Student Secure Budget Plan

 

The table below outlines the Student Secure plan which is available in three levels of coverage; Smart, Budget and Select.


Notes - if you are not sure what a benefit means, please contact our office. We are plesure to give you answers and informations to your questions!



Student Secure Plan

Outlines of the Student Secure plan

Benefits Select Budget Smart
Maximum Benefit of Certification Period $300,000 $250,000 $200,000
Maximum Benefit of per injury/illness $300,000 $250,000 $200,000
Deductible   $100 per illness / injury & $50 from student health center
ER Deductible $250 per illness / injury
Coinsurance In U.S 80% of the next $5,000 after
the deductible 100% thereafter to the certificate period maximum
80% of the next $10,000 after the deductible 100% thereafter to the certificate period maximum
80% of the next $25,000 after the deductible 100% thereafter to the certificate period maximum
Hospital Room & Board Average semi- private room rate including nursing services
Local Ambulance Up to $750 per injury / illness if hopitalized as inpatient
Up to $350 per injury / illness if hopitalized as inpatient
Intensive Care Unit Usual, Reasonable, and Customary Charges
Hospital Pre-Certification Penalty 50% of eligible medical expenses
Outpatient Treatment Usual, Reasonable, and Customary Charges
Outpatient Prescription Drugs 50% of actual charge
Mental Health Disorder Out Patient $50 maximum per day, $500 lifetime maximum
Inpatient: URC to $10,000
(Including drug & alcohol abuse)
Outpatient: $50 maximum per day $500 lifetime maximum Inpatient: URC to $10,000
Accidental Dental Treatment $250 per tooth
$500 Maximum per certificate period
Alleviate Pain Dental Treatment $100 maximum per certificate period No Coverage
Maternity Usual, Reasonable, and Customary Charge No Coverage
Routine Nursery Care of Newborn $750 maximum per certificate
period
$250 maximum per certificate
$250 maximum per certificate
No Coverage
Therapeutic Termination of Pregnancy $500 maximum per certificate period
Physical Therapy & Chiopratic Care $50 per visit
Intercollegiate, interscholastic, intramural, or club sports $5,000 maximum per injury / illness Medical expenses only No Coverage
Terrorism    $50,000 lifetime maximum No Coverage
Emergency Medical Evacuation No Coinsurance & Deductible
$300,000 lifetime maximum
No Coinsurance & Deductible
$250,000 lifetime maximum
No Coinsurance & Deductible $50,000 lifetime maximum
Emergency Reunion $5,000 lifetime maximum $1,000 lifetime maximum $10,000 lifetime maximum
Accidental Death & Dismemberment $5,000 lifetime maximum $1,000 lifetime maximum $10,000 lifetime maximum
Repartriation of Remains No Coinsurance & Deductible
$25,000 lifetime maximum
No Coinsurance & Deductible
$15,000 lifetime maximum
No Coinsurance & Deductible
$10,000 lifetime maximum

 

Student Secure Premium Plan

Monthly Daily
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 $7.23
51-64 $495 $372 $298 $16.27 $12.22 $7.23

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Description of Coverage