$104.0 per month
Highlights
- 80% coinsurance in UHC PPO
- Preventive care 100% cover like HPV, Flue and other vaccine
- In network Pharmacy/SHC expense is directly billed(except appliable copay)
- Telehealth service via Teladoc
- Medical bill is charged to company directly in Network except your costs
- Worldwide coverage including vacation travel in other country(not home country)
- Expenses in excess of $5,000, fully paid by company
- No waiting period on pre-existing condition
- Deductible and copay is waived in Student Health Center
- Providing the 1095B tax form
Must be an International student enrolled in and attending a recognized higher education institute outside of their country of residence.OPT students are not eligible(Please see DIANins OPT Plan). Students must actively attend classes. Home study, correspondence and online courses do not fulfill the eligibility requirements that the student actively attend classes. The Company maintains its right to investigate eligibility or student status and attendance records to verify that the policy eligibility requirements have been met. If the Company discovers that the policy eligibility requirements have not been met, its only obligation is to refund premium.
| 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 |