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Minimum Stay |
5 days |
5 days |
Maximum Stay |
364 days |
364 days |
Eligibility by Age |
0-64 years |
0-64 years |
Medical Expense (Accident and Sickness) * |
$500,000, $1,000,000, or $2,000,000 |
$500,000, $1,000,000, or $2,000,00 |
Deductible |
$0, $250, $500, $1,000, and $2,500 |
$0, $250, $500, $1,000, and $2,500 |
Emergency Room Co-pay |
$250 (Waived if admitted to hospital) |
In addition to deductible, $250 co-payment for each use of an emergency room for an illness unless admitted to hospital. No co-payment for an injury. |
Urgent Care Co-pay |
$25 co-pay within the U.S. |
No co-pay outside the U.S. |
Coinsurance (Claims Incurred in the U.S.) In-Network Payment |
100% after deductible, up to the overall maximum |
100% after deductible, up to the overall maximum |
Coinsurance (Claims Incurred in the U.S.) Out-of-Network Payment |
Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount. |
Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount. |
Emergency Medical Evacuation |
$1,000,000 |
$1,000,000 |
Acute Onset of Pre-existing Condition (Excludes chronic and congenital conditions) |
$20,000 |
$200,000 for members age 14 days-59 years / $20,000 for members age 60-64 (after deductible) |
Accidental Death and Dismemberment✝ |
$50,000 |
$50,000 |
Emergency Reunion |
$100,000 |
$100,000 |
Repatriation of Remains |
$50,000 |
$50,000 |
Trip Interruption |
$10,000 |
$10,000 |
Terrorism |
$50,000 |
$50,000 |
Political Evacuation |
$100,000 |
$50,000 |
Checked Baggage Loss |
$500 |
$1,000 |
Stolen Passport/Visa |
$100 |
$100 |
Emergency Dental Pain |
$1,000/$100 for pain relief |
$2,000/$200 for pain relief |
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World Wide Assistance Services |
INCLUDED |
INCLUDED |
Covid-19 Coverage |
INCLUDED The Medical Expense benefit includes coverage for eligible Covid-19-related medical expenses. Testing for Covid-19 will be covered if deemed medically necessary by a physician. |
INCLUDED The Medical Expense benefit includes coverage for eligible Covid-19-related medical expenses. Testing for Covid-19 will be covered if deemed medically necessary by a physician. |
Recreational Sports |
INCLUDED |
INCLUDED |
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Enhanced Accidental Death & Dismemberment |
Available |
Available |
Intercollegiate/Interscholastic Sports |
Available |
Available |
Hazardous Activities |
Available |
Available |
Crisis Response |
Available |
Available |
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Additional Accidental Death and Dismemberment: For $0.60 per day, you can add an additional $100,000 to your benefit.
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Intercollegiate/Interscholastic Sports: An Intercollegiate/Interscholastic Sports Rider is available for those participating in intercollegiate or interscholastic sports during their visit for an additional $1.25 per person per day.
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Hazardous Activities: For those planning to participate in hazardous activities, an additional rider is available for purchase for an additional 20% of your premium. Only medical expenses related to hazardous activities are covered under this benefit. Click here for the full list of hazardous activities.
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Crisis Response: Provides coverage for kidnap, ransom, natural disaster evacuation and expenses associated with crisis response. Offered at an additional $1.40 per person, per day.
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* Benefit limits may apply to certain conditions. See the Description of Coverage (Inbound) or (Outbound) for details.
✝ AD&D Benefits are based on age, and are as follows: Under 18: $5,000; 18-64: $50,000.