Anonymous

HIV is the only STI that can be tested anonymously. Anonymous testing means that your name is not associated with the test or the results in any way. You are given a number or a code to identify yourself when receiving your test results. Health Services does not provide anonymous HIV testing but the resources below include anonymous HIV testing sites in the area. It's important to ask about the test site's policies before you get tested.

Confidential

All other STI tests are confidential. Confidential STI testing means that your test results and any other information you discuss with your medical providers will be a part of your medical record. Information in your medical record is not a part of any other University record and cannot be shared with anyone (including parents, professors, deans, friends, or peer counselors) without your written authorization.

RI Department of Health Reporting

Health Services places a high value on confidentiality; nevertheless, all STI testing sites are required by law to report positive STI results to the RI Department of Health. This information will be used for statistical purposes and the Department of Health may contact you to help you in seeking any treatments you might need. The Department of Health cannot disclose your results, information, or even the fact that you have been tested to anyone else including your parents, friends, insurance agencies or school officials. If you have questions about STI testing, medical providers at Health Services will address any concerns you may have during your visit.

Being tested allows you to take charge of your own health. If you test negative, you can continue to protect against future risks. Should you test positive, many test sites will help you access a variety of resources to enhance your physical, emotional and spiritual well being.

Some people get tested with the idea that if they test negative, they don't need to practice safer sex or safer shooting anymore. This is not true. If you test negative, you still need to protect yourself and your partners.

If you test positive for an STI, early medical intervention will allow you to take measures needed to maintain your health. Many STIs, such as chlamydia and gonorrhea, can be treated with antibiotics. Others, such as HPV and herpes, can be managed to decrease symptoms and reduce the risk of transmission. If you test positive for HIV, there are treatment possibilities to prolong your life and improve your overall health. Whatever your results, you can make changes that will make your life longer, healthier and happier.

There are many different tests for each of the different STIs. There is not one test that will screen for all STIs. Some STIs are hard to test for if you do not have any symptoms. Some STIs can be tested through blood work, urine tests, or saliva tests. Other STIs can only be tested by culturing a sample of body fluid from the penis, vagina, rectum, or open sore. If you go in for testing, it is important to talk with your medical provider about which STIs you are at risk for to determine which tests you should receive. Sometimes weeks or months need to pass to give your body enough time to develop antibodies that will show up in a test. 

Brown University Insurance

• Most STI screening will be covered, either as part of a routine GYN exam, or as part of a problem visit.
• Correspondence from the Brown sponsored insurance company is generally directed to you, as the covered individual, at your University address.

Private Insurance

Insurance varies widely. STI tests may not be covered. Many policies cover testing if there are symptoms of the STI. Some policies do not cover "screening" STI tests, which are:

• Tests done as part of a routine GYN exam,
• Tests done when the you may have been exposed to an STI but have no symptoms,
• Tests done when you want to have tests for STIs "to be safe."

Health Services will work with individual students to contact your insurance companies to confirm in-network coverage and navigate explanation of benefits issues that can arise.

Be aware that private insurance companies sometimes notify the subscriber (often parents) as to what tests are done for covered individuals. Therefore, the subscriber may get a notice from the private insurance company that "student X had a Chlamydia test done on date X," though results are generally not reported. If you are concerned, it is a good idea to contact your insurance company before you get tested to find out their billing policies.

Direct Billing

You can opt for the lab to bill you directly at your University Box Number for STI tests. This avoids using your private insurance altogether. Be aware though, that tests can be costly out of pocket. For example, current prices for Gonorrhea and Chlamydia tests are in the vicinity of $100 each. Prices are subject to change by the lab with which Health Services contracts.

Questions

If you are still not sure about how you'd like to proceed with STI screening, you can always discuss this further at an appointment with a medical provider. Call 401-863-3953 for an appointment.

STI testing is now offered routinely during family planning visits, prenatal visits, and in drug treatment clinics throughout Rhode Island. STI testing can be done as part of a standard physical exam, if requested. There is often a charge for the test in these settings. Specialized sites are typically more experienced with STI related issues.