Objective: To survey intercollegiate level athletic trainers to determine their perception of third-party reimbursement as it pertains to their setting. In addition, all athletic trainers will be questioned as to whether or not they will be implementing reimbursement and why or why not. Subjects: The sample population for this study consisted of all (n=13) Mid-American Conference (MAC) head athletic trainers. Their name and address was obtained from the 1998-99 MAC SportsMedicine Directory. A response rate of 69%(n=9) was obtained for this study.Measurements: A non-standardized instrument consisting of 24 questions was developed specifically for this study. The questions covered areas that included athletic trainer's perception of third-party reimbursement for their services, implementation of third-party reimbursement for their services and state regulations which govern their practice. Results: All respondents felt third-party reimbursement for athletic training services will be beneficial to the profession. Only six (n=6) felt third-party reimbursement will be beneficial for the intercollegiate athletic trainer. Six (n=6) respondents felt student-athletes should not be charged for services which have traditionally been provided at no charge. A majority (n=8) of the respondents felt third-party reimbursement will cause more work for the intercollegiate athletic trainer. Only three (n=3) had their own billing and insurance coordinators for athletic training. Most (n=8) respondents had not attempted third-party reimbursement within their own setting. Also eight (n=8) respondents have not developed a strategic plan for the implementation of third-party reimbursement. Conclusions: Intercollegiate athletic trainers are not convinced third-party reimbursement will be beneficial in their setting. Some question the ethical nature in charging athletes for services which have traditionally been provided at no charge. Many feel it will only cause more work for the intercollegiate athletic trainer. Very few have attempted reimbursement for athletic training services and the majority have made no strides towards its implementation.