|
Benefits
-
Nation wide coverage with no
provider/hospital restrictions – This provides the necessary coverage for transfer students among campuses and for traveling students during vacation
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Lowest premium possible for all student ages
-
Provides renewable flexible coverage periods from one month to one year
-
24-hour emergency assistance
-
Cancellation is permitted at any time
Plan Summary
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Maximum benefit $250,000 for each injury/sickness
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80% coverage up to $10,000 after deducible, 100% coverage thereafter
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$50 deductible per injury or sickness
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Maximum out-of-pocket expense $2,000
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Prescription medicine covered at 100% of inpatient expenses and 50% of outpatient expenses
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Medical evacuation & repatriation of remains 100% coverage
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Six month pre-existing conditions policy
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Chiropractic Care and Acupuncture covered
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Sports related injuries covered
For a complete
description of coverage, please go to http://www.uscampus.com/study_live/healthinsurance/uscampus.pdf
.
Premium +Administration Charge
| Category |
Premium
+ (Monthly) |
Administrative Fee
(Monthly) |
Total
Price (Monthly) |
| Individual
Only |
$56 |
$15 |
$71 |
| Individual
& spouse |
$195 |
$15 |
$210 |
| Plus
one child |
+
$58 |
$15 |
+
$73 |
| Plus two or more
children |
+
$116 |
$15 |
+
$131 |
|
| Short term program (Max 15 weeks) |
| Initial 2 weeks |
$65 |
| Additional week |
$25 per week |
|
Other Fees
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One time entrance fee of $45 ( renewal waived)
-
One time processing fee of $30 per
enrollment, renewal, or cancellation
Enrollment Eligibility
Applicants must be students, faculty, or scholars with F, M, J, or B visas. They must be engaged in international education or research activities outside their home country and have not applied for permanent residency. Dependents are also eligible.
How to Enroll
To purchase a “UScampus Health & Accident Insurance Plan”, go to www.uscampus.com. Click on “Health Insurance”, and select “Purchase Health Insurance” from the menu on the
right.
Important Contact Information
| Regarding Enrollment, Renewal or Cancellation, please contact: |
24-Hour Provider and Emergency Assistance (Multilingual line): |
AIEF
3350 East Birch Street, Suite 210
Brea, CA 92821
Phone: 714-985-1995
Fax: 714-985-1996
E-mail: info@aief-usa.org |
Worldwide Assistance Services, Inc.
Toll-free:1-800-546-6349
From overseas: 1-202-659-7885
(Worldwide Assistance Services must be involved in any Emergency Medical Evacuation, Family Reunion or Repatriation of Remains procedures.)
|
| All claims must be submitted to: |
|
Administrative Concepts, Inc (ACI)
997 Old Eagle School Road, Suite 215
Wayne, PA 19087-1706
From within the US & Canada:1-888-293-9229
Outside the USA & Canada 1-610-293-9229
Fax: 1-610-293-9299 |
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Please Note:
- In case of early policy termination, a prorated refund of any remaining portion of the premium will be returned ONLY if no insurance claims have yet been paid. Once any claim has been paid, no refund is available.
- Resumption of insurance following any lapse or interruption of coverage will be treated as New Enrollment, and pre-existing conditions will not be covered during the first six months. Applicants under regular doctor's care, applicants taking long-term prescription medications, and applicants with pregnancies are asked to take special note of this policy.
- When your visa or student status changes and you are no longer eligible for the insurance coverage, it is the sole responsibility of the insured to notify
AIEF with any changes of visa status so that any unused premium can be refunded. Failure to do so may result in rejection of reimbursement of medical expenses and/or termination of insurance. Any complications will be the responsibility of the
insured
- Dental and Vision not covered by this insurance, except for injury related
treatments
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