Purchasing Health Insurance
and Student Health Insurance Billing
The Texas A&M University System 2015-2016
Student Health Insurance Plan -
BlueCross BlueShield of Texas Academic Health Plans
Texas A&MUniversity System is proud to offer ACA compliant Insurance for TAMU's students and their dependents.
Information will be available at Academic HealthPlans, Inc., 877-624-7911. Click on enrollment.
No Annual Maximum
Preventative Services covered at 100%
Student Health Services paid at 100% (deductible wiaved)
Blue Cross and Blue Shield of Texas PPO Network and Blue Card for traveling
Easy Online Enrollment
Includes Global Emergency Services
Any enrolled Texas A&MUniversity System Student taking at least (6) credit hours of classes is eligible to enroll in this insurance plan. Students who are enrolle d in special classes and take less than six (6) credit/contact hours of classwork will be determined eligible for this Student Health Insurance Plan if the reduced coursework meets the criteria for the completion of a degree plan or International program as defined and approved by the Texas A&M Universiy System.
International Students (those who are not United States citizens or permanent residents of the United States) ARE REQUIRED to maintain approved health insurance coverage continuously while enrolled and attending a Texas A&MSystem institution, unless the student provides proof of coverage that meets the Texas A&MUniversity System waiver requirements (See the TAMUs Policy #266.99.01).
All registered and enrolled Texas A&M University GRADUATE STUDENTS employed by the System are eligible to enrol in this insurance plan (no minimum hour requirment).
Student Health Insurance Billing
West Texas A&M University Student Medical Services is excited to announce that our facility will begin billing the student’s health insurance plans in the Fall 2014 semester. WTAMU Student Medical Services will utilize a third party billing company. The student health fee which is paid by the student with each semester’s academic charges will cover the co-payment. Students may opt to have their primary insurance company billed for services (lab tests, x-rays, medical procedures, medications, etc) or they may choose to self pay. This service will be specifically for fees incurred within Student Medical Services.
- Who is required to have insurance and why? All United States citizens and all international students are required to have health insurance. On March 23, 2010, President Obama signed the Affordable Care Act. The law puts in place comprehensive health insurance reforms. https://www.healthcare.gov/
- What documents or information will the student need for SMS to bill their health insurance company (ies)?
- Please provide SMS with the most current health insurance card. This will include the insurance carrier, policy number and group number of the insured.
- If you would like to e-mail a PDF copy of health insurance cards to firstname.lastname@example.org or fax 806-651-3287. Please be sure that the copy of the insurance card is legible and includes a the name of the student and the student's Buffalo Gold Card number. Please also provide a telephone number in case we have questions.
- Will the student need to pay a co-pay for the visit? No. Because students pay tuition that includes a health fee, which supports the basic operations of WTAMU Student Medical Services, it will NOT be necessary for us to charge a co-pay for services.
- Is it the student’s responsibility to file a claim? No. The WTAMU Student Medical Services Department will submit the claim to the billing agency. This billing agency will file the claim with the insurance company(ies).
- Will an academic hold/restriction be placed on the student’s account until the insurance claim is paid? No. We will not place an academic hold/restriction on the student’s account if the account is being processed by the insurance company (ies). If the claim is denied or deemed as uncollectible, the student will receive a bill by mail and have an additional 14 days to pay the balance before a hold is placed. The student has a right to file an appeal with the insurance company. If an appeal is filed, please notify Student Medical Services so that a hold/restriction is not placed on the student.
- What if my claim is denied or uncollectible by my insurance company? You have the right to file an appeal with your insurance carrier, but must notify Student Medical Services if an appeal is being filed. You will receive a bill in the mail for the basic fees incurred (lab, medications, x-rays and certain procedures). As with all non-insured patients, you will have up to 14 days to pay the balance before an academic hold and a $2.00 processing fee is placed. Once the balance is paid the hold will be removed.
- What will NOT be billed by insurance?
- TB Testing
- Varicella Titers
- Meningitis Vaccine that has been documented as a tuition payment. (The student can either submit their insurance claim for the vaccine or place the payment on their tuition bill. We cannot do both.)
- Referrals, health care or health expenses incurred outside WTAMU Student Medical Services. The patient or the outside facility must file the claim.
- No shows/non cancellation fees
- Processing fees/late fees
- CPR/AED, First Aid or BLS classes
- Boot Liners
- Rabies Vaccines must be paid in advance
- What if the student doesn’t want a confidential lab, medication or procedure to be submitted to insurance? The student can self pay for any lab test, medication or procedure that they do not want to have submitted to insurance. Please inform the receptionist or nurse to remove the insurance billing for this procedure or daiy submission.
- If I am in the military, what region do I choose? Tricare South
Revised June 3, 2015