Health Insurance at the Student Health Center
There are charges associated with services received at the Student Health Center. The Student Health Center can submit your charges to in-network insurance plans for you.
The Student Health Center Clinic 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)
- RECENTLY ADDED: 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)
We are certified providers for Tricare Select. Students with Tricare Prime can use their benefits at the Student Health Center clinic 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 512-245-2161, option 1 for more information.
The cost of services provided by the Student Health Center is the responsibility of the patient whether you use health insurance or not. 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. Use the "My Health Coverage at a Glance" tool below to help learn about your plan. Download by tool by clicking the link below under Helpful Forms.
The Student Health Center accepts Cash, Checks, Credit Cards, and Flex (HSA) cards. Can’t pay today? We can transfer your balance to your student account or setup a payment plan.
If you have an in-network insurance plan, we will wait for your insurance to process your claim and then 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.
Commonly Used Health Insurance Terms: For a more complete list of health insurance terms and examples please visit the Commonly Used Health Insurance Terms PDF.
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
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 SHC 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 student account where you may accrue late fees or have a hold placed on your account. Stop by the SHC 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 rate for some services.
The subscriber on the insurance plan may receive a summary of your visit 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.
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.