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F-1 and J-1 International Student Health Insurance

UPDATE: Texas State University UPPS 07.09.04 International Student Health Insurance, requires all enrolled international students with non-immigrant F-1 and J-1 visa classifications to purchase coverage under the designated international student health insurance policy as a condition of enrollment. Students must maintain continuous health insurance coverage from the time of enrollment to the time of completion of their degree program at Texas State.

AHP Orientation Video - International

Academic HealthPlans: Why Should You Buy Student Insurance/Understanding Care Coverage

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All international students on F-1 and J-1 visas are required by university policy to have health insurance coverage while enrolled in classes at Texas State. International students must either purchase the international student health insurance plan or submit a waiver for each semester that they are enrolled at Texas State. Health insurance will NOT be added to an international student's university bill and students must either self-purchase the plan or submit a waiver for approval.

1. Purchase the Student Health Insurance plan endorsed by the university, or

2. Request a waiver by submitting proof that student has health insurance coverage that is:

  • Student is covered by a U.S. employer health insurance plan or by a parent/spouse's U.S. employer health insurance plan that is compliant with the Affordable Care Act (ACA).
  • Student's sponsored plan (US Government or Foreign Government) is recognized by the U.S., and the sponsor guarantees payment of all healthcare expenses including medical evacuation and repatriation, and are in compliant with the Affordable Care Act (ACA).

If you are eligible to waive the student Health Insurance Plan, you should request a waiver through Insurance Portal. Please do not email your Health Insurance Benefit to International Student and Scholar Services (ISSS).

Students whose insurance policy does not include Emergency Medical Evacuation and Repatriation MUST purchase the Academic Emergency Services (AES) through the AHP portal

Exchange students MUST purchase the Student Health Insurance Plan and ARE NOT eligible to request a waiver.

Students will receive an e-mail with instructions each semester. The e-mail will go to the student’s Texas State e-mail address. The e-mail will have a web link for students to use to either purchase the plan or submit an online waiver request. The first e-mail will be sent out at the start of the open enrollment period (see table below).

If you have not received an e-mail by the first day of open enrollment, e-mail ISSS at for further instructions.

2021-2022 Premium Costs and Coverage Periods For F-1 & J-1 International Students and Their Dependents

Coverage Periods


08/23/2021 through 01/09/2022

Spring & Summer Combined Plan

01/10/2022 through 08/22/2022


(New Students Only)

05/23/2022 through 08/22/2021


$753 $1,210 $495


$753 $1,210 $495


$753 $1,210 $495

*Dental and Vision are not available. For Discount program information, visit AHP to learn about add-on coverage options.

*Payments by credit card include a 3% credit card processing/administration fee not to exceed $40.

All payment is made directly to Academic HealthPlans. ISSS does not facilitate or process health insurance enrollment or payment.

  • Enrollment Date: First day students can purchase the student health plan or request a waiver:

    2021-2022 Academic Year Enrollment Dates

    • Fall Plan - May 21, 2021
    • Spring/Summer Combined Plan - October 21, 2021
    • Summer Plan (New Students Only) - March 25, 2022

    Enrollment Deadline: Last day students can purchase the student plan or request a waiver. Students that do not meet the requirement by first day of classes will have a hold placed on their account. Deadline to submit a waiver or enroll in the insurance plan and avoid a hold being placed on your account:

    ​​​​​​​2021-2022 Academic Year Enrollment Deadline

    • Fall Plan - October 1, 2021
    • Spring/Summer Combined Plan - February 25, 2022
    • Summer Plan (New Students Only) - June 3, 2022

    IMPORTANT:  A “Hold” will prevent you from changing classes, registering for the next semester classes, applying for graduation, and applying for OPT. These holds can jeopardize your status for not maintaining F-1 requirements of enrollment.

    • IMPORTANT:  After the Enrollment Deadline, students will only be able to have their “Hold” removed by showing proof of purchase and enrollment in the student health plan. Waiver requests will not be allowed.

    • Students arriving late to campus and registering after this deadline can contact ISSS for assistance at

  • Present proof that you have enrolled and paid for the Student Health Plan to ISSS. Waiver requests will not be accepted.

    1. Send an email to ISSS ( with a copy of your payment receipt or email confirmation from AHP (Academic Health Plan). Do not bring a hard copy to ISSS.
    2. ISSS will confirm your enrollment in Health Insurance with AHP.
    3. Holds will be removed by 5pm the next business day.

    Contact ISSS by emailing at

  • View the AHP Guide for purchasing health insurance: Online Enrollment Student Experience Guide

    1. Go to
    2. Select the ‘Enrollment’ tab.
    3. Select the ‘Enroll Online’ link.
    4. Read the Terms and Conditions and if you agree select the ‘I Accept’ button
    5. Enter the following:
      1. Student ID - Texas State Student ID#
      2. Birth Date - Your date of birth in mm/dd/yyyy format
    6. Select the ‘International Medical Coverage’
    7. Complete the remainder of the requested fields
    8. Establish your individual payment method. After completing the multipage form, select the ‘Place Order’ button.
  • To WAIVE (you do not want the student health insurance plan because you have your own insurance*)

    1. Go to

    2. Select the 'Waiver' tab.

    3. Select the ‘International Students: click here to submit your waiver request’ link.

    4. Enter the following:

    1. Login - Texas State Student ID#

    2. Password - Your date of birth in MMDDYYYY format (Unless you previously changed the password).

    1. Click on the red button from the "No, I do not want the insurance." section.

    2. Enter your insurance information and required attachments.

    3. Select the "Submit Waiver" button at the bottom of the waiver form.

    Your own insurance must meet the following conditions for an approved waiver request and coverage must be active on the first day of classes for the semester the student submit a waiver and coverage must continue through the end of the coverage period semester.


    International students required by this policy to have health insurance as a condition of enrollment may apply for an online insurance waiver each semester if they can provide proof of coverage with an insurance plan providing at least the minimum coverage specified in Sections 04.01 and 05.01. Acceptable proof of coverage is limited to (1) the university-endorsed student health insurance plan, (2) government-sponsored plan, or (3) U.S. employer-sponsored plan. The amounts of coverage must appear in U.S. dollars on the proof of coverage provided. The insurance must be underwritten by an insurer with an established record of claims payment in the United States. International students seeking to obtain an insurance waiver must provide the appropriate documentation by the published deadlines using the online waiver system provided by the health insurance administrator.

    NOTICE: Student’s alternate insurance plan must be effective on or before the first day of classes for the semester in which the student applies for a health insurance waiver and covers through the end of the coverage period semester.

    For more information on the University Policy see here.

  • Graduate students employed in a benefits-eligible position are eligible to participate in the medical insurance and other optional benefits offered to Texas State employees through the Employees Retirement System of Texas. Benefits include:

    • 50% contribution toward your medical premiums
    • 60-day waiting period for medical coverage to begin and no waiting period for optional coverage such as dental, vision or term life.

    If you choose to enroll in the employee health insurance plan and NOT the international student insurance plan, please email Students who choose the employee health insurance plan must submit proof of health insurance coverage or intended coverage to after 60 days of employment start date otherwise a hold will be placed on the student's account.

    See more from the Office of Human Resources:

  • For more information, contact AHP: or call 1-855-850-4298.

  • For non F-1 and J-1 students, you are no longer subject to University Policy regarding Health Insurance and are not eligible to purchase the International Student Health Insurance Plan. Texas State University offers a Student Health Insurance Plan for all domestic students who are currently enrolled, please click here to learn more.