Patriot Exchange Program Group- Benefits

Maximum Limits

Choice of $50,000, $100,000, $250,000 or $500,000 per illness or injury with a lifetime maximum of $5,000,000

Deductibles

$100 per injury or illness

Coinsurance

 No coinsurance

Hospital Room & Board

Up to semi-private room rate

Intensive Care

URC*

Physical Therapy

URC*- 1 visit per day

Physician Visit

URC*- 1 visit per day

Student Health Center

$5 co-pay per visit

Prescription Drugs

URC*

Eligible Medical Expenses

URC*

Emergency Room Illness with In-Patient Admissions

URC*

Emergency Room Illness without In-Patient Admissions

Additional $250 deductible

Dental

Injury due to an accident $500 maximum

Emergency Medical Evacuation

$50,000 lifetime maximum

Emergency Reunion

$15,000 lifetime maximum

Return of Mortal Remains Cremation/Burial

$25,000 for Return of Mortal Remains or $5,000 for Cremation/ Burial

Chaperone/Faculty Leader Trip Interruption Rider

Optional- up to $3,000

*URC= Usual, Reasonable and Customary charges

*Terms and Conditions of the contract do apply