- Lifetime maximum:
Unlimited
- Annual maximum:
$100,000
-
Co-insurance in network:
80%
- Co-insurance out-of-network:
60%
- Out of pocket in network:
Unlimited
- Co-pay in ER (waived if admitted):
$350
- Co-pay in SHC:
$5
- Co-pay hospitalization:
$200
- Pre-existing condition waiting period:
12 months
- Medical evacuation:
$50,000
- Repatriation:
$25,000
- Rating base:
Monthly
- Premium:
$37.0/Month
- Lifetime maximum:
Unlimited
- Annual maximum:
Unlimited
-
Co-insurance in network:
80%
- Co-insurance out-of-network:
50%
- Deductible in student health center:
$0
-
Deductible in network:
$450
- Deductible in non-network:
$500
- Out of pocket in network:
$5,000
- Co-pay in ER (waived if admitted):
$200
- Co-pay in SHC:
$0
- Co-pay primary care:
$20
- Co-pay specialist visit:
$20
- Pre-existing condition waiting period:
No Waiting
- Preventative care:
100%
- Medical evacuation:
$120,000
- Repatriation:
$50,000
- Rating base:
Monthly
- Premium:
$95.0/Month
- Annual maximum:
$500,000
-
Co-insurance in network:
90%
- Co-insurance out-of-network:
70%
- Out of pocket in network:
Unlimited
- Co-pay in ER (waived if admitted):
$350
- Co-pay in SHC:
$5
- Co-pay hospitalization:
$200
- Pre-existing condition waiting period:
6 months
- Medical evacuation:
$50,000
- Repatriation:
$50,000
- Rating base:
Monthly
- Premium:
$95.0/Month