Student Health Center
Student Services Building 4.700
Phone: 972-883-2747
Fax: 972-883-2069

Clinic Hours
Monday-Thursday 9 am - 6 pm
Friday 8:30 am - 5 pm
Closed Saturday, Sunday, and all University Holidays

- Last regular appointment time 5:20 pm
- Last urgent appointment time 5:40 pm

- Last regular appointment time 4:20 pm
- Last urgent appointment time 4:40 pm

Mailing Address
Student Health Center
800 W. Campbell Rd., SSB 43
Richardson, TX 75080

Insurance for International Students

Filing Claims

Medical Claims

Make a photocopy of the original itemized bill.  Keep this original receipt for your records.  On the photocopy, clearly print the following:

Patient Information:

  1. Name
  2. Date of birth

Insured Student Information:

  1. Name
  2. Current address
  3. Your social security number or the 10 digit number you register for UT Dallas classes with.
  4. Policy number: 101464

Mail this copy to:

Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, TX 75266-0044

For further information, please visit:

After you have submitted your claim to the insurance company and it has been processed, you will receive an Explanation of Benefits (EOB) from the Blue Cross Blue Shield Insurance Company. This is not a bill. Do not pay it. An EOB is an informative statement about your claim (bill) that has been processed. Keep this EOB for your records

You will then receive a bill from the provider for your remaining balance. The balance due on the bill from your provider should match your balance due listed on the EOB. If it does not match, phone the Student Health Center Office at 972-883-2747 to schedule an appointment.

If you have questions regarding a claim and/or EOB, please contact customer service at (800) 521-2227. 

Prescription Claims

You have two options:

Present your ID card to the network pharmacy when the prescription is filled,  you will be responsible for paying the applicable copayments.  If you do not use a network pharmacy, you will be responsible for paying the full cost of the prescription.  OR

If you do not present your card, you will need to pay for the prescription and then submit a Prescription Reimbursement Form along with the paid receipt in order to be reimbursed.  Please note, starting Fall 2009, these claims are made through Medco and not United Healthcare.  If you do not use a network pharmacy, you will be responsible for paying the full cost of the prescription.  Here is how to submit a reimbursement form:

  1. Print and complete the Pharmacy Reimbursement Claim Form
  2. Attach a copy of your pharmacy receipt to this form

Mail complete form and receipts to:

Prime Therapeutics
P.O. Box 14624
Lexington, KY 40512-4624

Visit  Prime Therapeutics  to find the nearest participating pharmacy.  If you have any questions regarding your claim, please call 1-800-521-2227. 

File claims within 30 days of Injury or first treatment for a Sickness or as soon as reasonably possible. Bills should be received by the Company within 90 days of service. Bills submitted after one year will not be considered for payment except in the absence of legal capacity.

Please Note: Beginning fall, 2014, however, students who have purchased the UT Student Health Insurance Plan (SHIP) will no longer be required to make payment at the time they receive services.  The Student Health Center will start filing insurance claims directly with Blue Cross Blue Shield on behalf of students who are covered by the plan.  Services received at the UT Dallas Student Health Center are 100% covered by the UT SHIP.  Students who receive services outside of the UT Dallas Student Health Center will have to file their own claims and submit their receipts and proof of services received to their respective medical insurance company. Our office is able to explain the insurance process to insured members and the steps to take when dealing with the insurance company.  If you need assistance, please send an email