➊ J1 valid visa holder. (An F1 visa holder on OPT is not eligible); or Undergraduate student registered for and attending classes on a full-time basis; or Graduate student; or Scholar or researcher who is invited by an educational organization; or Student involved in education, educational activities, or research related activities. ➋ J-2 dependents cannot enroll in this plan alone, J2 must enroll in this plan together with J1 visa holders. ➌ J2 children under the age of 10 can follow J1 for free. ➍ All J2 spouses & J2 children over 9 pay the same rate as J1. ➎ Each J1 can apply for one J2 child for free.
Lifetime maximum | Unlimited |
Maximum per sickness/injury | $100,000 |
Co-insurance in network | 80% |
Co-insurance out-of-network | 60% |
Deductible in network | $250 |
Deductible in non-network | $250 |
Out of pocket in network | Unlimited |
Co-pay in ER (waived if admitted) | $250 |
Co-pay in SHC | $5 |
Co-pay hospitalization | $0 |
Pre-existing condition waiting period | 6 months |
Medical evacuation | $50,000 |
Repatriation | $25,000 |