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A registered full time undergraduate or a graduate student attending classes who is a minimum age of 17 years and maximum of 64 years; 1. Student must have a current passport and be travelling outside their Home Country; and 2. Student must have a valid F, J, M, or Q visa. F1 visa holder on OPT are not eligible. International full-time students (as defined by the educational institution) enrolled in an associate, bachelor, master, or Ph.D. program at a university or other accredited higher education institution outside of their Home Country. The full-time requirement is waived for summer if the student was enrolled in this Plan as a full-time student in the immediately preceding spring term. Students must actively attend classes. Home study, correspondence, and online courses do not ‘’fulfill the Eligibility requirements that the student actively attend class. The Insurer has the right to investigate Eligibility status and attendance records to verify Eligibility requirements are met. The Insured Person on this Plan who is an Eligible Person as identified in the Schedule of Benefits, a Non-United States Citizen travelling outside their Home Country and travelling to the United States and has their true, fixed and permanent home and principal establishment outside of the United States and holds a current and valid passport, and for whom proper Premium payment has been made when due.Students who are United States citizens are not eligible for coverage.

Lifetime maximum Unlimited
Annual maximum Unlimited
Co-insurance in network 80%
Co-insurance out-of-network 70%
Deductible in student health center $0
Deductible in network $500
Deductible in non-network $750
Out of pocket in network $7,000
Co-pay in ER (waived if admitted) $150
Co-pay in SHC $0
Co-pay hospitalization $0
Pre-existing condition waiting period No Waiting
Preventative care 100%
Medical evacuation 100%
Repatriation 100%