It is a State of Tennessee requirement that all international students attending the university provide:
- proof of two immunizations against measles, mumps and rubella (MMR)
- proof of two immunizations against varicella (chickenpox) -- or documented proof from a healthcare provider of having the disease, or documented laboratory evidence of immunity to the disease. (Unless born before January 1, 1980)
- proof of a negative tuberculosis (TB) test based on a chest x-ray or skin test (this is in addition to the BCG vaccine). Must be dated within 30 days of start of classes.
- if less than 22 years old and living on campus, proof of a meningococcal vaccine (MCV4) within the past 5 years.
First time students must also complete a Health History form concerning meningococcal meningitis and hepatitis B.
All of these documents are required at the time of registration. It is strongly encouraged that the student submit these documents with the initial application whenever possible. Failure to submit this documentation may result in denial of admission or termination of student status.
To enroll in the university international student insurance policy, use this website: International Student Insurance-APSU.
Insurance may be purchased through the university; you may also purchase it separately but it should provide the same coverage, including "medical evacuation and repatriation" coverage should you need to return to your country.
Proof of Insurance: You will need to give a copy of your health insurance policy showing: your name, term of enrollment, confirmation of payment dates and coverage benefits.
If you do not have appropriate coverage at registration you will be given information on how to enroll in the APSU student insurance program.
- If you have not enrolled in an insurance program by the end of the first week of classes, you cannot attend classes until this is completed. These missed classes will be counted as unexcused absences, which will affect your attendance record.
For details on the plan through the university, what it covers, what it does not cover, and how to file a claim, please check the insurance company website at International Student Insurance-APSU.
APSU Boyd Health Services
ESL Institute students who pay the optional Program Services Fee (PSF) may utilize the APSU Health Services facilities.
- A $75 deposit will be collected at registration and held to offset charges at the Health Services office; any unused portion of the deposit will be returned to the student when they complete the ESL program.
- Students who have not paid the PSF will not have access to university health services; however, there are numerous clinics and health facilities in the Clarksville area from which to obtain needed services.
- For more information about Boyd Health Services go to
Frequently Asked Questions about Insurance
In the United States, health care costs are extremely expensive. International students are often surprised by how very high a doctor's bill is for what seems to be a very simple treatment. You might also come from a country where healthcare costs are paid by the government, or where there are special rates for students. This is not the case in the U.S. - here, F-1 visa students must pay for their own health care costs.
The State of Tennessee and Austin Peay State University REQUIRE F- and J- visa students have "adequate medical and hospitalization insurance on themselves and any dependents who are also in the U.S. as a condition of admission before each semester of registration."
Proof of school insurance is required BEFORE enrollment can be allowed. This means that you must bring proof of adequate insurance to your registration appointment or be prepared to enroll in and pay for the TBR insurance at that time.
This insurance must be maintained throughout enrollment.
The insurance is in place to provide partial coverage for most injuries or illnesses. It is not meant to be a full-coverage healthcare plan.
However, it is very useful for reducing the cost of most treatments that the average student may incur during their time in school.
Partial coverage generally includes:
- both inpatient and outpatient coverage for emergency health care, including ambulance, emergency room and laboratory & X-ray coverage, within limits described by the policy.
- both mental AND physical health coverage, for illness and injury beginning during the insurance coverage, within limits described by the policy.
- both medical evacuation AND repatriation coverage.
- while not an illness, pregnancy that begins while the student is insured is covered under the details and limits described by the policy.
Remember that this is emergency illness/accident coverage, and it does NOT cover eyeglasses, checkups, immunizations or regular dentistry.
YES, your insurance may be cheaper, and it may cover some things that the school insurance does not; HOWEVER:
- International student insurance must have a provision that pays for your plane ticket home if you drop out of school due to illness or injury, or if you die. This kind of coverage is called “medical evacuation & repatriation”, and is REQUIRED if you will be a student at Austin Peay State University. This is not a common benefit of other kinds of health insurance.
- International student insurance must cover from the first day of classes until the last day of exams; and the entire semester of coverage must be proven before registration. Outside insurance usually does not have terms that match the school calendar.
- If Austin Peay State University is investigated by the TBR, and any student is found to be un-insured at that time, the University would suffer severe penalties. Students may cancel outside insurance after purchase, which would leave them un-insured for part of the semester.