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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.
    • Domestic Student enrollment form
      • This includes the current premiums.
  • 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 is offered on a monthly basis but may not exceed more than six months.
    • Continuation Enrollment form
    • If the requirements for continued coverage through the school's policy are not met, short term health insurance coverage is available through Student Resources for graduating students to consider. Follow this link for further information.
  • 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 17, 18, and 19) 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
  • Some important information
    • Summary of Changes to 2008– 2009 Policy
      • Student Only premium decreased.
      • Spouse and child(ren) premiums increased.
      • Optional Major Medical Plan benefits increased from $100,000 to $200,000 per injury/illness.
      • Out-of-Network deductible increased from $350 to $500 per policy year.
      • Inpatient Out-of-Network benefits increased from $1,300 to $2,000 max/day.
        • Room and board
        • Intensive care/hospital miscellaneous charges
        • Physiotherapy
      • Outpatient Miscellaneous Benefit cap of $1,500 was eliminated and expenses will be paid at 90% of Preferred Provider Allowance or 60% of Usual and Customary.
        • Medical emergency expenses
        • Diagnostic x-ray and lab services
        • Chemotherapy and radiation therapy
        • CAT Scan/MRI
      • Optional Accidental Death and Dismemberment benefits were enhanced.
    • 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, 2008