| VISIT®
Family Plans Are Ideal For: |
- International students
- Spouse
- Dependent children
|
- ESL
- Visiting faculty
- OPT/AT students
|
- Scholars & researchers
- High school foreign students
|
|
| Choose from 7 different
Family
Insurance Plans: |
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- Choose $100K or $250K Medical
- Maternity included up to $10,000
- $100
deductible per illness/injury
(reduced to $50 if Student
Health)
- 80/20 co-insurance to $10,000
- As low
as $36 per month
|
- Choose $100K or $250K Medical
- Maternity included up to $10,000
- $100
deductible per illness/injury
(reduced to $50 if Student
Health)
- 80/20 co-insurance to $5000
- As low as
$40 per month
|
- Choose $100K or $250K Medical
- Maternity covered to policy max
- $100
deductible per illness/injury
(reduced to $50 if Student
Health)
- 80/20 co-insurance to $5000
- As low as
$45 per month
|
- Choose $100K Medical
- No maternity coverage
- $100 deductible per policy period
- 80/20 co-insurance to
$5000
- As low as $43 per month
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Economy, Standard and Super Plan Benefits
Underwritten by Virginia Surety Company, Inc. (VSC), rated A-
“Excellent” by A.M. Best. The VSC Master Policies are filed
under form numbers IN/OUT-EOC (01/2004) and Liability AIFS LIAB (IL
09/98R) |
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Economy, Standard, Super and EPLUS plans meet or exceed U.S. State Department
DS2019 requirements
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Choose your own doctor or hospital; you
are not required to use doctors within a specific network
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Deductible reduced to $50 per occurrence if the university
student health center is used first
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Maternity coverage included - limits vary by plan
-
Pre-existing conditions covered after 12 months of
continuous coverage
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Sports & hazardous sports coverage included
|
|
**A Student must be the primary insured in
order for the Spouse and Child to be eligible for PLANS ECON100, ECON250,
STD100, STD250, SPR100 and SPR250.
|
Economy Insurance Plans
Choose $100K or $250K (maternity
included) |
Economy Plan Monthly Rates

|
|
Age |
Economy
$100K Student |
Economy $100K Spouse |
Economy
$250K Student |
Economy $250K Spouse |
| 12-18 |
$36 |
$100 |
$39 |
$108 |
|
19-23 |
$39 |
$108 |
$41 |
$114 |
|
24-30 |
$78 |
$217 |
$83 |
$231 |
|
31-40 |
$121 |
$337 |
$128 |
$357 |
|
41-49 |
$195 |
$544 |
$207 |
$577 |
|
50-64 |
$266 |
$742 |
$282 |
$786 |
Dependent Child 30 days to 18 years old (or 25 if a full-time
student) |
$86 |
$86 |
$93 |
$93 |
|
**A Student must be the primary
insured in order for the Spouse and Child to be eligible for PLANS
E100, E250, STD100, STD250, SPR100 and SPR250. Please choose a
plan for each person in your family that requires coverage
(Student, Spouse and child). |
|
|
Economy Plan Coverages
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| Coverage |
Economy $100K |
Economy $250K |
|
Accident & Sickness Medical |
Student -
$100,000 per injury or illness maximum
Student - $50,000
(Age 50-64)
Spouse/Child
- $50,000
Spouse -
$25,000
(Age
50-64) |
Student - $250,000
per injury or illness maximum
Student - $100,000
(Age 50-64)
Spouse/Child
- $50,000
Spouse -
$25,000
(Age
50-64) |
| Deductible |
$50
Student Health / $100 non-Student Health per
injury or illness |
$50 Student
Health / $100 non-Student Health per
injury or illness |
| Co-insurance |
80% to
$10,000, 100% thereafter to policy maximum |
80% to $10,000, 100% thereafter to
policy maximum |
| Lifetime
Maximum |
$1,000,000 |
$1,000,000 |
| Emergency
Medical Evacuation |
$100,000 |
$100,000 |
| Repatriation
of mortal remains |
$25,000 |
$25,000 |
| Pre-existing
condition coverage |
Pre-existing Conditions 12 months prior to
Effective Date, waived after 12 consecutive months of coverage |
Pre-existing
Conditions 12 months prior to Effective Date, waived after 12
consecutive months of coverage |
| AD&D -
Accidental Death & Dismemberment |
$10,000 |
$10,000 |
| Maternity
Coverage |
up to $10,000 |
up to $10,000 |
| Home Country
Coverage |
30 days of coverage up to a max. of $25,000 per
policy period |
30 days of
coverage up to a max. of $25,000 per policy period |
| Sports Coverage
(non-interscholastic sports) |
$10,000 per
policy period |
$10,000 per policy period |
| Hazardous
sports coverage |
$10,000 per
policy period |
$10,000 per policy period |
| View
Policy Details |
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|
Standard
Insurance Plans
Choose $100K or $250K (maternity
included) |
Standard Plan Monthly Rates
|
| Age |
Standard
$100K Student |
Standard $100K Spouse |
Standard $250K Student |
Standard $250K Spouse |
| 12-18 |
$40 |
$111 |
$42 |
$117 |
| 19-23 |
$43 |
$119 |
$45 |
$125 |
| 24-30 |
$86 |
$239 |
$90 |
$251 |
| 31-40 |
$133 |
$371 |
$140 |
$390 |
| 41-49 |
$215 |
$599 |
$226 |
$630 |
| 50-64 |
$293 |
$817 |
$308 |
$859 |
Dependent
Child 30 days to 18 years old (or 25 if a full-time student) |
$96 |
$96 |
$101 |
$101 |
| **A Student must be the primary
insured in order for the Spouse and Child to be eligible for PLANS
E100, E250, STD100, STD250, SPR100 and SPR250. Please choose a
plan for each person in your family that requires coverage
(Student, Spouse and child). |
|
Standard Plan Coverages
 |
| Coverage |
Standard $100K |
Standard $250K |
| Accident & Sickness
Medical |
Student -
$100,000 per injury or illness maximum
Student - $50,000
(Age 50-64)
Spouse/Child
- $50,000
Spouse -
$25,000
(Age
50-64) |
Student - $250,000
per injury or illness maximum
Student - $100,000
(Age 50-64)
Spouse/Child
- $50,000
Spouse -
$25,000
(Age
50-64) |
| Deductible |
$50
Student Health / $100 non-Student Health per
injury or illness |
$50 Student
Health / $100 non-Student Health per
injury or illness |
| Co-insurance |
80% to
$5000, 100% thereafter to policy maximum |
80% to $5000, 100% thereafter to
policy maximum |
| Lifetime Maximum |
$1,000,000 |
$1,000,000 |
| Emergency Medical
Evacuation |
$100,000 |
$100,000 |
| Repatriation of mortal
remains |
$25,000 |
$25,000 |
| Pre-existing condition
coverage |
Pre-existing Conditions 12 months prior to
Effective Date, waived after 12 consecutive months of coverage |
Pre-existing
Conditions 12 months prior to Effective Date, waived after 12
consecutive months of coverage |
| AD&D - Accidental Death &
Dismemberment |
$10,000 |
$10,000 |
| Maternity Coverage |
up to $10,000 |
up to $10,000 |
| Home Country coverage |
30 days of coverage up to a max. of $25,000 per
policy period |
30 days of
coverage up to a max. of $25,000 per policy period |
| Sports Coverage
(non-interscholastic sports) |
$10,000 per
policy period |
$10,000 per policy period |
| Hazardous sports coverage |
$10,000 per
policy period |
$10,000 per policy period |
| View Policy
Details |
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