptable
- Verbal prescriptions are not acceptable
- All medication must be checked in at the Health Center as soon as they arrive on campus
- All medication must be received in the original container
- The label on prescription medication must include: the right student, the right medication, the right dose, the right time and the right route
- Any changes to the instructions on the label must be received in writing from the health care provider
- Controlled substances will be counted during intake
Students will come to the Health Center for all medication administered by the school nurse.
If a student fails to come to the Health Center for a scheduled medication an email reminder will be sent to the student, their parent, academic advisor, dorm parent and counselor (if assigned).
Marks may be given for unexplained missed doses of prescribed medication, unless there is a legitimate reason for missing the medication. Legitimate reasons include: nausea and/or vomiting, untoward side effects, being away from campus for a home or college visit. Medications can be obtained from the Health Center after returning from an away sporting event or other off campus activity.
PROCEDURE FOR AS NEEDED MEDICATION
Students may come to the Health Center at any time for over-the-counter medications stocked by the Health Center, if a permission form is signed. Medications given on an as needed basis can also be administered as directed at any time. As needed medication is not subject to marks. A written order from a health care provider is required to change a scheduled medication to an as needed medication.
Some over-the-counter medication and prescription medication approved by the Director of Health Services may be kept on dorm if the student has been instructed on how to use the medication and the student parent agree to the following:
- The medication will be taken as recommended
- The medication will be kept in the original container
- The medication must be secure at all times
- The medication will not be shared with others
Medication that may be approved to be kept on dorm:
- Asthma and allergy medication
- Cough drops
- Birth control pills and patches
- Creams or ointments for acne and other skin conditions
- Ear drops
- Eye drops
- Over-the-counter pain relievers
- Vitamins and supplements
Our primary pharmacy is Acme Sav-On Pharmacy located at 460 East Main Street in Middletown. Phone: 302-449-1868 Fax: 302-449-1876.
Students on Accutane Therapy must provide the Health Center with monthly prescriptions for routine lab work and medication refills. If a student will be seeing a Delaware dermatologist, parents should make appointments in advance and inform the Health Center of the date and time of the appointment. The Health Center will provide transportation, if necessary and the student will be charged accordingly.
MEDICATIONS DURING SCHOOL BREAKS
During school breaks, all medications are sent home with the student. Discontinued medications that are sent home should remain at home. If there are any medications that the student and/or parent/guardian does not want sent home, please notify the Health Center in a timely manner. It is responsibility of the student/parent/guardian to turn in the medication(s) to the Health Center upon returning to campus.
Potassium Iodide (KI) is a form of iodine and found in iodized table salt. If taken in time and at the appropriate dosage, KI protects the thyroid gland from radioactive iodine and reduces the risk of developing thyroid cancer as a result of exposure to radiation released during a severe nuclear emergency.
In the event of any radiation threat or exposure, students will be given potassium iodide (KI) only if directed by a public health official. Everyone, including children and babies, can take KI except those who are allergic to iodine or have rare disorders such as dermatitis herpetiformis or hypocomplementericvascultitis.
During a nuclear emergency, people can breathe in or swallow radioactive iodine. Once inside the body, the radioactive iodine can cause a variety of health effects. The thyroid gland is very sensitive to radiation. KI can prevent the risk of developing thyroid cancer as a result of exposure to radioactive iodine, which is especially important for children. While KI can help to protect the thyroid gland, it cannot protect against other health effects caused by radiation.
KI has few side effects. Children are not at a higher risk of side effects. Side effects usually happen when people take more doses than needed. Possible minor side effects are skin rashes, swelling of the salivary glands, metallic taste, burning mouth, sore teeth/gums, stomach upset, diarrhea, and headaches. If you have severe side effects or a severe allergic reaction, call a doctor or go to the nearest hospital.
For those who have a known or suspected allergy to iodine and/or rare disorders such as dermatitis herpetiformis or hypocomplementernic vasculitis, please consult with your child’s doctor before giving consent for them to receive KI.
All parents/guardians are required to complete and sign the Potassium Iodide Tablets section of the Health Forms, which is Page HCF-4.
For additional information regarding KI, please contact your local pharmacist or healthcare provider.