Health Insurance Plan for INTERNATIONAL Students

Transcription

1 Health Insurance Plan for INTERNATIONAL Students

2 Colleges and universities require international students to have health insurance plans while studying. GBG Student Health Insurance Plans offer international students an alternative to more expensive university plans providing health insurance that meets the waiver requirements of most worldwide higher education institutions. Coverage is available to all international students studying outside their home country who are enrolled and actively attending an accredited college or university. 2

3 U.S. Provider Network Area of Coverage Home Country Coverage Schedule of Benefits GENERAL FEATURES AND PLAN SPECIFICATIONS Aetna Worldwide Up to $1,000 per period of insurance Maximum Benefit Payable per Period of Insurance $1,000,000 Lifetime Maximum Individual Deductible Family is 2x Individual Office Visit Copayment, including Student Health Center $25 Emergency Room Copayment (waived if admitted) Out-of-Pocket-Maximum Pre-Existing Conditions Covered Services And Benefit Levels Subject to Deductible, Coinsurance, and Maximum Benefit per Period of Insurance HOSPITALIZATION AND INPATIENT BENEFITS Unlimited $0 $250 per Occurrence Unlimited Waiting Period of 180 Days WHAT THE INSURANCE PLAN COVERS The following coinsurance applies for In-Network Providers in the U. S. or for expenses incurred outside the U. S. Coinsurance reduces to 60% when Outof-Network Providers in the U.S. are used. Accommodations including semi-private room 100% Intensive Care/Cardiac Care 100% Inpatient Consultation by a Physician or Specialist 100% Hospital Miscellaneous Expenses 100% Pre-Admission Testing 100% Extended Care/Inpatient Rehabilitation Maximum Benefit per Period of Insurance: 45 days Must be confined to facility immediately following a hospital stay Physician Visit/Consultation by Specialist General Practitioner or Specialist Urgent Care Center Maximum Benefit per Period of Insurance: 30 visits per injury or illness Diagnostic Testing X-Ray and Laboratory MRI, PET, and CT Scans Inpatient and Outpatient OUTPATIENT BENEFITS Therapeutic Services, Physical Therapy, Chiropractic, Occupational Therapy, Vocational and Speech Therapy Maximum Benefit per Period of Insurance: 30 visits per injury or illness Inpatient, Outpatient or Ambulatory Surgery Includes; Surgeon s Fees Assistant Surgeon and Anesthesiologist Facility fees Laboratory tests Medications and dressings Other medical services and supplies Emergency Room and Medical Services $250 Deductible waived if admitted 50% coinsurance for non-emergency use Ambulance Services Emergency Local Ground Ambulance Emergency Dental Limited to accidental injury of sound natural teeth sustained while covered SURGICAL BENEFITS (OUTPATIENT/INPATIENT) EMERGENCIES 100% 100% up to $80 per visit 100% up to $15, % up to $50 per visit 100% up to $50, % after Deductible 100% up to $2, % up to $200 per tooth 3

4 Normal delivery or medically necessary C-Section, prenatal, postnatal care and complications of pregnancy Inpatient Mental Health To treat a covered diagnosis Outpatient Mental Health Maximum Benefit per Period of Insurance: 30 visits Preventive Care and Annual Exams 0-12 months: 5 visits maximum Child/Adult: Annual Exam, immunizations Deductible does not apply Palliative Dental Care Sudden onset of pain MATERNITY CARE OTHER BENEFITS $7,500 Maximum Benefit for normal delivery; $10,000 for medically necessary C-Section delivery 100% up to $25, % up to $3, % up to $ % up to $600 Homeopathic Care and Acupuncture 100% up to $500 Chemotherapy, Radiotherapy Inpatient and Outpatient Home Health Care Maximum Benefit per Period of Insurance: 120 Days Diabetic Medical Supplies Includes Insulin Pumps and associated supplies Acquired Immunodeficiency Syndrome (AIDS) Human Immunodeficiency Virus (HIV +), AIDS Related Complex (ARC), Sexually transmitted diseases and all related conditions Benefit is not covered if condition was diagnosed a pre-existing condition. Durable Medical Equipment Reimbursement of rental up to purchase price Alcohol and Drug Abuse Rehabilitative treatment only Prescription Drugs Up to 31-day supply per prescription Includes contraceptives CVS/Caremark network pharmacy is required Motor Vehicle Accident Injuries caused by accident Sports Activities Injuries arising from interscholastic, intramural, and club sports Passport Recovery Lost Baggage Expense reimbursement due to flight delays $100 Deductible applies Compassionate Care Visit ATM Safe Provides lost cash replacement for losses occurring during a robbery at an ATM Medical Evacuation and Repatriation Return of Mortal Remains Accidental Death and Dismemberment ADDITIONAL BENEFITS 100% up to $15, % Covered under Prescription Drugs 100% 100% up to $5, % up to $5, % up to $10, % up to $10, % up to $15,000 Up to $750 Maximum Benefit per Period of Insurance $150 per item $500 Maximum Benefit per Period of Insurance $1,000 Maximum Benefit per Period of Insurance $500 per Occurrence $250,000 Maximum Benefit per Period of Insurance $50,000 Maximum Benefit $25,000 Maximum Benefit 4

5 Accidental Death and Dismemberment ACCIDENTAL DEATH AND DISMEMBERMENT Principal Sum for Primary Plan Participant $25,000 Time Period for Loss 90 days Loss of: Benefit: Percentage of Principal Sum Accidental Death 100% Loss of Both Hands or Feet, or Loss of Entire Sight of Both Eyes 100% Loss of One Hand and One Foot 100% Loss of One Hand or Foot and Entire Sight of One Eye 100% Loss of One Hand or Foot 50% Loss of Sight of One Eye 50% Key Benefits Annual maximum limit of usd $1,000,000 Unlimited Lifetime Maximum Emergency Inpatient and Outpatient Care; Preventative care is covered as well Worldwide direct-bill network plan, including the Aetna Preferred Provider network in the US, available with the Access plan; there is no need to pay for your health services at the time of delivery The Aetna network includes healthcare providers and hospitals throughout the 50 states in the United States Online & live multilingual customer service available 24/7 Online claims filing at Plans are offered by and administered (claims payment) through Global Benefits Group, Inc., a US based company Pharmacy benefits are reimbursed through GBG including maintenance and oral contraceptives 5

6 6

7 Experience and Expertise in the International Marketplace Global Benefits Group has been specializing in the financial services market for more than 35 years, serving as leading underwriters, developers and distributors of products and services designed especially for the needs of overseas students and international travelers. GBG underwrites health, life, disability, travel and other specialty insurances for groups and individuals who are expatriates, third- country nationals or high net-worth local nationals. Global Benefits Group is the leading provider of health insurance to the international educational community, with customers in over 100 countries. As globalization of the world s economy has continued to accelerate, GBG has developed a specialized underwriting structure that is required to meet the needs of this select market niche. This structure is devoted to one business only: underwriting risks for organizations and individuals whose life and work transcend geographic boundaries. 7

8 GlobalStudentAccess_ENG_26UN2017 Global Benefits Group Portola Parkway, Suite 110 Foothill Ranch, CA USA GBG Assist U.S. Toll-Free: Worldwide Collect: