• How to Purchase Student Health Insurance

  • How to File a Claim

The Texas A&M University System­ 2017-2018
Student Health Insurance Plan­ - BlueCross BlueShield of Texas Academic Health Plans

Texas A&M­ University System is proud to offer ACA compliant Insurance for WTAMU students and their dependents.­

­Information will be available at Academic HealthPlans, Inc.,­­ 877-624-7911.

Click on enrollment on the top of Academic HealthPlans, Inc. to get started

  • No Annual Maximum

  • Preventative Services covered at 100%

  • Student Health Services paid at 100% (deductible waived)

  • Blue Cross and Blue Shield of Texas PPO Network and Blue Card for traveling

  • Easy Online Enrollment

  • Includes Global Emergency Services



Texas A&M System Student Dental

lf you have any questions, please call Customer Care at 1-877-624-7911
(8:30 AM - 5:00 PM, CST, Monday - Friday)


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.­


  1. 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

  2. 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. (please include both front and back of the 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 or fax­­ 806-651-3289.­ 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.­
  1. ­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.

  2. 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).

  3. 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 has been finalized and and has a remaining balance, adjusted,  denied or deemed as un-collectible, 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.­ ­

  4. What if my claim is denied or un-collectible 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.­­

  5. What will NOT be billed by insurance?

  • Pharmaceuticals/Medications
  • Allergy Injection Semester Fee
  • 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
  • Thermometers
  • CPR/AED, First Aid or BLS classes
  • Boot Liners
  • Medical equipment that has been loaned to the patient
  • Rabies Vaccines must be purchased  in advance
  • Medicaid/Medicare claims
  1. ­­­­­­­­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 daily submission.­

  2. ­Students that have military insurance coverage:  Please submit the insurance card that includes the name and Social Security Number of the sponsor and the region. 

  3. WTAMU is in network with:  Blue Cross Blue Shield, Cigna, United Health Care and First Care. 

  4. WTAMU is not a Medicaid or Medicare provider. 

  5. WTMAU cannot file claims with Molina, Superior,  Amerigroup  or Kaiser. 

  6. WTAMU is not in network with Aetna at this time but we can file your claims. 

  7. What does out of network mean? 

    When a doctor, hospital or other provider accepts your health insurance plan we say they’re in network. We also call them participating providers. When you go to a doctor or provider who doesn’t take your plan, we say they’re out of network. The two main differences between them are cost and whether your plan helps pay for care you get from out-of-network providers.

  8. Please note that all payments made with a major credit card must be made in person in  the Student Medical Services office.



Revised 8/18/20