Student Health Advantage

Schedule of Benefits

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

PLAN INFORMATION & HIGHLIGHTS
Lifetime Maximum
Per Illness/Injury Maximum
Deductible
Coinsurance
Medical Benefits
Hospital Room & Board Average semi-private room
Intensive Care URC
Maternity URC
Routine Nursery Care $750 maximum per period of coverage
Emergency Room
Mental Health (Includes alcohol and substance abuse. Treatment at Student Health Center is not eligible)
Prescription Drugs
Physical Therapy URC - limit once per day
Local Ambulance
Dental
All Other Eligible Medical Expenses URC
INTERNATIONAL EMERGENCY CARE
Emergency Medical Evacuation $500,000 lifetime maximum (independent of Maximum Limit)
Emergency Reunion $50,000 maximum
Return of Mortal Remains $50,000 maximum
Political Evacuation Up to $10,000 lifetime maximum
ADDITIONAL BENEFITS
Intercollegiate/Interscholastic/ Intramural or Club Sports $5,000 per Injury/Illness Medical Expenses only
Incidental Home Country Coverage Up to a cumulative two weeks
Pre-existing Conditions After 12 months of continuous coverage
Terrorism Coverage Up to $50,000 lifetime maximum
AD&D
Benefit Period 60 Days

* This Web page contains only a brief summary of current benefits, conditions, limitations and exclusions, and is subject to all the terms and conditions of the full Certificate of Insurance. The complete Certificate of Insurance with all terms, conditions and exclusions will be included in the fulfillment kit sent to approved applicants.  These plans are amended, modified or replaced from time to time, and IMG reserves the right to issue the most current Certificate of Insurance for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Samples of current Certificate wordings are available upon request.