No they are not the same. The Student Health Fee is MANDATORY for most students which covers only certain services provided at the Thielen Student Health Center here on campus. The ISU Student Health Insurance is a creditable, ACA-compliant health insurance policy through Wellmark (Blue Cross/Blue Shield) that may be used worldwide.
Please visit this webpage for additional information regarding the mandatory Student Health Fee: https://health.iastate.edu/insurance-billing/student-health-fees/