Lori Meadows
Texas State University offers health insurance for its students, with varying requirements and benefits. International students on non-immigrant F-1 and J-1 visas are mandated to have health insurance, with the premium billed to their university account. Domestic students can also purchase health insurance, with eligibility criteria based on credit hours and face-to-face learning requirements. Graduate students employed in benefits-eligible positions are further offered medical insurance through the Employees Retirement System of Texas. The university's health centre accepts various insurance providers and offers discounted rates for uninsured students.
| Characteristics | Values |
|---|---|
| Student Health Insurance Plan Carrier | Aetna |
| Insurance Plan Year | 2024-2025 |
| Enrollment for Spring and Summer | October 17, 2024, until February 1, 2025 |
| Graduate Student Eligibility | Enrolled in 6 or more hours (3 or more for Summer), with at least 50% face-to-face |
| Undergraduate Student Eligibility | Enrolled in 9 or more hours (3 or more for Summer), with at least 50% face-to-face |
| Student Health Center Clinic Providers | Aetna (PPO and Managed Choice only), Blue Cross Blue Shield, Cigna, Humana, Magellan Behavioral Health, Multiplan Network, Texas State Student Health Insurance Plan - Aetna/AHP, United Healthcare |
| Certified Providers | Tricare Select |
| Student Health Center Requirements | Accurate insurance information prior to the visit |
| Uninsured or Out-of-Network Students | Considered self-pay |
| International Students on Non-Immigrant Visas | Required to have health insurance coverage |
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What You'll Learn
- Texas State University's student health insurance plan is provided by Aetna
- International students are required to have health insurance
- Graduate students in benefits-eligible positions can access Texas State employee insurance
- Students must provide accurate insurance information to the Student Health Center
- Students with Tricare Prime can use benefits at the Student Health Center clinic
Texas State University's student health insurance plan is provided by Aetna
Texas State University offers a student health insurance plan provided by Aetna. This insurance plan is available to domestic graduate and undergraduate students. For graduate students, they must be enrolled in 6 or more hours (3 or more during the summer) with at least 50% of classes being face-to-face to be eligible to purchase the insurance plan. Meanwhile, undergraduate students must be enrolled in 9 or more hours (3 or more during the summer) with the same 50% face-to-face class requirement. Students in their last semester who were enrolled in the student health insurance plan the previous semester are eligible even if they fall below the credit hour requirements.
Texas State University also has specific requirements for international students. All international students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage. The premium for this insurance will be billed to the student's university account during registration for classes. However, students can submit a waiver to opt out of the insurance charge if they have existing health insurance that meets certain criteria. For example, if they are covered by a U.S. employer health insurance plan or a parent/spouse's U.S. employer health insurance plan that complies with the Affordable Care Act (ACA).
The Student Health Center at Texas State University accepts a variety of insurance plans, including Aetna, Blue Cross Blue Shield, Cigna, Humana, Magellan Behavioral Health, Multiplan Network, Texas State Student Health Insurance Plan, and United Healthcare. It is important for students to provide accurate insurance information to the Student Health Center prior to their visit. By doing so, they authorize the center to submit a claim to their insurance company. If students prefer not to involve their insurance company, they must notify the Student Health Center Cashier Office during their visit and pay in full for any charges incurred.
Texas State University also offers graduate students employed in benefits-eligible positions the opportunity to participate in medical insurance and other optional benefits through the Employees Retirement System of Texas. To be eligible, graduate students must be employed for at least 20 hours per week (50% FTE) for a minimum of 4 ½ months. These students are entitled to receive a 50% contribution toward their medical premiums and a 25% contribution toward eligible dependents' medical premiums.
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International students are required to have health insurance
Texas State University does offer health insurance for its students. However, the university's policy regarding health insurance is that all international students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage. International students will be charged $85 per semester for the maintenance of records, compliance with government regulations, and other services. The international student health insurance premium will be billed to the student's university account during registration for classes.
Students who already have existing health insurance can submit a waiver to opt out of the insurance charge if their current plan meets specific criteria. The criteria for opting out include:
- The student is covered by a U.S. employer health insurance plan or by a parent/spouse's U.S. employer health insurance plan that is compliant with the Affordable Care Act (ACA).
- The student's sponsored plan (US Government or Foreign Government) is recognized by the U.S., and the sponsor guarantees payment of all healthcare expenses, including medical evacuation and repatriation, and is compliant with the Affordable Care Act (ACA).
The Student Health Center Clinic at Texas State University is in-network with the following providers:
- Aetna (PPO and Managed Choice only)
- Blue Cross Blue Shield (PPO/POS, HealthSelect)
- Cigna (PPO, Open Access Plus, and Local Plus Network)
- Humana (PPO, some POS, some EPO)
- Magellan Behavioral Health
- Multiplan Network
- Texas State Student Health Insurance Plan - Aetna/AHP
- United Healthcare (Choice, Choice Plus)
It is important to note that the Student Health Center does not accept any HMO products or government programs (Medicare or Medicaid). Students with Tricare Prime can use their benefits at the Student Health Center clinic but must first obtain authorization from their Primary Care Manager (PCM).
For graduate students employed in benefits-eligible positions, they are eligible to participate in the medical insurance and other optional benefits offered to Texas State employees through the Employees Retirement System of Texas. Additionally, graduate students are entitled to receive a 50% contribution toward their medical premiums and a 25% contribution toward eligible dependents' medical premiums.
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Graduate students in benefits-eligible positions can access Texas State employee insurance
Texas State University does offer health insurance for students. International students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage while studying at Texas State University. These students will be billed for the international student health insurance premium during registration for classes. However, they can opt out of this insurance charge if they already have existing health insurance that meets certain criteria, such as being covered by a U.S. employer health insurance plan or having a sponsored plan that is recognized by the U.S. and compliant with the Affordable Care Act (ACA).
In addition, Texas State University offers a Student Health Insurance Plan for domestic students. For the 2024-2025 plan year, the insurance carrier is Aetna, which was chosen based on the benefit needs of students, provider access, and costs. Domestic graduate students must be enrolled in 6 or more hours (3 or more for Summer) with at least 50% face-to-face interaction to be eligible to purchase the Student Health Insurance Plan. Similarly, domestic undergraduate students must be enrolled in 9 or more hours (3 or more for Summer) with at least 50% face-to-face interaction to be eligible.
Furthermore, graduate students employed in benefits-eligible positions at Texas State University can access Texas State employee insurance. These positions involve working at least 20 hours per week (50% FTE) for a minimum period of 4.5 months in specific job titles. Graduate student employees are entitled to a 50% contribution toward their medical premiums and a 25% contribution toward eligible dependents' medical premiums. There is a 60-day waiting period for medical coverage to begin, but optional coverage such as dental, vision, or term life insurance has no waiting period.
The Student Health Center Clinic at Texas State University is in-network with several insurance providers, including Aetna, Blue Cross Blue Shield, Cigna, Humana, Magellan Behavioral Health, Multiplan Network, and United Healthcare. They are also certified providers for Tricare Select, and students with Tricare Prime can use their benefits at the clinic with authorization from their Primary Care Manager (PCM). However, the Student Health Center does not currently accept any HMO products or government programs such as Medicare or Medicaid.
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Students must provide accurate insurance information to the Student Health Center
Texas State University requires students to provide accurate insurance information to the Student Health Center. This is to ensure that the university can submit claims to the appropriate insurance companies and that students are aware of their coverage and patient responsibilities. Students are responsible for any charges that their insurance company applies to patient responsibility.
The Student Health Center at Texas State University is certified to provide services for Tricare Select. Students with Tricare Prime can use their benefits at the Student Health Center clinic, but they must first obtain authorization from their Primary Care Manager (PCM). The Student Health Center does not accept any HMO products or government programs such as Medicare or Medicaid.
Students with insurance from one of the following providers can use the Student Health Center as an in-network provider:
- Aetna (PPO and Managed Choice only)
- Blue Cross Blue Shield (PPO/POS, HealthSelect)
- Cigna (PPO, Open Access Plus, and Local Plus Network)
- Humana (PPO, some POS, some EPO)
- Magellan Behavioral Health
- Multiplan Network
- Texas State Student Health Insurance Plan - Aetna/AHP
- United Healthcare (Choice, Choice Plus)
For the 2024-2025 plan year, Aetna is the Texas State University Student Health Insurance Plan carrier. Domestic graduate students must be enrolled in 6 or more hours (3 or more for Summer), with at least 50% face-to-face interaction, to be eligible to purchase the Student Health Insurance Plan. Domestic undergraduate students must be enrolled in 9 or more hours (3 or more for Summer), with at least 50% face-to-face interaction, to be eligible. Students in their last semester of their degree program who meet the previous semester's credit hour requirement and were enrolled in the student health insurance plan are also eligible.
International students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage while studying at Texas State University. The international student health insurance premium will be billed to the student's university account during registration. Students with existing health insurance that meets certain criteria may submit a waiver to opt out of the insurance charge. Graduate students employed in benefits-eligible positions are eligible to participate in the medical insurance and other optional benefits offered to Texas State employees through the Employees Retirement System of Texas.
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Students with Tricare Prime can use benefits at the Student Health Center clinic
Texas State University offers a variety of health insurance options for its students. International students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage while studying at the university. They will be charged $85 per semester for maintenance of records, compliance with government regulations, and other services. International students can opt out of the insurance charge if they have existing health insurance that meets specific criteria, such as being covered by a U.S. employer health insurance plan or having a sponsored plan that is recognised by the U.S. and compliant with the Affordable Care Act (ACA).
For domestic students, Texas State University offers a Student Health Insurance Plan through Aetna for the 2024-2025 plan year. To be eligible to purchase this insurance, undergraduate students must be enrolled in 9 or more hours (3 or more for Summer) with at least 50% face-to-face interaction. Graduate students must be enrolled in 6 or more hours (3 or more for Summer) with similar face-to-face requirements.
Additionally, Texas State University's Student Health Center accepts various insurance providers, including Aetna, Blue Cross Blue Shield, Cigna, Humana, Magellan Behavioral Health, Multiplan Network, and United Healthcare. The Student Health Center is also certified for Tricare Select, and students with Tricare Prime can utilise their benefits at the clinic after obtaining authorisation from their Primary Care Manager (PCM). It is important for students to provide accurate insurance information to the Student Health Center prior to their visit and understand their specific plan's coverage and patient responsibility.
Students who do not have insurance or have out-of-network plans may be eligible for discounted rates at the Student Health Center. Texas State University ensures that students with urgent medical needs who cannot pay will not be denied necessary treatments. Self-pay patients have the right to request a Good Faith Estimate and discuss payment options with the Student Health Center. Graduate students employed in benefits-eligible positions may also be eligible for medical insurance and other benefits offered through the Employees Retirement System of Texas.
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Frequently asked questions
Texas State University does offer health insurance for students. The Student Health Center Clinic accepts insurance from various providers, including Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare.
All international students on non-immigrant F-1 and J-1 visas are required to have health insurance coverage while studying at Texas State University. International students with an immigration status of "F" or "J" will be charged $85 per semester for maintenance of records and compliance with government regulations. Domestic students are not required to have health insurance but can choose to purchase the Student Health Insurance Plan offered by the university.
Domestic graduate students must be enrolled in 6 or more hours (3 or more for Summer) with at least 50% face-to-face instruction to be eligible for the Student Health Insurance Plan. Domestic undergraduate students must be enrolled in 9 or more hours (3 or more for Summer) with the same face-to-face instruction requirement.
Graduate students employed in benefits-eligible positions are eligible to participate in the medical insurance and other optional benefits offered to Texas State employees through the Employees Retirement System of Texas. Graduate students working at least 20 hours per week (50% FTE) for a minimum period of 4.5 months are entitled to receive a 50% contribution toward their medical premiums and a 25% contribution toward eligible dependents' medical premiums.
Uninsured students or those who choose not to use their insurance for privacy or personal reasons may be eligible for a discounted Prompt Pay rate for some services. Self-pay patients have the right to request a Good Faith Estimate for their treatment costs if they schedule at least three business days in advance.
