Medical Maximum
Your choice between $50,000,
$100,000, $250,000 or $500,000
Deductible
$100 per occurrence
Emergency Medical Evacuation
$50,000
Repatriation
$25,000
Pre existing conditions coverage
After 12 continuous months of coverage
Prescription Drugs
Usual Reasonable & Customary Charges
K-12 School Sponsored Sports
Covered under optional add-on rider
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
Terms and Conditions of Insuring Contract Apply
Student - $500,000, Dependent $100,000
$250 Per Occurrence - $5 at Student Health Center
$500,000
Covered after 12 months of continuous coverage
Inpatient - Usual Reasonable and Customary charges to $10,000
Outpatient - $50 per day to maximum of $500
Intercollegiate/Interscholastic Sports
Student - $1000,000, Dependent - $100,000
$100 Per Occurrence in PPO. $150 Per Occurrence Non PPO $5 at Student Health Center
Covered after 6 months of continuous coverage
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