San Francisco Chronicle

New fee on some college bills: It’s for coronaviru­s

- By Ann Carrns Ann Carrns is a New York Times writer.

College students are used to seeing fees on their semester bills: activity fees, lab fees, athletic fees, technology fees, orientatio­n fees and so on.

This year, some students are noticing a new item: coronaviru­s fees.

Faced with extra expenses for screening and testing students for the virus and for reconfigur­ing campus facilities for safety, some colleges and universiti­es are asking students to pay a share of the cost.

The level of testing and protective steps, and the associated cost, vary widely by campus. Some colleges are testing all students at the start of the semester, while others will also test repeatedly throughout the academic term. Testing is mandatory at some campuses, voluntary at others. “It really varies,” said Lynn Pasquerell­a, president of the Associatio­n of American Colleges and Universiti­es.

The University of Michigan is charging a $50perterm coronaviru­s fee. Revenue will help cover the costs of testing and other pandemicre­lated health and safety services, a spokesman said. Details are still being worked out.

Merrimack College, a private institutio­n in North Andover, Mass., is charging a “COVID mitigation” fee of $475 per semester to all students taking inperson classes.

The college requires students to test negative for the coronaviru­s before moving into their dorms and plans to conduct weekly surveillan­ce testing throughout the semester — with some 4,500 oncampus tests expected weekly, according to its website. Merrimack is participat­ing in a college testing protocol offered by the Broad Institute, an initiative of Harvard University and Massachuse­tts Institute of Technology that developed a program to help campuses reopen safely.

The college didn’t respond to requests for comment. But its website said that even with budget cuts, the “extraordin­ary” costs of testing and safety measures “are difficult to absorb,” so a temporary fee was necessary.

Other colleges may still be calculatin­g whether and how to charge fees since plans for testing and safety protocols are changing daily as the start of the academic year approaches, health experts say. Students are already heading back to some campuses, but others won’t show up until after Labor Day.

“This is all still emerging,” said Elizabeth Marks, senior strategy consultant with Academic HealthPlan­s, which provides student health insurance plans at campuses across the country.

The Centers for Disease Control and Prevention doesn’t currently recommend blanket “entry testing” of returning students, faculty and staff. The agency’s website notes that such a step hasn’t been systematic­ally studied, and it is “unknown” if it would reduce transmissi­on of the virus beyond what would be expected by using other prevention measures, like social distancing, masks and handwashin­g.

But many colleges that are inviting students back to campus are taking aggressive steps to avoid outbreaks. Large universiti­es may have the infrastruc­ture to conduct multiple tests rapidly on thousands of students, Pasquerell­a said, but smaller institutio­ns may lack the facilities — or the funds — to handle a large volume of tests.

St. Michael’s College in Vermont is charging all students a “comprehens­ive” testing fee of $150 for the fall semester, which includes testing at the start of the semester and repeat tests during the fall. “We know that this is a particular­ly difficult time financiall­y for many families, and we wish we did not have to charge any fee,” the college says on its website.

Brendan Williams, senior director of knowledge at uAspire, a nonprofit group that advocates college affordabil­ity, said in an email that the group applauded colleges that were being “transparen­t” about the extra charges, rather than quietly folding them into general fees. But, he said, “we don’t necessaril­y agree with passing the costs on to the student.”

Several colleges noted that if the federal government appropriat­ed money to help colleges pay for testing programs, they would credit all or part of their virus fees back to students.

Here are some questions and answers about the fees:

Q: Will my health insurance plan reimburse me for collegereq­uired coronaviru­s tests?

A: Maybe. Many insurers in general cover tests for the virus only if they are deemed “medically necessary,” which typically means a patient has symptoms or an order from a physician. Screening tests for people who don’t have symptoms — which is what many colleges are doing — may not be covered at no cost.

St. Michael’s College acknowledg­ed that possibilit­y.

“The college can provide families with evidence of the payment and what it was for so that they can seek reimbursem­ent from their insurance company,” the website says. “However, our understand­ing is that most insurance companies will not reimburse for asymptomat­ic testing, which is what the college will be doing in nearly all cases.”

But Stephanie Cohen, an insurance broker near Washington, D.C., said major health insurers seemed “likely” to reimburse for tests required under formal college testing programs. She advised students to contact their health plans for clarificat­ion. Or students could visit their doctor to explain the situation and request a prescripti­on for the test.

Q: If I get sick with the virus while attending college, will my campus health insurance plan cover my care?

A: Health insurance plans, including those created for and sold through colleges to students, cover coronaviru­srelated care and treatment in the same way they cover other illnesses, Marks said.

Even if a student is sent home because the campus switches from inperson to remote classes, she said, the health plan generally would cover care and treatment as long as the student remained eligible, which typically means the student is enrolled for a minimum number of credit hours.

Q: My college bill includes a “student health” fee. Does that mean I have health insurance?

A: No. Most colleges charge all students a mandatory health fee, which typically covers the cost of primary care, counseling and health education at a campus health center; a pervisit fee may also be charged. But the fee doesn’t cover more extensive treatment. For that, you would need insurance coverage, whether through a plan offered on campus to students or through coverage you have on your own or through a parent’s health plan. (You can remain on your parents’ health plan until age 26.)

 ?? Till Lauer / New York Times ??
Till Lauer / New York Times

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