High School Basic
Comprehensive Plan for High School Students
Main benefits
Annual maximum $1,500,000
$200 deductible in-network
$35 copay at primary care physician
80% coinsurance in-network
What the plan covers?
| Annual maximum | $1,500,000 |
| Annual Deductible | $200 |
| Copay primary care physician | $35 |
| Copay specialist | $50 |
| Copay urgent care | $50 |
| Copay emergency room | $350 |
| Copay hospitalization | $350 |
| Coinsurance in-network | 80% |
| Coinsurance out-of-network | 70% |
| Prescription deductible per fill | $30 |
| Medical evacuation | $100,000 |
| Repatriation of remains | $50,000 |
| Provider network | Cigna PPO |
| Pre-existing conditions | Covered after 12 months |
You are eligible for this plan if you are a non-U.S. citizen, have a current passport or visa and are temporarily residing outside your home country/country of permanent residence. You must be a middle school or high school student, start your program within 30 days of plan effective date and maintain full time student status for the duration of the policy. The full-time requirement is waived for summer if the student was attending school as a full-time student in the preceding spring term.
Permanent residents of the U.S. or persons who have applied for permanent residency in the U.S. are not eligible for coverage under this plan.
Students currently on medical leave or on OPT are not eligible.