Patriot Exchange Program Group- Benefits
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Maximum Limits
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Choice of $50,000, $100,000, $250,000 or $500,000 per illness or injury with a lifetime maximum of $5,000,000
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Deductibles
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$100 per injury or illness
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Coinsurance
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No coinsurance
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Hospital Room & Board
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Up to semi-private room rate
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Intensive Care
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URC*
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Physical Therapy
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URC*- 1 visit per day
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Physician Visit
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URC*- 1 visit per day
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Student Health Center
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$5 co-pay per visit
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Prescription Drugs
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URC*
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Eligible Medical Expenses
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URC*
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Emergency Room Illness with In-Patient Admissions
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URC*
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Emergency Room Illness without In-Patient Admissions
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Additional $250 deductible
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Dental
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Injury due to an accident $500 maximum
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Emergency Medical Evacuation
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$50,000 lifetime maximum
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Emergency Reunion
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$15,000 lifetime maximum
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Return of Mortal Remains Cremation/Burial
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$25,000 for Return of Mortal Remains or $5,000 for Cremation/ Burial
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Chaperone/Faculty Leader Trip Interruption Rider
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Optional- up to $3,000
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*URC= Usual, Reasonable and Customary charges
*Terms and Conditions of the contract do apply