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Age
Spouse
No. of dependents
0 - 0
Start Date
May/12/2024
End Date
Jun/11/2024
Maximum Coverage
Deductible
Coverage
Including USA
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1. Age (Yrs)
Primary
Spouse
2. No. of dependents
0
1
2
3
4
5
6
7
8
9
10
3. Start Date
4. End Date
5. Coverage
Including USA
Excluding USA
6. Citizenship
USA
Non-USA
7. Max Coverage
All Coverage
$100,000 to $300,000
$300,001 to $500,000
$500,001 to $7000,000
Unlimited
Maximum Coverage
8. Deductible
All Deductible
US$ 0 to 49
US$ 50 to 99
US$ 100
US$ 250
US$ 500
US$ 1,000
US$ 1,500
US$ 2,500
US$ 5,000
Maximum Deductible
9. Are you registered?
YES
NO
10. Full time student?
YES
NO
11. Mailing Address
Outside-USA
AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FL Florida
GA Georgia
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
12. Permanent Address
Outside-USA
AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FL Florida
GA Georgia
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ALL (100K-Unlimited)
100K - 500K
Above 500K
Maximum Coverage:(in US$)
ALL
0 - 100
100 & Above
Deductible:(in US$)
Patriot Exchange Standard
Underwriter
Sirius International
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covers medical expenses arising from Covid illness
Max Coverage:
?
US$ 100,000
US$ 250,000
US$ 500,000
Deductible:
?
Per Injury Illness
US$ 0
US$ 100
US$ 250
US$ 500
Buy
US $
85.00
Details
Cost For:
Months
Days
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 90% of $1,000 then 100% up to the policy maximum.
OUT OF PPO NETWORK: Plan pays 80% up to the policy maximum.
Pre-existing conditions
:
Dental:
Sudden & unexpected pain to natural teeth - $350
Evacuation
:
Up to $50,000 maximum
Repatriation
:
$25,000 for return of Mortal Remains or $5,000 for Cremation/Burial
Rx Drugs:
Sports:
Plan pays 100% after deductible is met
Maternity:
Unavailable
Mental Health:
Unavailable
Study USA Platinum
Underwriter
Lloyds of London Syndicate 4141
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covered as any other illness
Max Coverage:
?
US$ 500,000
Deductible:
?
Per Injury Illness
US$ 100
Buy
US $
144.19
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 85% after the deductible up to first $10,000, then 100% up to overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable and customary charges(URC)
Pre-existing conditions
:
Covered after 6 months of waiting period
Dental:
Up to $100 to alleviate pain
Evacuation
:
Up to $500,000 lifetime maximum
Repatriation
:
Not Available
Rx Drugs:
$15 copay for generic drugs; $30 copay for brand name
Sports:
Optional Buy-Up: $10,000
Maternity:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Mental Health:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Study USA Preferred
Underwriter
Lloyds of London Syndicate 4141
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covered as any other illness
Max Coverage:
?
US$ 300,000
Deductible:
?
Per Injury Illness
US$ 150
Buy
US $
86.84
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% after the deductible up to $25,000, then 100% up to overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable and customary charges(URC)
Pre-existing conditions
:
Covered after 12 months of waiting period
Dental:
Up to $100 to alleviate pain
Evacuation
:
Up to $500,000 lifetime maximum
Repatriation
:
Not Available
Rx Drugs:
$15 copay for generic drugs; $50 copay for brand name
Sports:
Not Available
Maternity:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Mental Health:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Student Secure Select
Underwriter
Lloyds
Add to compare
Hospitals/Doctors:
Any International Provider Network
*Pre-existing conditions
?
:
Yes
Covid19:
Covers Covid19 illness for international students outside their home country
Max Coverage:
?
US$ 500,000
Deductible:
?
Per Injury Illness
US$ 0
Buy
US $
106.02
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
Any International Provider Network
AM Rating:
A++
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% of the first $25,000, then 100% to the overall maximum limit
OUT OF PPO NETWORK: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount
Pre-existing conditions
:
Dental:
Up to $500 for Emergency Dental
Evacuation
:
Up to $300,000 lifetime maximum
Repatriation
:
Up to $50,000 lifetime maximum
Rx Drugs:
Sports:
Intercollegiate, Interscholastic or club sports up to $5,000 max per injury or illness; medical expenses only
Maternity:
Maternity care for a covered pregnancy up to $10,000
Mental Health:
Maternity care for a covered pregnancy up to $10,000
Student Secure Budget
Underwriter
Lloyds
Add to compare
Hospitals/Doctors:
Any International Provider Network
*Pre-existing conditions
?
:
Yes
Covid19:
Covers Covid19 illness for international students outside their home country
Max Coverage:
?
US$ 250,000
Deductible:
?
Per Injury Illness
US$ 0
Buy
US $
53.01
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
Any International Provider Network
AM Rating:
A++
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% of the first $45,000, then 100% to the overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount
Pre-existing conditions
:
Dental:
Up to $500 for Emergency Dental
Evacuation
:
Up to $250,000 lifetime maximum
Repatriation
:
Up to $25,000 lifetime maximum
Rx Drugs:
Sports:
No coverage for Intercollegiate, Interscholastic, Intramural, or Club Sports
Maternity:
Maternity care for a covered pregnancy up to $5,000
Mental Health:
Maternity care for a covered pregnancy up to $5,000
Atlas America
Underwriter
Lloyds
Add to compare
Hospitals/Doctors:
United Healthcare
*Pre-existing conditions
?
:
Acute Onset of Pre-existing Condition
Covid19:
Covers eligible costs related to COVID-19
Max Coverage:
?
US$ 100,000
US$ 250,000
US$ 500,000
US$ 1,000,000
US$ 2,000,000
Deductible:
?
Per Certificate Period
US$ 0
US$ 100
US$ 250
US$ 500
US$ 1,000
US$ 2,500
US$ 5,000
Buy
US $
83.08
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
United Healthcare
AM Rating:
A++
?
Renewable
:
No
Co-insurance:
Plan pays 100% of eligible expenses after the deductible up to the overall maximum limit
Pre-existing conditions
:
Dental:
Up to $300 for acute onset of pain
Evacuation
:
Up to $1,000,000 lifetime maximum
Repatriation
:
Up to $100,000
Rx Drugs:
Sports:
Eligible injuries and illnesses are covered for vacation sports while extreme sports are excluded from coverage
Maternity:
Atlas Travel offers coverage for complications of pregnancy during the first 26 weeks of gestation
Mental Health:
Atlas Travel offers coverage for complications of pregnancy during the first 26 weeks of gestation
Patriot America Lite
Underwriter
Sirius International
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
No
Covid19:
Not Available
Max Coverage:
?
US$ 100,000
US$ 500,000
US$ 1,000,000
Deductible:
?
Per Policy Period
US$ 0
US$ 100
US$ 250
US$ 500
US$ 1,000
US$ 2,500
Buy
US $
63.16
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
In PPO Network: Plan pays 100%
Out of PPO Network: Plan pays 80% of the first $5,000, then 100% up to medical maximum
Pre-existing conditions
:
Dental:
$300 max due to dental accident or unexpected pain to sound natural teeth.
Evacuation
:
Up to $1,000,000 maximum limit
Repatriation
:
Up to maximum limit for Return of Mortal Remains or $5,000 for Cremation/Burial
Rx Drugs:
Sports:
Available as Optional rider for adventure sports
Maternity:
Unavailable
Mental Health:
Unavailable
Study USA
Standard
Underwriter
Lloyds of London Syndicate 4141
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covered as any other illness
Max Coverage:
?
US$ 100,000
Deductible:
?
Per Injury Illness
US$ 250
Buy
US $
56.15
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% after the deductible, up to the overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable and customary charges(URC)
Pre-existing conditions
:
Up to $500 maximum per certificate period (12 months waiting period)
Dental:
Not Available
Evacuation
:
Up to $250,000 lifetime maximum
Repatriation
:
Not Available
Rx Drugs:
$30 copay for generic drugs; $100 copay for brand name
Sports:
Not Available
Maternity:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Mental Health:
IN PPO NETWORK: 80% of eligible expenses; OUT OF PPO NETWORK: Up to the overall maximum.
Outside US: 100% coinsurance up to overall maximum
Study USA
Basic
Underwriter
Lloyds of London Syndicate 4141
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
No
Covid19:
Not Available
Max Coverage:
?
US$ 100,000
Deductible:
?
Per Injury Illness
US$ 500
Buy
US $
43.44
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% after the deductible, up to the overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable and customary charges(URC)
Pre-existing conditions
:
Dental:
Not Available
Evacuation
:
Up to $50,000 lifetime maximum
Repatriation
:
Not Available
Rx Drugs:
Sports:
Not Available
Maternity:
Not Avaliable
Mental Health:
Not Avaliable
WorldMed Inbound
Underwriter
Lloyds of London Syndicate 4141
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Acute Onset of Pre-existing Condition
Covid19:
Covered as any other illness under the Medical Expense
Max Coverage:
?
US$ 500,000
US$ 1,000,000
US$ 2,000,000
Deductible:
?
Per Certificate Period
US$ 0
US$ 250
US$ 500
US$ 1,000
US$ 2,500
Buy
US $
95.83
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
Out of Network -
Plan pays 90% of the first $10,000, then plan pays 100% up to policy max per policy period,
In-Network -
Plan pays 100%
Pre-existing conditions
:
Dental:
Up to $100 for acute onset pain
Evacuation
:
Up to $1,000,000
Repatriation
:
Up to $50,000
Rx Drugs:
Sports:
Optional intercollegiate or interscholastic sports rider up to $20,000
Maternity:
Unavailable
Mental Health:
Unavailable
Diplomat Long Term
Underwriter
C&F Cayman SPC on behalf of ITI SP
Add to compare
Hospitals/Doctors:
Any hospital or doctor
*Pre-existing conditions
?
:
Yes after 18 months waiting
Covid19:
Offers coverage for coronavirus as any new sickness
Max Coverage:
?
US$ 500,000
US$ 1,000,000
Deductible:
?
Per Policy Period
US$ 0
US$ 50
US$ 100
US$ 250
US$ 500
US$ 1,000
US$ 2,500
US$ 5,000
Buy
US $
299.97
Details
Cost For:
Months
Days
Need to purchase minimum for 3 months
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
Any hospital or doctor
AM Rating:
A
?
Renewable
:
No
Co-insurance:
Plan pays 80% of the first $5000, then plan pays 100% up to policy max per policy period;
Pre-existing conditions
:
Dental:
Up to $100
Evacuation
:
$500,000
Repatriation
:
$500,000
Rx Drugs:
Sports:
Available as optional rider
Maternity:
Unavailable
Mental Health:
Unavailable
Student Health Advantage
Standard
Underwriter
Sirius International
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes after 12 months waiting
Covid19:
Covers medical expenses arising from Covid illness
Max Coverage:
?
US$ 500,000
Deductible:
?
Per injury illness
US$ 250
Buy
US $
88.00
Details
Cost For:
Months
Days
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 90% of $1,000 then 100% up to the policy maximum.
OUT OF PPO NETWORK: Plan pays 80% up to the policy maximum.
Pre-existing conditions
:
Dental:
Up to $350 maximum for sudden & unexpected pain to natural teeth
Evacuation
:
$500,000 Life time Maximum
Repatriation
:
Up to $50,000 maximum
Rx Drugs:
Sports:
$5,000 per injury or illness, medical expenses only; Available Optional rider for adventure sports
Maternity:
Unavailable
Mental Health:
Unavailable
Student Secure Smart
Underwriter
Lloyds
Add to compare
Hospitals/Doctors:
United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covers Covid19 illness for international students outside their home country
Max Coverage:
?
US$ 100,000
Deductible:
?
Per Injury Illness
US$ 0
Buy
US $
30.69
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
United Healthcare
AM Rating:
A++
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% of the first $100,000, then 100% to the overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount
Pre-existing conditions
:
Dental:
Up to $500 for Emergency Dental
Evacuation
:
Up to $50,000 lifetime maximum
Repatriation
:
Up to $25,000 lifetime maximum
Rx Drugs:
Sports:
No coverage for Intercollegiate, Interscholastic, Intramural, or Club Sports
Maternity:
Not Avaliable
Mental Health:
Not Avaliable
Student Health Advantage
Platinum
Underwriter
Sirius International
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Yes after 6 months waiting
Covid19:
Covers medical expenses arising from Covid illness
Max Coverage:
?
US$ 1,000,000
Deductible:
?
Per illness injury
US$ 100
Buy
US $
261.00
Details
Cost For:
Months
Days
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 90% of $1,000 then 100% up to the policy maximum.
OUT OF PPO NETWORK: Plan pays 80% up to the policy maximum.
Pre-existing conditions
:
Dental:
Up to $350 maximum for sudden & unexpected pain to natural teeth
Evacuation
:
$500,000 Life time Maximum
Repatriation
:
Up to $50,000 maximum
Rx Drugs:
Sports:
$5,000 per injury or illness, medical expenses only; Available Optional rider for adventure sports
Maternity:
Up to $5,000 maximum, includes newborn routine care during the first 31 days of life
Inside United States - In-Network: 80%; Out-Network: 60% eligible expense. Outside United States - 100%
Mental Health:
Up to $5,000 maximum, includes newborn routine care during the first 31 days of life
Inside United States - In-Network: 80%; Out-Network: 60% eligible expense. Outside United States - 100%
Student Secure Elite
Underwriter
Lloyds
Add to compare
Hospitals/Doctors:
United Healthcare
*Pre-existing conditions
?
:
Yes
Covid19:
Covers Covid19 illness for international students outside their home country
Max Coverage:
?
US$ 500,000
Deductible:
?
Per Injury Illness
US$ 0
Buy
US $
181.35
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
United Healthcare
AM Rating:
A++
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 80% of the first $10,000, then 100% to the overall maximum limit.
OUT OF PPO NETWORK: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount
Pre-existing conditions
:
Dental:
Up to $500 for Emergency Dental
Evacuation
:
Up to $500,000 lifetime maximum
Repatriation
:
Up to $50,000 lifetime maximum
Rx Drugs:
Sports:
Intercollegiate, Interscholastic or club sports up to $5,000 max per injury or illness; medical expenses only
Maternity:
Maternity care for a covered pregnancy up to $25,000
Mental Health:
Maternity care for a covered pregnancy up to $25,000
Patriot America Plus
Underwriter
Sirius International
Add to compare
Hospitals/Doctors:
First Health Network or United Healthcare
*Pre-existing conditions
?
:
Acute Onset of Pre-existing Condition
Covid19:
Covered up to policy maximum (contracted and treatment is provided after the policy effective date)
Max Coverage:
?
US$ 100,000
US$ 500,000
US$ 1,000,000
Deductible:
?
Per Policy Period
US$ 0
US$ 100
US$ 250
US$ 500
US$ 1,000
US$ 2,500
Buy
US $
70.14
Details
Cost For:
31 DAYS
×
Student insurance plans
Brochure
Details
Hospitals/Doctors:
First Health Network or United Healthcare
AM Rating:
A
?
Renewable
:
No
Co-insurance:
IN PPO NETWORK: Plan pays 100%
OUT OF PPO NETWORK: Plan pays 80% of eligible expenses up to $5,000, then 100%
Pre-existing conditions
:
Dental:
$300 max due to dental accident or unexpected pain to sound natural teeth
Evacuation
:
Up to $1,000,000 maximum limit
Repatriation
:
Up to maximum limit for Return of Mortal Remains or $5,000 for Cremation/Burial
Rx Drugs:
Sports:
Available as Optional rider for adventure sports
Maternity:
Unavailable
Mental Health:
Unavailable
COMPARE PLANS
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Disclaimer: Please refer to individual policy brochures for latest premiums and benefits. We are not liable for use of the information in the above table.
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