| VISIT®
International
STUDENT Plans Are Ideal For: |
- International Students & Scholars
(F1, J1, H, M or Q)
- OPT/AT Students
|
- ESL or High School Students
- Visiting Faculty
- NEW
Affordable Care Act (ACA) Plans
|
- Any Study/Research in USA & Canada
- Most Plans Include Maternity
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| Choose from Many International Student Insurance Plans |
|
Economy |
Standard |
Super |
Platinum |
Plan E Plus |
ACA |
Student Secure |
Student Health
Advantage |
Liaison Student |
|
Starting at $61.53
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after
12 months
|
Starting at
$65.22
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months
|
Starting at $79.98
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months
|
Starting at $91.06
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 6 months
|
Starting at $33.90
ANY VISA Accepted
$50K to $1 Million
No
Maternity
$100K or Higher meets J-visa requirements
|
Starting at $74
Maternity Coverage
Preventive Care
Mental
Health Coverage
Pre-Ex after 6 months
or no waiting period
|
Starting at $91.06
$200K-$500K Medical
Maternity
Coverage
Mental Health Coverage
Pre-Ex after 6 months
|
Starting at $69
$300,000 Medical
Maternity Coverage
Mental Health
Coverage
Pre-Ex after 12 months |
Starting at $70.10
$250,000
Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months |
Please Note:
J Exchange Visitor MININIUM Medical Insurance requirements
is $100,000 effective
May 15, 2015
|
|
LIAISON STUDENT
|
PLATINUM Plan Monthly Rates - PRICES REMAIN THE SAME FOR
2015-2016!
 |
| Age |
Platinum
$100K
|
Platinum $100K Spouse |
Platinum $250K
|
Platinum $250K Spouse |
| 12-18 |
$91.06 |
$254.71 |
$100.90 |
$285.48 |
| 19-23 |
$116.90 |
$452.82 |
$130.43 |
$506.97 |
| 24-30 |
$242.41 |
$642.32 |
$271.94 |
$719.84 |
| 31-40 |
$376.53 |
$781.37 |
$420.83 |
$876.12 |
| 41-49 |
$479.90 |
$965.94 |
$537.73 |
$1,081.61 |
| 50-64 |
$674.31 |
$965.94 |
n/a |
n/a |
Dependent Child 30 days to 18 years old
(or 25 if a full-time
student) |
$253.48 |
|
$284.25 |
|
VISIT
STUDENT Plans
(Economy, Standard, Super &
Platinum) are open to International Students,
visiting Faculty, Scholars, or other persons over the age of
twelve (12) up to and including age sixty-four (64), who are
temporarily residing outside their Home Country. The Insured
must remain engaged in educational or research activities
outside their Home Country during the Period of Coverage.
Education or research
activities shall mean the Insured: 1) is enrolled and
participating in an educational, vocational, cultural exchange,
or training program; and 2) has a valid J-1, H-3, F, M, or Q
Visa.
|
|
| PLATINUM Plan Coverages |
| Coverages |
Platinum $100K |
Platinum $250K |
Accident & Sickness
Medical
Routine physical
exams and vaccinations are
not
covered |
$100,000 per injury or illness medical maximum
Student - $50,000
(Age 50-64) |
$250,000 per injury or illness maximum
Student - $100,000
(Age 50-64) |
| Deductible |
$50 Student
Health / $100 non-Student Health per injury or illness |
$50 Student
Health / $100 non-Student Health per injury or illness |
| Co-insurance |
80% to $5000,
100% thereafter to policy maximum |
80% to $5000,
100% thereafter to policy maximum |
| Medical Lifetime Maximum |
$1,000,000 |
$1,000,000 |
| Emergency Medical
Evacuation |
Unlimited |
Unlimited |
| Repatriation of mortal
remains |
unlimited |
unlimited |
| Pre-existing condition
coverage |
6 months prior to Effective Date, waived after 6 consecutive months
of coverage |
6 months prior to Effective Date, waived after 6 consecutive months
of coverage |
| AD&D - Accidental Death &
Dismemberment |
$10,000 |
$10,000 |
| Maternity coverage |
Covered as any other Illness (must be insured for a minimum of 30
days prior to conception to receive maternity benefits) |
Covered as any other Illness (must be insured for a minimum of 30
days prior to conception to receive maternity benefits) |
| Home Country coverage |
30 days of coverage up to a max. of $25,000 per policy period |
30 days of coverage up to a max. of $25,000 per policy period |
| Sports Coverage
(non-interscholastic sports) |
$10,000 per
policy period |
$10,000 per
policy period |
| Hazardous sports coverage |
$10,000 per
policy period |
$10,000 per
policy period |
| View Policy
Details |
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VISIT®
International Health Insurance Program
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