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Texas State University Student Health Center ~ Insurance

Student Insurance

Who is eligible - Do I need it? - How to get it - How to use it at the Student Health Center - What is not covered by the insurance plan - Find a preferred provider - Some helpful links - Some important information - International students

  • Who is eligible
    • All students that are registered and enrolled at Texas State University are eligible and may participate in the plan.
    • You are not required to be enrolled in a minimum number of hours in order to purchase the insurance.
    • Students who were enrolled in the Student Health insurance plan during the spring semester are eligible to purchase insurance for the summer without being registered and enrolled in classes during the summer months.
  • Do I need it?
  • How to get it
    • Please verify the accuracy of your Texas State student ID number prior to enrolling in the insurance plan. Providing an incorrect student ID number may result in the delay of verifying your insurance status and/or processing your claims.
    • You must fill out a Cost/Enrollment form in order to purchase the Texas State Student Insurance plan. The Domestic Student enrollment form is for students and their dependents who live in the United States and are United States citizens.
    • International students are automatically enrolled in the Texas State Student Insurance plan when they register. If you are an international student and wish to add your dependents to the plan, you can enroll online.
    • You can purchase insurance online.
    • Recent graduates who have been continuously insured under the school's regular student policy for at least three consecutive months and who no longer meet the eligibility requirements under that policy have the option of purchasing continued coverage for themselves and their dependents. This coverage extends for at least one additional semester or the remainder of the policy year but not longer than a maximum of six months.
  • How to use it at the Student Health Center
    • The deductible will be waived.
    • Benefits will be paid at 100 percent of covered medical expenses.
      • No benefits will be paid for exclusions and limitations.
    • Copays apply to prescriptions for students and non-registered students.
      • $5 for generic
      • $20 for name brands
    • Limited benefits are provided for mental and nervous disorders on an outpatient basis, as well as prescription medication dispensed and lab testing conducted at the Student Health Center.
    • The Student Health Center will bill the insurance company for covered medical expenses.
  • What is not covered by the insurance plan
    • No benefits will be paid for conditions included in the exclusions and limitations section of the brochure (see pages 16, 17, and 18) and for any pre-existing conditions. Please review this information carefully before purchasing the plan.
  • Find a preferred provider
    • Preferred providers are non-Student Health Center physicians, hospitals and other health care providers who provide specific medical care at negotiated prices and who accept the optional Student Health Insurance. Using a preferred provider will decrease the amount of money you pay out of pocket for health care.
    • Preferred providers are members of the UnitedHealthcare Options PPO. Click here for more information.
  • Some helpful links
    • Print an ID card
    • Print a Claim form
    • For information about optional and separate benefits not included in the Texas State student insurance plan, please call (888) 889-3618 or visit the UnitedHealthcare website.
  • Some important information
    • Summary of Changes to 2007– 2008 Policy
      • New Eligibility Language: "Students who were enrolled in the Student Health Insurance plan in the Spring are eligible to purchase Summer insurance without being registered and enrolled in classes during the Summer months. Early arriving Domestic and International students and Graduate Research Assistants, who are pre-registered for the Fall 2008 semester, may purchase summer coverage without being enrolled in classes."
      • Premiums were increased.
      • All co-insurance for In-Network benefits changed (increased) from 80% to 90% of Preferred Allowance (In-Network).
      • The Preferred Provider/In-Network cap of $1,300 was eliminated from the Inpatient Room and Board Hospital Miscellaneous benefit.
      • Select Provider hospitals were eliminated.
      • The Preferred Provider outpatient day surgery miscellaneous cap of $2,500, which included operating room, lab tests and exams, anesthesia, drugs, medicines, and supplies, was eliminated.
      • The Preferred Provider Network changed from Texas True Choice and Beechstreet to UnitedHealthcare, which offers an expanded network with better discounts.
      • The Insurance plan may only be purchased on an annual or semester basis; monthly and quarterly payments were discontinued.
      • New State Mandate: Benefits for the detection of Human Papillomavirus and Cervical Cancer for women 18 years of age or older were added. See page 13 of the insurance brochure for details.
    • If you need more information :
      • Call the Student Health Center at (512) 245-2161
      • Call the insurance company at (888) 889-3618 or email customerservice@uhcsr.com.

Click here if you are an international student

 

Last Modified: August 15, 2007