A J1 valid visa holder who is outside their Home Country and is actively engaged in an educational activity and who is a minimum age of 17 years and a maximum age of 64 years, if you are one of the following: 1. Undergraduate student registered for and attending classes on a full-time basis; or 2. Graduate student; or 3. Scholar or researcher who is invited by an educational organization; or 4. Student involved in education, educational activities, or research related activities. 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. The spouse or domestic partner up to age 45. Dependent children up to age 16, if unmarried. Dependent children include the Insured Person’s natural children, legally adopted children, and stepchildren that reside with the insured. Dependents who are United States citizens or permanent legal residents of the United States are not eligible for coverage.
Lifetime maximum | Unlimited |
Maximum per sickness/injury | $250,000 |
Co-insurance in network | 100% |
Co-insurance out-of-network | 80% |
Deductible in network | $0 |
Deductible in non-network | $0 |
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 | 12 months |
Preventative care | 100% up to $250, in network or SHC |
Medical evacuation | $50,000 |
Repatriation | $25,000 |