Charges & Insurance
The Student Health Center does have charges for services including office visits, labs, x-rays, procedures, immunizations or other services. Payment is required at the time of service unless other arrangements have been made. The cost of services provided by the Student Health Center is the responsibility of the patient whether you use health insurance or not.
Missed Appointments and Late Cancellations
A $25 charge applies for missed appointments or appointments not cancelled at least 2 hours in advance. (24 hours in advance for psychiatry appointments). We ask that all patients arrive at least 15 minutes prior to their appointment time. If you arrive late, you may not be able to be seen and will be charged a missed appointment charge of $25.
The Student Health Center accepts a variety of health insurance plans, Cash, Checks, Credit Cards, and Flex (HSA) cards. Texas State students can set up a payment plan or have your balance transferred to your student account if you are unable to pay at the time of service.
The Student Health Center can file claims with in-network health plans. It is your responsibility to give the Student Health Center accurate insurance information prior to your visit. By giving us your insurance information, you authorize the Student Health Center to submit a claim to your insurance company. If you do not want the Student Health Center to file a claim with your insurance company, you must notify the Student Health Center Cashier Office at the time of your visit and pay in full for any charges incurred at the time of service. Some services may qualify for a prompt pay discount.
Insurance plans have very different coverage. Learn what your plan covers and how your plan assigns patient responsibility for different types of services. Your insurance plan may apply charges to a deductible, coinsurance, or copay. Some services, like preventive care, may be covered at 100%. You are responsible for any charges your insurance company applies to patient responsibility. After your insurance processes your claim we will bill you for any remaining balance. Your balance will be transferred to your student account if you do not pay by the due date. Use the "My Health Coverage at a Glance" tool to help learn about your plan.
- 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 - United Healthcare/AHP
- United Healthcare (Choice, Choice Plus)
Students with Tricare Prime can use their benefits at the Student Health Center clinic only after obtaining authorization from their Primary Care Manager (PCM). Please use the "How to Use Tricare Prime in the Student Health Center Clinic" document to aid you in requesting authorization to use the Student Health Center.
NOTE: The Student Health Center does not accept any HMO products or government programs (Medicare or Medicaid) at this time.
For more information call our Billing and Insurance Office at 512.245.2161, option 4.
The Student Health Center Pharmacy accepts most insurance plans, including Tricare. Call our Pharmacy at 512.245.2161, option 1 for more information on insurances accepted in our Pharmacy.
Uninsured or have out-of-network insurance coverage? You will be considered ‘self-pay’.
Self-pay students will be offered prompt pay discounted prices to keep healthcare costs affordable. 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 if they schedule at least three business days in advance or by request. If you have questions about your bill or want to dispute a bill please contact the Student Health Center Billing Department at 512.245.2161, option 4. For more information about Good Faith Estimates or your rights for disputing a bill visit https://www.cms.gov/nosurprises/consumers/understanding-costs-in-advance.
Texas State Student Insurance Plan
Are you interested in getting health insurance?
Insurance plans vary greatly. Your coverage and your patient responsibility will depend on your specific plan details and the services you receive. Your insurance plan may apply charges to a deductible, coinsurance, or copay. Some services, like preventive care, may be covered at 100%. You are responsible for any charges your insurance company applies to patient responsibility. The Student Health Center is required to collect co-pays, co-insurance, and deductibles according to your insurance plan coverage.
• Call the number on the back of your insurance card to fill out your My Health Coverage form.
• Ask your insurance company about their coverage and benefits for specific health services you are considering so you know what you will be responsible for prior to your visit.
• Ask if your plan has any restrictions on which lab can be used. The SHC uses Clinical Pathology Laboratories (CPL).
If your health insurance does not pay for any part of your charges, or if you are not using health insurance, the Student Health Center will send you a Balance Due Notification email. If you do not pay the balance in full or establish other payment arrangements with the Cashier Supervisor by the due date, the balance will be transferred to your Texas State student account where you may accrue late fees or have a hold placed on your account. Stop by the Student Health Center Cashier or call 512.245.2161, option 4 to discuss payment options or questions about your bill. Payment plans are available.
If you had lab work during your visit, you may also receive a bill from Clinical Pathology Laboratories (CPL) after your insurance processes the lab charges.
Patients who do not have insurance, have an out of network plan, or patients who choose not to use insurance for privacy or personal reasons may be eligible to receive a discounted Prompt Pay rate for some services.
The subscriber on the insurance plan may receive a summary of your charges from the insurance company called an Explanation of Benefits. The summary may include details on what services you received. If you have a privacy concern related to your visit, please stop by the Cashier Department or call the Cashier Department at 512.245.2161, option 4 to discuss your options prior to receiving care. You have the option to pay at the time of services and not use your insurance. You must inform the Cashier at the time of visit if you choose not to use your insurance.