+1-7544238823
William Licht
+1-7544238823
Seguro Student Health Advantage Platinum
Rogamos utilice esta información de primer nivel sólo como referencia y no tome decisiones basándose únicamente en ella. Si necesita aclaraciones o tiene preguntas, consulte los detalles de la póliza para obtener información completa o llámenos para más detalles, ya que no es posible abarcar todos los detalles en la breve información detallada a continuación. Si encontrara alguna discrepancia entre la información a continuación y los detalles de la póliza, prevaldrán los detalles de la póliza.
Todas las cantidades son en dólares de EE.UU.
Vision (anteojos, etc.) no está cubierta en ninguno de los planes.
General
Student Health Advantage℠ Platinum
Within PPO network: After deductible, plan pays 90% up to $10,000, then 100% up to the policy maximum.
Outside PPO network: After deductible, plan pays 80% up to the policy maximum.
Outside US: After deductible, covers at 100% up to the policy maximum.
$5 copay, deductible waived
Médico - Ambulatorio
To policy maximum
1 visit per day.
To policy maximum
1 visit per day.
To policy maximum
Extra $250 copay for illness visit that does not result in hospital admission.
50% of actual charges. Period of coverage limit: $250,000 per person. ($100,000 for dependents).
To policy maximum
To policy maximum
To policy maximum
20% of primary surgeon charge. No standby availability coverage.
To policy maximum
To policy maximum
Médico - Hospitalario
To policy maximum, average semi-private room including nursing services.
To policy maximum
To policy maximum
To policy maximum
20% of primary surgeon charge. No standby availability coverage.
To policy maximum
To policy maximum
Médico - Otros tratamientos y servicios
-
Standard basic hospital bed and/or standard basic wheelchair
School/Club Sports: $5,000 per injury/illness. Optional: Adventure Sports.
$750 per injury/illness, for injury or if covered illness results in hospital admission.
80% (60% outside PPO), $5,000 maximum combined with Newborn Care.
Pregnancy must begin after effective date; cannot be Invitro.
$10,000. Cannot be provided at a Student Health Center.
$50 per day, $500 maximum. Cannot be provided at a Student Health Center.
Included in the Mental & Nervous Disorder benefit
Chiropractic Care: To policy maximum Physical Therapy: To policy maximum, 1 visit per day Must be ordered in advance by physician
United Healthcare PPO
Red de médicos, hospitales, centros de urgencias, laboratorios y otros proveedores de servicios de salud.
No hay red de farmacias, dentistas, ambulancias.
After 6 month waiting period, same as any other eligible medical expense.
Routine care for first 31 days, $5,000 maximum combined with Maternity.
-
-
50% reduction in benefits
Included
Dental
$350 for pain, $500 for non-emergency injury
To policy maximum
Viaje
-
-
-
$50,000, maximum of 15 days
$500,000
$50,000
$5,000
$10,000
Vida
Insured: $25,000, Spouse: $10,000, Child: $5,000
Insured: $25,000, Spouse: $10,000, Child: $5,000
Otros
-
Incidental: 14 days after 30 days of continuous coverage, non-US residents only.
-
-
-
$10,000
$50,000
Outside Country of Residence
Prestaciones del plan
Before effective date, full refund.
After effective date, pro-rated refund for whole months minus $50 cancellation fee, as long as no claims have been filed since the effective date; form required.
1 month up to 5 years
$0
-
Email
Per Incident
$100 Hasta 64
Per Incident
$500,000 Hasta 64
International Medical Group (IMG)
SiriusPoint Specialty Insurance Corporation
Obtenga presupuestos instantáneos para este plan y ¡cómprelo hoy mismo!
- Para prestaciones médicas, al máximo de póliza, se refiere a los cargos habituales, razonables y acostumbrados (URC por sus siglas en inglés). Aplican deducibles y coaseguro, a menos que se indique lo contrario.
- Siempre que haya una diferencia en los niveles de prestaciones dentro de la red PPO y fuera de la red PPO, las prestaciones indicadas anteriormente son aplicables cuando se aprovecha el tratamiento dentro de la red PPO.
- Las coberturas mostradas son por persona a menos que se indique lo contrario.
- El guión (-) en los campos arriba significa No aplicable (N/A).