VISIT® International Student Insurance
Specialized Health Insurance Plans for Students,
Scholars, Faculty and their FamiliesWorldwide Study in the USA - Study Abroad Underwritten by Lloyd's, London -
Lloyd's has an
A rating from A.M. Best and A+ ratings from Fitch Ratings and Standard &
Poor's
Choice of 3 Health Plans for Students,
Scholars, Faculty & Families – ALL Plans include Mental Health
and a choice of Medical Maximum & Deductible.
BASIC
includes essential coverage for Students who don’t need
Maternity or Pre-Existing Conditions. CHOICE
provides a
higher level of coverage, including up to $10,000 Maternity and
Pre-Existing Conditions after 12 months’ continuous enrollment. PLUS
includes coverage for COVID and Mental Health, up to $10,000
Maternity coverage, some Vaccinations, coverage for Pre-Existing
Conditions after 12 months’ continuous enrollment and $5,000
coverage for Non-Contact Amateur Sports. Choice of Medical
Maximums & Deductible. Pays 90% of first $5,000 covered medical
expenses, then 100% to Medical Maximum.
For more options, see our popular
Plan E PLUS for Students & Everyone Everywhere!
Benefit Period
This is the amount of time you have from the date of your injury
or illness to receive treatment, and it corresponds with your
period of coverage. After your coverage ends on your expiration
date, you can no longer receive treatment. Remember, you must
seek initial treatment of an injury or illness within 30 days of
the date of injury or onset of illness.
Deductible Options (You pay) (per person per disablement)
Choose: $0, $50, $100, $250, $500 or $1,000 Deductible
Co-insurance Co-insurance: Your share of the costs
of a covered health care service, calculated as a percent of the
allowed amount for the service.
IN PPO NETWORK We pay 80% of the first $5,000, then 100% to the medical maximum. OUT OF PPO NETWORK We pay 70% of the first $5,000, then 100% to the medical maximum.
IN PPO NETWORK We pay 90% of the first
$5,000, then 100% to the medical maximum OUT OF
PPO NETWORK We pay 80% of the first $5,000, then
100% to the medical maximum.
IN PPO NETWORK We pay 90% of the first
$5,000, then 100% to the medical maximum OUT OF
PPO NETWORK We pay 80% of the first $5,000, then
100% to the medical maximum.
Prescription Drugs
INSIDE THE UNITED STATES $10 copay for
generic/$20 copay for brand name (not subject to the
deductible) OUTSIDE OF THE UNITED STATES
$0 copay (deductible applies)
INSIDE THE UNITED STATES $5 copay for
generic/$10 copay for brand name (not subject to the
deductible) OUTSIDE OF THE UNITED STATES
$0 copay (deductible applies)
INSIDE THE UNITED STATES $5 copay for
generic/$10 copay for brand name (not subject to the
deductible) OUTSIDE OF THE UNITED STATES
$0 copay (deductible applies)
Vaccinations (in the U.S. only as required by
school, university or visa program)
$100 per 364 days of continuous coverage
$150 per 364 days of continuous coverage
$150 per 364 days of continuous coverage
Physical Therapy
$25 per day to a max of 60 days (requires a referal from the
primary care doctor)
$50 per day to a max of 60 days (requires a referal from the
primary care doctor)
$50 per day to a max of 60 days (requires a referral from the
primary care doctor)
Spinal Manipulation
$25 per day to a max of 60 days (if prescribed by a physician
for pain relief)
$50 per day to a max of 60 days (if prescribed by a physician
for pain relief)
$50 per day to a max of 60 days (if prescribed by a physician
for pain relief)
Local Ambulance Benefit
INSIDE THE UNITED STATES $350 per
disablement (injury/illness) OUTSIDE OF THE UNITED
STATES Up to medical maximum
INSIDE THE UNITED STATES $500 per
disablement (injury/illness) OUTSIDE OF THE UNITED
STATES Up to medical maximum
INSIDE THE UNITED STATES $500 per
disablement (injury/illness) OUTSIDE OF THE UNITED
STATES Up to medical maximum
Coma Benefit
$10,000 (separate from the medical maximum)
$25,000 (separate from the medical maximum)
$25,000 (separate from the medical maximum)
Waiver of Pre-existing Conditions
After a waiting period of 364 days of
continuous coverage, pre-existing conditions are covered as any
other disablement.
After a waiting period of 364 days of
continuous coverage, pre-existing conditions are covered as any
other disablement.
After a waiting period of 364 days of
continuous coverage, pre-existing conditions are covered as any
other disablement.
Acute Onset of a Pre-existing Condition (during
the initial 364 days of coverage)
Medical covered expenses up to $5,000
Medical covered expenses up to $10,000
Medical covered expenses up to $10,000
Mental Illness including Alcohol & Substance Abuse
INPATIENT: $5,000 (45 days max)
OUTPATIENT: 80% of URC to $500
INPATIENT: $10,000 (45 days max)
OUTPATIENT: 80% of URC to $1000
INPATIENT: $10,000 (45 days max)
OUTPATIENT: 80% of URC to $1000
Motor Vehicle Accident
INSIDE THE UNITED STATES 50% up to $100,000 OUTSIDE THE UNITED STATES Up to medical
maximum
INSIDE THE UNITED STATES 75% up to $100,000 OUTSIDE THE UNITED STATES Up to medical
maximum
INSIDE THE UNITED STATES 75% up to $100,000 OUTSIDE THE UNITED STATES Up to medical
maximum
Non-contact Amateur Sports
$2,500
$5,000
$5,000
Maternity Care For a
pregnancy to be covered, conception must occur 180 days
after coverage begins.
No Coverage
No Coverage
No Coverage
Routine Newborn Care
$250 per newborn child
$500 per newborn child
$500 per newborn child
DENTAL
Dental - Sudden Relief of Pain (for minimum purchases of 30
days)
$150
$250
$250
Dental - Accident
$500
$1,000
$1,000
EMERGENCY SERVICES
Emergency Medical Evacuation & Repatriation
$100,000 (separate from the medical maximum)
$500,000 (separate from the medical maximum)
$500,000 (separate from the medical maximum)
Emergency Medical Reunion
Up to $200 per day/$15,000 maximum
Up to $200 per day/$25,000 maximum
Up to $200 per day/$25,000 maximum
Return of Child(ren)
$25,000
$40,000
$40,000
Return of Mortal Remains
$50,000
$50,000
$50,000
Local Burial/Cremation
$5,000
$5,000
$5,000
Natural Disaster Evacuation
$5,000
$10,000
$10,000
Natural Disaster Daily Benefit
$25 per day, 5-day limit
$50 per day, 5-day limit
$50 per day, 5-day limit
Political Evacuation & Repatriation
$10,000
$10,000
$10,000
Felonious Assault
$10,000 (separate from the medical maximum)
$15,000 (separate from the medical maximum)
$15,000 (separate from the medical maximum)
Terrorism
$25,000
$50,000
$50,000
24/7 Travel Assistance Services
Included
Included
Included
AD&D
Accidental Death and Dismemberment (AD&D)
$25,000 for primary participant; $10,000 for plan participant
spouse; $5,000 for plan participant child; Aggregate limit
of $250,000 for total number of insureds on plan.
$25,000 for primary participant; $10,000 for plan participant
spouse; $5,000 for plan participant child; Aggregate limit
of $250,000 for total number of insureds on plan.
$25,000 for primary participant; $10,000 for plan participant
spouse; $5,000 for plan participant child; Aggregate limit
of $250,000 for total number of insureds on plan.
Starting at $33.90 ANY VISA Accepted $50K to $1 Million No Maternity $100K or Higher meets
J-visa
requirements Dependents are eligible to
purchase individually
$50K to $1Million Maternity Coverage Mental Health
Coverage Pre-Ex after 12 months Dependent Coverage
Starting at $48.62 $50K to
$500K No coinsurance Meets J-visa requirements No
Maternity
Starting at
$50K or $500K Medical Mental Health Coverage
Starting at $222 Unlimited Plan Preventive Care Mental Health Pre-Ex
after 12 months
Starting at $84.63
$200K-$500K Medical Maternity
Coverage Mental Health Coverage Pre-Ex after 6 months Student Coverage only
Starting at
$69 $300,000 Medical Maternity Coverage Mental Health
Coverage Pre-Ex after 12 months Dependent Coverage
CANCELLATION POLICY All premiums are fully earned upon Application,
and are Non-Refundable. Please apply only for the term of coverage you
need, and re-apply as necessary as your plans may change.
VISIT International Health Insurance Program
www.visitinsurance.com Correspondence:
P.O. Box 210, Mount Vernon, VA 22121 (703) 660-9062/ (800) 247-5575/
(703) 991-9164 fax
email: info@visitinsurance.com
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