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International Medical & Travel Insurance Call 888.708.0812 or +1.503.642.4646 FAX - +1.503.212.5599 |
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Student Travel Insurance > MultiNational Underwriters
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| Select Plan | Budget Plan | |||||
| Certificate Period Maximum | $300,000 (Participant) $ 50,000 (Spouse) $ 50,000 (Child) |
$250,000 (Participant) $ 50,000 (Spouse) $ 50,000 (Child) |
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| Maximum Benefit per Injury or Illness | $300,000 (Participant) $ 50,000 (Spouse) $ 50,000 (Child) |
$250,000 (Participant) $ 50,000 (Spouse) $ 50,000 (Child) |
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| Deductible | $100 per Injury or Illness Reduced to $50 if treatment is from Student Health Center |
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| Coinsurance Claims incurred in US |
For the Certificate Period, Underwriters will
pay 80% of the next $5,000 of Eligible Expenses
after the Deductible, then 100% to the Certificate
Period Maximum For charges incurred within the PPO or at a Student Health Center, coinsurance will be waived. |
For the Certificate Period, Underwriters will pay 80% of the next $5,000 of Eligible Expenses after the Deductible, then 100% to the Overall Maximum Limit | ||||
| Coinsurance Claims incurred oustide of US |
After the Deductible, Underwriters will pay 100% of Eligible Expenses to Certificate Period Maximum | For the Certificate Period, Underwriters will pay 80% of the next $5,000 of Eligible Expenses after the Deductible, then 100% to the Overall Maximum Limit | ||||
| Hospital Room & Board | Average Semi-private room rate, including nursing services | |||||
| Local Ambulance | Up to $350 per Injury / Illness if Hospitalized as Inpatient | |||||
| Intensive Care Unit | Usual, Reasonable, and Customary charges | |||||
| Outpatient Prescription Drugs | 50% of Actual Charge | |||||
| Mental Health Disorders | Outpatient: $50 Maximum per day, $500 Maximum
Lifetime Inpatient: Usual, Reasonable, and Customary charges to $10,000 Maximum Lifetime Treatment must be not obtained at a Student Health Center |
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| Dental Treatment due to Accident | $250 Maximum per tooth $500 Maximum per Certificate Period |
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| Dental Treatment to alleviate pain | $100 Maximum per Certificate Period | |||||
| Maternity Care for a Covered Pregnancy | Usual, Reasonable, and Customary Charges | |||||
| Routine Nursery Care of Newborn | $750 Maximum per Certificate Period | $250 Maximum per Certificate Period | ||||
| Therapeutic Termination of Pregnancy | $500 Maximum per Certificate Period | |||||
| Physical Therapy & Chiropractic Care | Maximum $50 per visit per day Must be ordered in advance by a Physician and not obtained at a Student Health Center |
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| Intercollegiate, interscholastic, intramural, or club sports | $5,000 Maximum per Injury / Illness Medical Expenses only |
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| Terrorism | $50,000 Maximum Lifetime Limit, Medical Expenses Only | |||||
| Benefit Period for coverage after Policy Termination Date | 60 days from date of Injury or Onset of Illness if Member is Hospitalized on the Termination Date | |||||
| Emergency Medical Evacuation | $300,000 (Participant) $50,000 (Spouse/Child) |
$250,000 (Participant) $50,000 (Spouse/Child) |
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| Emergency Reunion | $2,500 Lifetime | $1,000 Lifetime | ||||
| Accidental Death & Dismemberment |
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No coverage | ||||
| Repatriation of Remains | $25,000 Maximum | $15,000 Maximum | ||||