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U.S. Health Care and Insurance

The health care system in the United States is complex, and as a student or scholar at MSU, you are required to have health insurance. Learn how to use your health insurance so you can get the medical care you need.


Need help beyond the information provided here? Email the OISS health team at ihealth(at)msu.edu

We can help you: 

1. Understand your health insurance plan
2. Find where to get medical treatment
3. Understand your medical bills
4. Get health insurance coverage for your spouse or children (dependents in F-2 or J-2 status)

Students

New Student Early Arrival Health Insurance

Health insurance coverage for the Fall 2024 semester begins on August 16, 2024. MSU students entering the United States before August 16 should buy early arrival health insurance coverage to ensure they have access to health care the entire time they are inside the country. Early arrival coverage costs $7 per day and can be purchased for any number of days. 
   
To apply for the early arrival coverage, please use this application form: Early Arrival Health Insurance – Fall 2024

When the application form is complete, you should send it to MSU Human Resources - SolutionsCenter(at)hr.msu.edu using the encryption technique described below.

IMPORTANT: You must send in your health insurance application from your @msu.eduemail address and use the following subject line for the email: IS Early Arrival Application #encrypt
   
Using “#encrypt” in the subject line will protect the email message and the attached application form, which is very important since it will contain credit/debit card information. 
   
Please contact ihealth(at)msu.edu with any questions or concerns. 

Health Insurance Requirement

Health Insurance Requirement:

International students at Michigan State University have long been required to carry health insurance and have been automatically enrolled in MSU’s Student Health Insurance Plan, or SHIP. Students have previously had the option to waive out of the required MSU SHIP, with privately obtained health insurance coverage. Starting Fall 2020, international students will be required to keep the MSU SHIP, without a waiver option for most students.

Privately obtained health insurance plans often cover less than the MSU SHIP and exclude coverage for common health events experienced by college students.

In recent years, international students with private coverage have experienced financial hardship and barriers to health care access, resulting in threats to academic success and student wellbeing.

The MSU SHIP is comprehensive and compliant with the Affordable Care Act, ensuring that international Spartans are fully protected in the event of a health care emergency.

The current health insurance provider for MSU international students is the Aetna Academic Health Plan, often called simply "AHP". You can learn more about the AHP plan on the MSU Human Resources website.

Health Insurance Exemption Process for Fall 2024

MSU international students who will be studying from outside the United States during Fall 2024 are eligible for an exemption from the mandatory international student health insurance. 
   
International students are enrolled automatically in the required MSU Student Health Insurance Plan (SHIP).
    
If you are studying outside the United States for the Fall 2024 semester, you are eligible to apply for an exemption from SHIP. 
   
If you are studying inside the United States for the Fall 2024 semester and have an alternative insurance plan, you may qualify for a waiver of SHIP, which is different than an exemption. There are very limited criteria in which an international student can apply for a health insurance waiver – you can read more about the waiver criteria on the HR website HR website.
   
Fall 2024 Exemptions 
    
You are only eligible for an international student health insurance exemption for Fall 2024 if you will remain outside the United States until December 31, 2024 or later.
   
If you will enter the United States before December 31, 2024, you are ineligible for an exemption.
   
If you are approved for an exemption for the Fall 2024 semester and then enroll in classes taking place in person on the MSU campus for the Spring 2025 semester, your health insurance coverage dates will be as follows:
 
Fall 2024 Semester: EXEMPTION from August 16, 2024 - December 31, 2024
 
Spring 2025 Semester: COVERAGE EFFECTIVE February 16, 2025 - August 15, 2025
   
Click here to start your Fall 2024 Exemption Application
   
If you obtain an exemption and must unexpectedly travel to the United States at any time between August 16, 2024, and December 31, 2024, you will need to purchase Early Arrival Insurance. More information and a link to the form may be found in the “New Student Early Arrival Health Insurance” tab above
   
Please check this page for future updates on exemptions for upcoming semesters.
   
Questions? Email ihealth(at)msu.edu
 

Health Insurance Waiver Information

Who can waive?

Most international students will no longer have the option to use health insurance other than MSU’s SHIP. A limited number of international students will still have access to apply for a waiver. Those groups are as follows:

  1. International students sponsored by home governments or non-governmental organizations outside of MSU. 

  2. International students with MSU staff benefits, through own employment or spouse/parent employment. 

  3. International students with U.S. employee benefits, through own employment or spouse/parent employment.  

  4. International students in an exclusively online program.

  5. International students remaining outside the U.S. for the full waiver period should apply for a Health Insurance Exemption as opposed to a waiver. Please click the "Health Insurance Exemption Process" link above. 

How and When to Apply for a Health Insurance Waiver

More details about the Health Insurance Waiver process can be found at https://hr.msu.edu/benefits/students/health/waiver.html.

 

Get Your AHP Insurance Card

Aetna is NOT mailing plastic cards to anyone! Everything is digital. Here’s how students can get a card:

From a phone:

  • Go to www.aetnastudenthealth.com
  • Select your school name from the drop-down menu and click on “View Your School”
  • Select the “Get Your ID Card” link
  • Enter your school issued student ID numbers/Date of birth and click “Submit”
  • Select your ID card to display it on the screen
  • Take a screenshot to save it to your phone

From a computer:

  • Go to www.aetnastudenthealth.com
  • Enter your school name in the “Select Your College or University” field
  • Select the “Get Your ID Card” link
  • Enter your school issued student ID number/Date of birth and click on the current policy year to view your ID card (2024-2025)
  • Select your ID card
  • Select “Print your ID Card”

From an app:

  • “Aetna Health” is the name of the app students can use to display an electronic version of their card and manage their entire health insurance account

How to Use the Olin Health Center

MSU Student Health Services offers a wide range of medical services on campus at the Olin Health Center.

Your health care costs will be lowest at Olin, so it should be your first stop whenever possible. For emergencies, please go to the nearest Emergency Room. For information on what is an emergency, see the “Is this an Emergency?” section of the Local Health Facilities Map.

  • You must make an appointment to see a medical provider at Olin. Call 517-353-4660 to schedule your appointment. Many appointments will take place the same day you call. Olin now allows online scheduling as well, please visit their website to find that option. 
  • If you need a ride to the Olin Health Center and live on campus or within one mile of campus, the Olin Health Center Courtesy Van can give you a free ride to your appointment. Call 517-353-4700 to schedule a ride.
  • The Olin 24-Hour Phone Information Nurse Line allows you to contact a nurse anytime, day or night, with health-related questions. Learn more at http://olin.msu.edu/services/pin.htm.

Getting Help Off-Campus

Local area students who are sick or hurt when the Olin Health Center is closed can seek medical care close to campus. Please refer to this map of local health care resources.

Students who are studying outside of Michigan but are still located inside the United States can use this resource to find health care providers that are in-network for MSU's student insurance through the Academic Health Plan.

There are three types of resources students in this situation should use:  

Urgent Care Centers

In the United States, it is best to visit a facility called an Urgent Care Center for most common illnesses or injuries. At an Urgent Care Center, no appointments are needed and students can usually see a doctor quickly (within one hour). The cost for treatment is much lower than an Emergency Room (“ER”). You can find the locations of Urgent Care Centers located close to MSU's campus on our Local Health Facilities Map (PDF).

Hospital Emergency Rooms (or "ER") 

Students should only use a hospital emergency room when facing a serious illness or injury. In most countries around the world, people can visit hospitals for any kind of illness or injury, even if it is a minor condition. In the United States, students should only use the ER when the condition is a serious emergency. It is a common mistake for international students to go to the ER when experiencing a minor illness or injury. Students who make this mistake often wait for several hours to see a doctor and end up paying a high price for their medical care. However, when the injury or illness is severe or if an illness or injury is not improving with medical care from another doctor, the ER is the right place to go.

Below are examples of appropriate conditions for ER treatment:

  • Loss of conciousness
  • Signs of a heart attack that last 2 minutes or longer, which include chest pain or chest pain radiating to the left arm
  • Signs of a stroke, which include sudden onset of numbness in any extremity and elevated blood pressure
  • A major injury, such as a head injury
  • Bleeding that does not stop after 10 minutes of direct pressure
  • Sudden severe pain
  • Severe shortness of breath
  • A severe or worsening reaction to an insect bite or sting, or to a medication, especially if breathing is affected
  • Unexplained stupor, drowsiness or disorientation
  • Poisoning
  • Coughing up or vomiting blood
  • Suicidal or homicidal feelings
  • Anything else you reasonably believe may be an emergency

911 Emergency Line

If you or someone near you is in a life-threatening situation, always dial 911 from any phone. An ambulance, police officers, or fire engine will be sent to your location. 

Getting Medicine at a Pharmacy

Pharmacies in the United States can offer two types of medicine: prescription drugs and over-the-counter (OTC) drugs.

Pharmacies also always have a professional pharmacist available whenever they are open. Pharmacists can answer questions you may have about the medicines available at the pharmacy.

Prescription Drugs

If a doctor wants you to take medicine for your medical condition, they will write a prescription for a certain drug. The prescription may be given to you on a piece of paper or may be sent electronically to a pharmacy that you choose. If your prescription is on a piece of paper you can take it to any pharmacy to get the prescription filled and to pick up your medicine. If your prescription is sent electronically, you should go directly to the pharmacy that received your electronic prescription. Your health insurance will usually cover most of the cost of prescription drugs.

Over-the-counter (OTC) Drugs

There are many common medications that are available to purchase without a prescription at pharmacies. Common OTC medications include: mild pain relievers, cold & cough medicines, and digestive remedies. These medications will be on store shelves instead of behind the pharmacy counter. If you are not sure which OTC drug to choose, you can ask the pharmacist for advice.

Local Pharmacies 

On Campus:

  • Olin Health Center
  • MSU Clinical Center

Off Campus:

  • Meijer
  • Kroger
  • Target
  • Walmart
  • CVS 
  • Walgreens 
  • Rite Aid

Health Insurance While Working on OPT or AT

If you want to get work experience in the United States after graduation, you will use work authorization called either Optional Practical Training (F-1) or Academic Training (J-1). Learn more about work authorization in the U.S.


F-1 Optional Practical Training

After you graduate from MSU, there is no requirement for you to continue to carry health insurance. However, the cost of medical care in the United States is so high that it is very risky to be inside the country without health insurance coverage. We highly recommend that you obtain coverage for your entire OPT time period.

  • If you are employed full-time during OPT, you might receive health insurance as a benefit of your employment. (NOTE: U.S. employer-issued health insurance policies often do not cover medical evacuation or repatriation, which are essential coverages for any non-citizen living in the U.S. Please email ihealth(at)msu.edu for information on how to buy an inexpensive policy to meet these needs.)
  • If you do not receive employee health insurance, you should obtain your own health insurance. You can continue to purchase MSU Student Health Insurance (AHP) during OPT if you wish. You can enroll by contacting MSU Human Resources at 517-353-4434 or SolutionsCenter(at)hr.msu.edu
  • If you would prefer to use a different plan, please email the OISS Community Health Program at ihealth(at)msu.edu. We can send you a list of alternative plans that can be used during OPT.

J-1 Academic Training

After you graduate from MSU, the university will no longer enforce a health insurance requirement.

However, the J-1 visa status does require that you maintain sufficient health insurance coverage at all times.

All J-1 and J-2 visas holders are required to maintain health insurance that meets the following minimum requirements:

  • $100,000 per sickness/illness
  • $100,000 per accident/injury
  • $50,000 for medical evacuation
  • $25,000 for repatriation
  • Maximum $500 deductible
  • Coinsurance does not exceed 25% of covered benefit expense per accident or illness.

You are responsible for maintaining your status and that of any J-2 dependents while in the United States. Failure to maintain health insurance that meets the above criteria will result in a violation of your visa status.

  • You can continue to purchase MSU Student Health Insurance (AHP) during Academic Training if you wish. You can enroll by contacting MSU Human Resources at 517-353-4434 or SolutionsCenter(at)hr.msu.edu. If you would prefer to use a different plan, please email the OISS Community Health Program at ihealth(at)msu.edu. We can send you a list of alternative plans that meet the J-1 visa requirements and can be used during Academic Training.
  • If you receive health insurance as a benefit of your employment during Academic Training, it is not likely to meet all J-1 requirements. Please email your policy details to ihealth(at)msu.edu for an evaluation of your policy’s compliance with J-1 visa requirements.

How to Get Help With Your Medical Bills

What to Expect After Seeking Medical Care

Explanation of Benefits (EOB)

  • The insurance company will send you a form called the "Explanation of Benefits" (EOB). This form may be sent to you electronically or in the mail. The EOB is not a medical bill. The purpose of EOB is to tell you what portion of a claim was paid to the health care provider by the insurance company and what portion of the payment, if any, you are responsible for. If you have questions concerning your EOB, please contact the toll-free number on your insurance card.

Medical bills

  • In addition to the EOB, you will receive bills in the mail from the medical service providers. At times, you may receive multiple bills.

OISS Can Help

If you have questions regarding your bills or EOBs, please contact ihealth(at)msu.edu.

Learn More

Click Understanding the EOB for more information. 

Scholars

Health Insurance Requirements for J-1 and J-2

 

All J-1 and J-2 visas holders are required to maintain health insurance through a qualifying MSU health insurance policy that meets the following requirements:

  • $100,000 per sickness/illness
  • $100,000 per accident/injury
  • $50,000 for medical evacuation
  • $25,000 for repatriation
  • $500 deductible maximum
  • Coinsurance must not exceed 25% per accident or illness
  • The insurance company underwriting the policy must have one of the following ratings: 
    • An A.M. Best rating of "A-" or above
    • A McGraw Hill Financial/Standard & Poor's Claims-paying Ability rating of "A-" or above 
    • A Weiss Research, Inc. rating of "B+" or above 
    • A Fitch Ratings, Inc of "A-" or above 
    • A Moody's Investor Services rating of "A3" or above 

All J-1 and J-2 visa holders will be required to submit proof of enrollment into either a qualifying employee MSU health insurance policy (through AHP, Community Blue (nonCDHP), or Cigna) or the MSU Student AHP policy (for non-benefits eligible employees or non-employees) to complete the government check-in with OISS. 

Enrolling into a qualifying MSU health insurance policy for yourself and your J-2 dependents is one of your top priorities upon arriving at MSU. You are responsible for maintaining your and your dependents' immigration status while in the U.S. Failure to maintain health insurance through a qualifying MSU insurance plan that meets the above criteria will result in a violation of your J-1 or J-2 status. 

OISS will require proof of your health insurance before we can complete your government check-in. You will then be required to submit proof of enrollment into an MSU health insurance policy. 

J-1 Scholars Who are MSU Employees

If you are an employee of MSU, your insurance may be provided by the University.

J-1 Scholars employed by MSU full-time for more than nine months

MSU will provide your health insurance. You will have the following three plan options to choose from that are compliant with the J-1 regulations: Academic Health Plan (AHP), Community Blue PPO, or Cigna. When you check-in with your department, you will be scheduled for orientation with Human Resources at which time you will be provided with health insurance enrollment information. Please refer to the MSU Human Resources website for additional information on employee insurance.

J-1 Scholars who will be employed for less than nine months by MSU

You are responsible for providing your own health insurance and must purchase the MSU Academic Health Plan (AHP) insurance policy for yourself and any J-2 dependents. Please contact MSU HR to purchase this plan upon arrival. If your MSU host department would like to purchase this plan on your behalf, they can coordinate with MSU HR to do so. Learn more about your options by clicking on “J-1 Scholars Who are Not Employed by MSU” below. 

J-1 Scholars Who are Not Employed by MSU

Health Insurance Option:

You are required to purchase the MSU Student Insurance Policy (which exceeds the J-visa requirements) through MSU Human Resources. Please contact HR.

How to Use the Olin Health Center

MSU Student Health Services offers a wide range of medical services on campus at the Olin Health Center.

Your health care costs will be lowest at Olin, so it should be your first stop whenever possible.

  • You must make an appointment to see a medical provider at Olin. Call 517-353-4660 to schedule your appointment. Many appointments will take place the same day you call.
  • If you need a ride to the Olin Health Center and live on campus or within one mile of campus, the Olin Health Center Courtesy Van can give you a free ride to your appointment. Call 517-353-4700 to schedule a ride.
  • If you live on campus, there is a clinic in your neighborhood! Find the nearest clinic and call 517-353-4660 to schedule your appointment. To find the nearest clinic, go to the Olin Neighborhood Clinic website.

Spouses

F-2 and J-2 spouses can receive medical care at Olin Health Center. 

Children

F-2 and J-2 children cannot receive medical care at Olin Health Center. Children can receive medical care at MSU Health Team Pediatrics or with any provider that is considered in-network for your health insurance plan.

Getting Help Off-Campus When Olin is Closed

Scholars who are sick or hurt when the Olin Health Center is closed can seek medical care off-campus. There are three types of resources students in this situation should use:

Urgent Care Centers

In the United States, it is best to visit a facility called an Urgent Care Center for most common illnesses or injuries. At an Urgent Care Center, no appointments are needed and students can usually see a doctor quickly (within one hour). The cost for treatment is much lower than an Emergency Room (“ER”). You can find the locations of Urgent Care Centers located close to MSU's campus on our Local Health Facilities Map (PDF).

Hospital Emergency Rooms (or "ER") 

Students should only use a hospital emergency room when facing a serious illness or injury. In most countries around the world, people can visit hospitals for any kind of illness or injury, even if it is a minor condition. In the United States, students should only use the ER when the condition is a serious emergency. It is a common mistake for international students to go to the ER when experiencing a minor illness or injury. Students who make this mistake often wait for several hours to see a doctor and end up paying a high price for their medical care. However, when the injury or illness is severe or if an illness or injury is not improving with medical care from another doctor, the ER is the right place to go.

Below are examples of appropriate conditions for ER treatment:

  • Loss of conciousness
  • Signs of a heart attack that last 2 minutes or longer, which include chest pain or chest pain radiating to the left arm
  • Signs of a stroke, which include sudden onset of numbness in any extremity and elevated blood pressure
  • A major injury, such as a head injury
  • Bleeding that does not stop after 10 minutes of direct pressure
  • Sudden severe pain
  • Severe shortness of breath
  • A severe or worsening reaction to an insect bite or sting, or to a medication, especially if breathing is affected
  • Unexplained stupor, drowsiness or disorientation
  • Poisoning
  • Coughing up or vomiting blood
  • Suicidal or homicidal feelings
  • Anything else you reasonably believe may be an emergency

911 Emergency Line

If you or someone near you is in a life-threatening situation, always dial 911 from any phone. An ambulance, police officers, or fire engine will be sent to your location. 

How to Get Help With Your Medical Bills

What to expect after seeking medical care

1. "Explanation of Benefits" (EOB)

  • The insurance company will send you a form called the "Explanation of Benefits" (EOB). This form may be sent to you electronically or in the mail. The EOB is not a medical bill. The purpose of EOB is to tell you what portion of a claim was paid to the health care provider by the insurance company and what portion of the payment, if any, you are responsible for. If you have questions concerning your EOB, please contact the toll-free number on your insurance card.

2. Medical bills

  • In addition to the EOB, you will receive bills in the mail from the medical service providers. At times, you may incur multiple bills.

OISS can help 

If you have questions regarding your bills or EOBs, please contact ihealth(at)msu.edu.

Learn more

Click Understanding the EOB for more information. 

Family Members

Health Insurance Requirements J-2 Family Members

Health insurance coverage is a requirement of all Exchange Visitors in J-1 or J-2 status

All J-1 and J-2 visa holders are required to maintain health insurance that meets the following requirements: 

  • $100,000 per sickness and illness
  • $100,000 per accident and injury 
  • $50,000 for medical evacuation 
  • $25,000 for repatriation 
  • $500 deductible 
  • Co-insurance must not exceed 25% per accident or illness 
  • The insurance company underwriting the policy must have one of the following ratings: 
    • An A.M. Best rating of "A-" or above 
    • A McGraw Hill Financial/Standard & Poor's Claims-paying Ability rating of "A-" or above 
    • A Weiss Research, Inc. rating of "B+" or above 
    • A Fitch Ratings, Inc of "A-" or above 
    • A Moody's Investor Services rating of "A3" or above 
  • OR the policy must be backed by the full faith and credit of your home country government 

 

Finding a Pediatrician for Children

Children are not eligible to be seen at the Olin Student Health Center. 

You do not need a referral from your assigned Primary Care Provider (PCP), in order to take your child to a pediatrician. Just search for an in-network pediatrician and make an appointment with them.

To search for an in-network pediatrician, you have two options:

1. Call the phone number for AHP customer service at 1 (877) 480-4161 OR.

2. Search online at Aetna Academic Health Plan  

It can take many days or weeks to see a pediatrician as a new patient. If your child needs to be seen right away for a non-life threatening illness or injury, call an Urgent Care to find out if they can treat your child. Be sure to tell the Urgent Care your child's age as some Urgent Care facilities have age restrictions for young children and babies. Find Urgent Care facilities on our Local Health Facilities Map.

Family Health Insurance Award Program

The Family Health Insurance Award Program (FHIAP) offers international students the funding needed to purchase health insurance for their dependent family member(s) who need coverage.  

FHIAP has two award cycles each year. Applications for funding to buy health insurance for the fall semester are due in early September. Applications for funding to buy health insurance for the spring semester are due in early February. Awardees can renew their awards for continued coverage and assistance.   

Eligible

Dependents of F-1 or J-1 students who are not U.S. Citizens. 

Please note that the U.S. Citizen children of international students may be eligible for free health insurance coverage through the Medicaid program. 

Current Application Deadline

The deadline for Fall 2024 FHIAP has passed. Please check this page again for information about Spring 2025 FHIAP applications.

Contact OISS 

If you have an urgent coverage need, please contact ihealth(at)msu.edu

U.S. Citizen Children

Dependents who are U.S. citizens, such as children born in the United States, are able to apply for Medicaid.

Medicaid is health insurance provided by the U.S. government for citizens who cannot otherwise afford health insurance. Go to Medicaid in Michigan for more information.

Health Department Resources: Health & Vaccination Clinics

Ingham County Health Department

The Ingham County Health Department has many resources for families. The Ingham County Health Department website contains information on a variety of topics, such as low-cost vaccines, dental care, vision care, speech and hearing health care, and prenatal care for families expecting a baby.

Health & Vaccination Clinics

Ingham County Health Department Health Clinics for Pediatric Care

Ingham County Immunization Clinic

Vaccine Halloween 

is an annual vaccination event, hosted in October at MSU’s International Center. The event offers low-cost and free vaccines for families and children. Many vaccines are available, including the flu vaccine and the HPV vaccine. There are Halloween-themed crafts, a costume closet, Halloween photo booth, and a family resource fair, as well. Keep checking our website and follow us on social media for more information.

Dental & Vision

Dental Insurance

Pediatric Dental coverage through MSU student health insurance

Students and Scholars who enroll in the MSU Aetna Academic Health Plan have access to a variety of pediatric dental services for their children. You can access the Aetna SHIP brochure here as well.

Delta Dental Optional Dental Coverage

Michigan State University also offers optional dental insurance coverage to graduate assistants, students, and dependent family members through Delta Dental.

Fall 2024-25 MSU Student Dental Plan

Coverage and Enrollment Dates for the MSU Delta Dental Plan for 2024-2025 academic year are:

Fall Open Enrollment: July 1, 2024 through October 31, 2024

Coverage Effective: September 1, 2024 through August 31, 2025

Spring Open Enrollment: November 1, 2023 through February 29, 2024

Coverage Effective: January 1, 2024 through December 31, 2024

Learn more about the Delta Dental Student Plan and how to enroll at MSU Student Benefits

Delta Dental Patient Direct Discount Plan

Delta Dental Patient Direct Discount Plan is an easy and inexpensive alternative to dental insurance. This option is a way for you and your family to save money on the health care products and services that you need, including discounts on dental, vision and hearing care, and prescription drugs. For an annual fee of $80 per household, you and your family will have access to a variety of discounted health care services. Learn more about Delta Dental's Patient Direct Discount Plan.

LCC Dental Clinic

The Lansing Community College Dental Clinic is a great resource for students and their families to receive low-cost dental hygiene care. The dental clinic consists of highly trained dental hygienists and licensed clinic dentists dedicated to serving the Greater-Lansing community. For more information on the LCC Dental Clinic, please visit the LCC Dental Clinic website.

Vision Insurance

VSP optional vision coverage

Michigan State University offers graduate assistants, students, and dependent family members with comprehensive vision coverage through Vision Service Plan (VSP). Those interested in vision insurance may enroll in the VSP coverage option at any time on the MSU Student Vision Insurance website.