$28.5 per month
Highlights
- 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.
- Deductible and copay is waived in Student Health Center
- In network Pharmacy/SHC expense up to $100, directly billed(except appliable copay)
- Telehealth service via Teladoc
- Medical bill is charged to company directly in Network except your costs
- OPTum Rx available in Pharmacy
- Use the FirstHealth medical network covering the entire United States
2025B
| Lifetime maximum | Unlimited |
| Annual maximum | $250,000 |
| Maximum per sickness/injury | $100,000 |
| Co-insurance in network | 100% |
| Co-insurance out-of-network | 80% |
| Deductible in student health center | $0 |
| Deductible per sickness or injury | $100 |
| Out of pocket in network | Unlimited |
| Co-pay in ER (waived if admitted) | $250 (waived if admitted) |
| Co-pay in SHC | $0 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | 6 months |
| Preventative care | Not applicable |
| Medical evacuation | 100% |
| Repatriation | 100% |