(877) 657-7477
Gregory Lazarev
(877) 657-7477
Student Health Advantage Platinum Insurance
Please use this high level information as a guide only and do not make any decisions solely based on this information. If you have any concerns, doubts or questions, please refer to the individual policy details for complete information, as it is not possible to accurately represent all the details in concise information such as follows, or call us for further details. If there is any discrepancy between this information and the actual policy details, the policy details will override.
All the amounts are in U.S. dollars.
Vision (eyeglasses, etc.) is not covered in any of the plans.
General
Medical - Outpatient
至最高保额。
每天一次。
至最高保额。
每天一次。
至最高保额
如果因疾病去急诊但未住院, 另付$250共付额。
实际费用的50％。承保期最高额度：每人$250,000。（随行家属$100,000）。
至最高保额
至最高保额
至最高保额
主刀医生费用的20%，不包括旁站医生。
至最高保额
至最高保额
Medical - Inpatient
至最高保额, 包括护理服务的标准双人病房。
至最高保额
至最高保额
至最高保额
主刀医生费用的20%，不包括旁站医生。
至最高保额
至最高保额
Medical - Other Treatment And Services
-
标准基础医院病床和/或标准基础轮椅
学校/俱乐部运动: 每次受伤/生病$5,000。可选:冒险运动。
如果因可承保的受伤/疾病住院，每次受伤/疾病$750。
80%（网络外60%)与新生儿护理一起最高至$5,000。必须保险生效后怀孕,不包括试管婴儿。
$10,000。不包括学生健康中心。
每天$50, 最多$500。不包括学生健康中心。
包括心理& 神经系统保障
脊椎按摩护理: 至最高保额 理疗: 至最高保额, 每天1次 必须提前获得医生许可。
United Healthcare PPO
Network of physicians, hospitals, urgent cares, labs and other healthcare providers.
No network for pharmacies, dentists, ambulance.
6 个月的等待期后, 与其它符合要求的医疗费用赔付相同。
前31天常规护理,与生育一起最高至$5,000。
-
-
保障减少50％
包括
Dental
疼痛 $350,非急诊受伤 $500
至最高保额
Travel
-
-
-
$50,000, 最多15天
$500,000
$50,000
$5,000
$10,000
Life
主投保人: $25,000, 配偶: $10,000, 儿童: $5,000
主投保人: $25,000, 配偶: $10,000, 儿童: $5,000
Other
-
意外:连续承保30天后14天,仅非美国居民。
-
-
-
$10,000
$50,000
在居住国之外
Plan Features
保险生效前, 全额退款。
保险生效后, 只要无任何理赔记录可按整月比例退款并减去$50取消费; 需填表格。
1个月至5年
$0
-
电子邮件
每次事故
$25 Up to 64
$100 Up to 64
每次事故
$500,000 Up to 64
International Medical Group (IMG)
SiriusPoint Specialty Insurance Corporation
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- For medical benefits, to policy maximum, refer to the Usual, Reasonable and Customary Charges. Deductible and coinsurance apply, unless otherwise noted.
- Whenever there is a difference in benefits levels within PPO network and outside PPO network, the benefits shown above are applicable when availing treatment within PPO network.
- Coverages shown are per person unless noted otherwise.
- The dash (-) in the fields above means Not Applicable (N/A).