Insurance Requirement for F-1 Students

City College of San Francisco international students are required to maintain minimum essential health insurance coverage. The college has mandated that F-1 visa students must fulfill these requirements by enrolling in the coverage chosen by the college for our international students. All City College of San Francisco international students who are here on an F-1 visa are therefore required to purchase health insurance through Relation Insurance with Aetna. This policy provides excellent medical coverage at a competitive price. Once you have enrolled in your health insurance for the term, you will be able to choose your doctor(s) from a large number of health care providers in the San Francisco and Bay Area communities who are part of the Aetna network. The student plan is called "Passport to Healthcare Primary PPO". This insurance is mandatory for all F-1 international students. 

How to Enroll

International Students in the Academic Program, Conditional Admission Program, and Intensive English Program may enroll in the insurance coverage in one of the following ways:

After you have enrolled, please allow a minimum of 1-2 business days for your payment to be processed, and for your hold on myRAM Portal to be removed.

Frequently Asked Questions

The policy provides excellent benefits, including a generous maximum benefit per Injury or Sickness of $250,000 per year and 80% coverage for most physician and clinic/hospital services within network, minus a co-pay, if applicable. A $20 co-payment is required to see a doctor. A $20 co-payment is always required to go to Urgent Care. A $50 co-payment is required for a visit to a hospital Hospital. Room and board includes a $100 copayment per visit. The outpatient hospital visit pays at 80% in-network (no copayment). There is a $250 co-payment if you go to an emergency room. This amount is waived should the student be admitted to the hospital.

Click here for the detailed "Plan Summary" document (benefits are on pages 8-11). 

In-network means providers such as physicians, specialists, and hospitals who have a contract with this insurance plan. Sometimes it is also called “PPO” or “Preferred” network. The network for this plan is Aetna Passport to Healthcare® Primary PPO. If you use an Aetna provider, covered medical services are paid by the insurance company at 80% of the Preferred Allowance. If you use an out-of-network provider, covered medical expenses are paid at 60% of Usual, Reasonable, and Customary (URC) charges.

To find an Aetna provider (doctor, urgent care, etc.): 

  1. Visit
  2. Enter your location and range, then click “Search.”
  3. Select the Passport to Healthcare® Primary PPO, then click “Continue.”
  4. Type the name, specialty, or type of provider you’re looking for into the search bar, or click the corresponding category.
  5. Select a provider from the list, and call to make an appointment.

It is best to locate an Aetna doctor, urgent care center, and emergency room near you before you get sick. Always verify the provider is part of the Aetna Passport to Healthcare® Primary PPO Network before you receive treatment.

Once you have purchased your health insurance through Relation Insurance Services, a list of enrolled students will be updated and sent directly to the Office of International Programs the following business day. You will not need to provide proof of insurance enrollment yourself unless requested by a CCSF OIP staff member. Intensive English Program (IEP) students will need to provide proof of health insurance enrollment to the IEP coordinator when requested.

Generally speaking, no other insurance policies will be accepted as a substitute for the one that CCSF requires. Insurance coverage must be purchased and renewed each semester as directed by the CCSF Office of International Programs. International students attending CCSF are required to purchase the medical insurance policy authorized by CCSF, unless the student has health insurance through their spouse, domestic partner, or parent's employer here in the US or through a governmental scholarship. In both cases, the insurance company must be in full compliance with applicable US federal laws and the Claims Administration must be based in the USA. The policy must also meet the college's requirements. If you feel that you qualify for a waiver, please come to the Office of International Programs (Cloud Hall 212) to ask for a "Request for Waiver for Health Insurance" or email Proof of benefits/coverage is required and each waiver must be evaluated and approved on its own merits. Granting of a waiver will only be given if the paperwork is complete and the substitute health insurance policy meets all requirements.