Medical Maximum
Your Choice between $50,000, $100,000, $200,000, $500,000, $1,000,000 and $2,000,000
Deductible
Your Choice Between $0, $100, $250, $500, $1000, $2500 and $5000
Hospital Room and Board, RX, Surgery, and other medical procedures
Covered under Major medical up to maximum limit chosen.
Emergency Medical Evacuation
$1,000,000 Except as provided under acute onset of pre-existing condition ($25,000)
Repatriation
Maximum Limit Chosen
Political Evacuation
$10,000
Additional coverage provisions for (see contract for details of these)
Return of minor Children, Terrorism, Identity Theft, Trip Interruption, Natural Disaster and lost luggage
A.M. Best Rating
A
Terms and Conditions of Insuring Contract Apply
Your Choice Between $200,000, $250,000, $300,000 or $500,000
In PPO - $25 on Elite and Select plan, $45 on the Budget Plan and $50 on the Smart plan
$50,000 to $500,000 depending on Plan Chosen
$25,000 to $50,000 Depending on Plan Chosen
Pre-Existing Conditions
Covered after 6 months on Elite and Select, or after 12 months on Budget Plan
Mental and Nervous Conditions
Elite and Select - Inpatient - 80% in PPO to plan Maximum 30 Days max. Outpatient - in PPO 80% to Plan Maximum for 30 visits only
Additional Coverage provisions for (see contract for details)
Maternity, Newborn Care, Intercollegiate/Interscholastic Sports
A. M. Best Rating
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