Health Insurance Acceptance at Student Health Services

The Student Health Services (SHS) clinic will file health insurance claims for patients with in-network providers. Patients who wish to bill their insurance must provide Student Health Services with their insurance information prior to their first visit and are required to show their health insurance card at every visit. By providing Student Health Services your insurance information, you are authorizing us to file a claim with your insurance company for services rendered. Insurance benefits can be filed for office visit charges, procedures, immunizations and lab tests.

TWU Student Health Services uses CPL (Clinical Pathology Laboratories) for all labs conducted off-site.

The Student Health Center clinic is in-network with the following providers:

• Blue Cross Blue Shield PPO/POS (excludes HMO and plans with JEA or ZGN prefixes)
• Aetna PPO (excludes HMO and MultiPlan)
• TWU Student Health Insurance Plan- AHP United Healthcare

The Student Health Center does NOT accept the following:

• HMO plans
• Insurance pre-authorizations or pre-certifications
• Medicare
• Medicaid
• Tricare (military insurance)
• Other government programs

Prior to the first visit, patients should go to the SHS Patient Portal and select the Insurance tab to upload their health insurance information. This will allow SHS to verify health benefits in advance of the visit. Those with any questions about their health plan benefits should call the customer service number on their insurance card so that they may inquire about their benefits coverage at Student Health Services, including co-pay, and any restrictions on the lab service provider (Clinical Pathology Laboratories) they can use.

Cost of Services When Using Insurance Benefits

The cost of your visit will depend on your health plan benefits. Many plans offer 100% coverage for preventive services. TWU Student Health Services is required to collect co-pays, co-insurance or deductibles according to your insurance plan coverage. Consequently, students who want to use their insurance benefits must provide their insurance information before receiving services.

A patient’s student account will be billed whenever a claim is denied due to patient ineligibility, benefit limits, lack of coverage for service rendered, or when the health plan does not provide full coverage for the service. Out-of-network patients may receive a detailed claim from the Cashier Department that can be used to submit to their insurance company for reimbursement.

Privacy Note

Students using their parent's health insurance should be aware that your parent may receive a summary of your visit from the insurance company called an Explanation of Benefits. It will include a summary of the services received. If you have a privacy concern related to your visit, please call the Student Health Insurance Specialist at 940-898-3846 to discuss your options prior to receiving care. You may elect to pay at the time of services rather than use your insurance.

For commonly used Health Insurance Terms visit the Department of Labor's glossary of health coverage and medical terms.