Student Health Advantage

 

Notes - if you have any queries about our programs, please contact our office. We are plesure to give you answers and informations to your questions!



Please complete the form in order to begin your Student Health Advantage application.
Or click folowing link :

 

 

Student Health Advantage Form



If you would like to save your application and complete it at a later time, simply click on the "Save For Later" button at the bottom of any page of the application after selecting a premium amount and before submitting your credit card information. If you have the Authorization Number and Password from a previous application that was not completed, click here to continue with the previous application.

 

Outlines of the Student Health Advantage Chart

 

 

A. Outlines of the Student Health Advantage Plan

Age Select  Budget Smart Select Budget Smart
Under 19 $70 $47 $33 $2.30 $1.55 $1.08
19 - 24 $70 $47  $38  $2.30 $1.55 $1.25
25 - 30 $98 $74 $56 $3.22 $2.42 $1.84
31 - 40 $164 $109 $87  $5.39 $3.58 $2.86
41 - 50 $385 $274 $220 $12.66 $9.00 $7.34
51 - 64 $496 $372 @228 $16.27 $12.22 $9.80
 

 

Student Health Advantage Plan

Lifetime Maximum $500,000
Per Illness/Injury Maximum $300,000
Deductible

 

$100 per illness/injury
$5 co-pay if treatment received in Student Health Center

 

Coinsurance
Outside of U.S or Canada: No Coinsurance
Inside U.S: Within PPO network or Student Health Center: No Coinsurance
Inside U.S: Out of PPO network: 80% of the first $5,000 of eligible charge,
   then 100% thereafter
Hospital Room & Board Average semi-private room
Intensive Care Usual, Reasonable, and Customary Charges
Maternity Usual, Reasonable, and Customary Charges
Routine Nursery Care $750 maximum per period of coverage
Emergency Room Injury: Usual, Reasonable, and Customary Charges
Illness resulting in hospitalization:Usual, Reasonable, and Customary Charges
Illness without hospitalization:Subject to additional $250 deductible
Mental Health Outpatient: $50 per day/$500 lifetime maximum
Inpatient: Usual, Reasonable, and Customary Charges to $10,000 lifetime maximum
(Includes alcohol and substance abuse. Treatment at Student Health Center is not eligible)
Prescription Drugs Inpatient: Usual, Reasonable, and Customary Charges
Outpatient: 50% of actual charges
Physical Therapy Usual, Reasonable, and Customary Charges - limit once per day
Local Ambulance Per injury: Up to $350
Per illness only if admitted inpatient: $350

(coming more contents . . . .)

Download Brochure

Description of Coverage