Janice Lozano
Texas State University offers a Student Health Insurance Plan for all enrolled domestic students, with Aetna as the carrier for the 2024-2025 plan year. International students with F-1 and J-1 visa classifications are required to purchase coverage under the designated international student health insurance policy as a condition of enrollment. Students must maintain continuous health insurance coverage from enrollment to the completion of their degree program. Students with urgent medical needs who cannot pay will not be refused necessary treatments, and payment plans are available.
| Characteristics | Values |
|---|---|
| Name of Insurance Carrier | Aetna |
| Plan Year | 2024-2025 |
| Enrollment Period | October 17, 2024 - February 1, 2025 |
| Eligibility Criteria for Domestic Graduate Students | Enrolled in 6 or more hours (3 or more for summer) with at least 50% face-to-face |
| Eligibility Criteria for Domestic Undergraduate Students | Enrolled in 9 or more hours (3 or more for summer) with at least 50% face-to-face |
| Eligibility Criteria for Students in the Last Semester | Fall below the above credit hour requirement and were enrolled in the student health insurance plan the previous semester |
| Enrollment Process | Online through the AHP Portal |
| Contact for Verification | [email protected] |
| Insurance Requirements | Affordable Care Act (ACA) compliant |
| Accepted Insurance Types | Not HMO products or government programs (Medicare or Medicaid) |
| Payment Options | Payment plans available |
| Contact for Payment Options | 512.245.2161, option 4 |
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What You'll Learn
- Texas State University's student health insurance carrier for 2024-2025 is Aetna
- Domestic students must meet credit hour requirements to be eligible for the Student Health Insurance Plan
- International students with F-1 and J-1 visa classifications must purchase health insurance as a condition of enrollment
- Students with Tricare Prime can use their benefits at the Student Health Center clinic after obtaining authorisation
- Students who do not pay their bill by the deadline will have their balance transferred to their student account
Texas State University's student health insurance carrier for 2024-2025 is Aetna
Texas State University offers health insurance to its students. The university's student health insurance carrier for the 2024-2025 plan year is Aetna. This decision was based on the benefit needs of students, provider access, and costs.
Students must provide accurate insurance information to the Student Health Center before their visit. By providing insurance information, students authorise the Student Health Center to submit a claim to their insurance company. If students do not want the Student Health Center to file a claim, they must notify the Student Health Center Cashier Office during their visit and pay in full for any charges incurred.
Students with Tricare Prime can use their benefits at the Student Health Center clinic only after obtaining authorisation from their Primary Care Manager (PCM). The Student Health Center does not accept any HMO products or government programs like Medicare or Medicaid.
Students who do not have insurance, have an out-of-network plan, or choose not to use their insurance for privacy or personal reasons may be eligible for a discounted Prompt Pay rate for some services. Uninsured or out-of-network students will be considered self-pay. Students with urgent medical needs who cannot pay will not be refused necessary treatment.
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Domestic students must meet credit hour requirements to be eligible for the Student Health Insurance Plan
Domestic students at Texas State University must meet specific credit hour requirements to be eligible for the Student Health Insurance Plan. The university has set different standards for graduate and undergraduate students to qualify for purchasing the insurance plan coverage.
For domestic graduate students to be eligible for the Student Health Insurance Plan, they must be enrolled in six or more credit hours. This requirement drops to three or more credit hours during the summer semester. Additionally, at least 50% of the courses must be face-to-face.
On the other hand, domestic undergraduate students have distinct criteria for eligibility. They must be enrolled in nine or more credit hours, with at least 50% of courses involving face-to-face interaction. Similar to graduate students, the requirement for undergraduate students decreases to three or more credit hours during the summer semester.
It is important to note that students in their final semester who do not meet the credit hour requirement but were enrolled in the student health insurance plan the previous semester are still eligible for coverage.
The credit hour requirements outlined above are essential for domestic students at Texas State University to qualify for the Student Health Insurance Plan. By meeting these standards, students can access the health insurance benefits offered by the university.
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International students with F-1 and J-1 visa classifications must purchase health insurance as a condition of enrollment
International students with F-1 and J-1 visa classifications are required to purchase health insurance as a condition of their enrollment at Texas State University. Students must maintain continuous health insurance coverage from the time of enrollment to the time of completion of their degree program. Texas State University offers a Student Health Insurance Plan for all domestic students who are currently enrolled. However, international students with F-1 and J-1 visas may be able to waive this requirement if they already have a health insurance plan that meets certain criteria.
The university will only grant a waiver if the student's existing health insurance plan complies with the Affordable Care Act (ACA) and meets the following criteria: an annual deductible not exceeding $500, and coverage for the cost of medical evacuation ($50,000) and repatriation ($25,000) back to the student's home country. Students must submit a waiver application each academic year, as waivers are only valid for one year. If a student's waiver is denied, they will need to purchase Academic Emergency Services (AES) through the Academic Health Plan (AHP) portal.
Students can visit the AHP's Additional Resources page to print or save their insurance card, which they will need to show at doctor visits. Texas State University's Student Health Center on-campus accepts AHP insurance. Students can also visit MyAHPCare.com to find an affordable doctor in the AHP network. Students with CPT employers offering health insurance may also be eligible for a health insurance waiver.
It is important to note that students are responsible for understanding the coverage offered by their selected health insurance plan. If a student has concerns about their visa, they should contact the Office of International Programs and Services (OIPS). Texas State University's International Student and Scholar Services (ISSS) can also provide assistance and verify insurance purchases with AHP.
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Students with Tricare Prime can use their benefits at the Student Health Center clinic after obtaining authorisation
Texas State University offers a student health insurance plan for its students. For the 2024-2025 plan year, the insurance carrier is Aetna. Domestic graduate students must be enrolled in 6 or more hours (3 or more for the summer), with at least 50% face-to-face, to be eligible to purchase the Student Health Insurance Plan coverage. Domestic undergraduate students must be enrolled in 9 or more hours (3 or more for the summer), with at least 50% face-to-face, to be eligible to purchase the Student Health Insurance Plan coverage.
Students with Tricare Prime can use their benefits at the Student Health Center clinic. However, they must first obtain authorisation from their Primary Care Manager (PCM). The Student Health Center provides a document titled "How to Use Tricare Prime in the Student Health Center Clinic" to help students request authorisation. It is important to note that the Student Health Center does not accept any HMO products or government programs like Medicare or Medicaid.
Students who are uninsured or have out-of-network insurance coverage are considered self-pay. They will be offered prompt pay discounted prices to keep healthcare costs affordable. Additionally, students with urgent medical needs who cannot pay will not be refused necessary treatments. Self-pay patients can request a Good Faith Estimate by scheduling at least three business days in advance.
It is the student's responsibility to provide accurate insurance information to the Student Health Center before their visit. Providing insurance information authorises the Student Health Center to submit a claim to the insurance company. If students do not want the Student Health Center to file a claim, they must notify the Student Health Center Cashier Office during their visit and pay in full for any charges incurred.
Students are advised to understand their insurance plan's coverage and how it assigns patient responsibility for different services. Insurance plans vary, and students are responsible for any charges applied to patient responsibility by their insurance company. Students can also contact the Student Health Center to discuss payment options and questions about their bill.
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Students who do not pay their bill by the deadline will have their balance transferred to their student account
Texas State University students are required to make payments by the designated deadline. Students who do not pay their bill by the deadline will have their balance transferred to their student account, where they may accrue late fees or have a hold placed on their account.
Students are expected to take action by either making payment in full or enrolling in a payment plan by the designated registration due date. Texas State University does not accept partial payments during the fall and spring terms until the census date (12th class day). During the summer, the payment site will not allow partial payments from the time of bill calculation in May until the second part of the term in July.
Students can check their balance on the web at the SBS Billing & Payment site. Payment options include in-person payments at the windows during regular hours, depositing in the dropbox outside the J.C. Kellam building or in the lobby next to JCK 188 (no cash payments), by mail, or by credit card via the web. It is important to include the Texas State ID Number on all payments and correspondence.
Texas State University offers a three-payment instalment plan that requires payment of 30% of tuition and deferrable fees, as well as 100% of non-deferrable fees, in advance of the first day of classes. The remainder of the tuition and deferrable fees are then payable in two instalments of 35% each, due the sixth and eleventh week of the semester. A late fee will be added if the payment is not received by the due date.
It is important to note that it is the student's responsibility to ensure timely payment, regardless of University billing procedures or postal delays. If amounts become past due, Texas State University reserves the right to report the account to the Credit Bureau and initiate collection efforts, which may include employing an outside collection agency. Students will be required to pay all collection costs, including fees and legal charges.
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Frequently asked questions
The carrier is Aetna.
Students can now authorize TTUHSC to use their Federal Financial Aid awards (grants and loans) to pay for the insurance.
You can notify the Student Health Center Cashier Office and pay in full for any charges incurred at the time of service.
Students with urgent medical needs who cannot pay will not be refused necessary treatments. Self-pay patients have the right to a Good Faith Estimate.
Yes, Texas State University offers health insurance for international students with non-immigrant, F-1 and J-1 visa classifications.
