| Coverages |
StudentHealth
Advantage - Standard |
StudentHealth Advantage - Platinum |
Accident & Sickness
Medical
Routine physical
exams and vaccinations are
not
covered |
$300,000 per injury or illness maximum
Dependent $100,000 per injury or illness maximum |
$500,000 per injury or illness maximum
Dependent $100,000 per injury or illness maximum |
TELADOC - Service is FREE
for Active policy holders.
With TELADOC you can be connected with a licensed
physician in minutes, not hours or days like you would at the
ER, Urgent Care, or with your Doctor. And, you can get
care from wherever you are home, work or traveling. Common
issues treated through Teladoc includes allergies, bronchitis,
cold and flu symptoms, respiratory infections, skin problems,
sinus problems, and much more. |
Included
|
Included |
| Deductible |
$250 per injury or illness In-Network
$5 per injury or illness
Student Health
$250 per injury or illness ER |
$250 per injury or illness In-Network
$50 per injury or illness
Out-of-Network
$5 per injury or illness Student Health
$250 per injury or illness ER |
| Co-insurance |
In PPO Network or Student Health Center within U.S. &
Canada:
Plan pays 90%/Insured pay 10%
Maximum out-of-pocket: $1,000
Out of PPO Network if within U.S. & Canada:
80%
of eligible expenses up to $5,000; then 100% thereafter
|
In PPO Network or Student Health Center within U.S. &
Canada:
Plan pays 90%/Insured pay 10%
Maximum out-of-pocket:
$1,000
Out of PPO Network if within U.S. & Canada:
80%
of eligible expenses up to $5,000; then 100% thereafter
|
| Medical
Lifetime Maximum |
$500,000 |
$1,000,000 |
| Emergency Medical
Evacuation |
$500,000 |
$500,000 |
| Repatriation of mortal
remains |
$50,000 |
$50,000 |
| Pre-existing condition
coverage |
Covered after 12-month waiting period. |
Covered after 6-month waiting period. |
| AD&D - Accidental Death &
Dismemberment |
$25,000
Student
$10,000 Spouse
$5,000 Dependent Child |
$25,000
Student
$10,000 Spouse
$5,000 Dependent Child |
| Maternity coverage |
No coverage. |
Subject to Special Maternity Pre-certification requirements, same as
any other illness. $5000 Maximum coverage |
|
Mental Health |
| Out-patient: |
$50 per day; $500 lifetime maximum
|
| In-patient: |
URC to $10,000 lifetime maximum |
| Student Health Center Treatment |
$0 |
|
| Out-patient: |
$50 per day; $500 lifetime maximum
|
| In-patient: |
URC to $10,000 lifetime maximum |
| Student Health Center Treatment |
$0 |
|
|
Intercollegiate, Interscholastic Sports |
$5,000 maximum
per injury |
$5,000 maximum
per injury |
|
View Policy
Details |
|
|
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