Student Health Advantage

Summary of Benefits

All amounts shown are in U.S. dollars. Click the orange headers for further information.

Summary of Benefits
Maximum Limit
Per Illness/Injury Maximum
Deductible
Coinsurance
Inpatient/Outpatient Benefits
Hospital Room and Board Average semi-private room rate, including nursing service
Intensive Care URC
Maternity  
Routine Newborn Care $750 maximum per period of coverage
Emergency Room
Mental & Nervous Disorders
Prescription Drugs
Physical Therapy URC - limit once per day
Local Ambulance
Dental
Eligible Medical Expenses URC
Evacuation Benefits
Emergency Medical Evacuation $500,000 lifetime maximum
Emergency Reunion $50,000 lifetime maximum
Return of Mortal Remains $50,000 maximum
Political Evacuation $10,000 lifetime maximum
ADDITIONAL BENEFITS
Intercollegiate/Interscholastic/ Intramural or Club Sports $5,000 maximum per injury/illness
Incidental Trip Coverage Up to a cumulative two weeks
Pre-existing Conditions Charges excluded after 12 months of continuous coverage (6 months for Platinum)
Terrorism Coverage $50,000 lifetime maximum
AD&D
Treatment Period 60 Day minimum

This invitation to inquire allows eligible applicants an opportunity to inquire further about the insurance offered and is limited to a brief description of any loss for which benefits may be payable. Benefits are offered as described in the insurance contract. Benefits are subject to all deductibles, coinsurance, provisions, terms, conditions, limitations, and exclusions in the insurance contract. The contract does contain a pre-existing condition exclusion and does not cover losses or expenses related to a pre-existing condition.