High School Basic
Comprehensive Plan for High School Students
Annual maximum $1,500,000
$0 deductible in-network
$25 copay at primary care physician
100% preventive care
What the plan covers?
|Copay primary care physician||$35|
|Copay urgent care||$50|
|Copay emergency room||$350|
|Preventative care||$200 maximum|
|Prescription deductible per fill||$30|
|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 also be actively engaged in educational activity. You are “actively engaged” in educational activity if you are one of the following:
1. F1 valid visa holder (however F1 visa holder on OPT is not eligible).
2. Middle School or High School Student registered for and attending classes on a full-time basis. You must be enrolled in classes within 30 days of the plan’s effective date.
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.