Medical Insurance Springfield medical students are assessed two fees for healthcare: Primary Care Fee – covering basic primary care visits, and basic laboratory studies and simple x-rays ordered by primary care physician. Student Medical Extended Care Fee - Providing the SIU Student Health Insurance Plan that covers expenses such as emergency rooms, hospitalization, surgery, ambulance, specialty care, and advanced laboratory studies and imaging. Students who already have comparable health insurance coverage may request a refund of the Student Medical Extended Care fee by submitting a Petition