共同保险额度
In-Network: 80% of the next $100,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC)
已存在状况/疾病 (急性发作)
$25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition only
See policy wording for full benefit description
已存在状况/疾病
不理赔
怀孕生育保障
不理赔
心理健康保障
Outpatient: $50 per day, $500 Inpatient: Up to $5,000
学校团队运动保障
不理赔
休闲、娱乐、健身等活动/运动
按保障条款覆盖
极限运动
Some exclusions apply
紧急医疗运送/遗体运送回国
$50,000 / $25,000
Budget
最高医疗保额
50万美元
每宗伤害或疾病的最高保额
25万美元
免赔额
$0 (co-pays apply)
共同保险额度
In-Network: 80% of the next $45,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC)
已存在状况/疾病 (急性发作)
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description
已存在状况/疾病
12-month waiting period
怀孕生育保障
最高上限$5,000
心理健康保障
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse.
学校团队运动保障
不理赔
休闲、娱乐、健身等活动/运动
按保障条款覆盖
极限运动
Some exclusions apply
紧急医疗运送/遗体运送回国
25万美元 / $25,000美元
Select
最高医疗保额
100万美元
每宗伤害或疾病的最高保额
50万美元
免赔额
$0 (co-pays apply)
共同保险额度
In-Network: 80% of the next $25,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC)
已存在状况/疾病 (急性发作)
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description
已存在状况/疾病
6-month waiting period
怀孕生育保障
最高上限$10,000
心理健康保障
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse.
学校团队运动保障
Coverage up to $5,000 coverage per injury / illness — medical expenses only for intercollegiate, interscholastic, intramural, or club sports
休闲、娱乐、健身等活动/运动
按保障条款覆盖
极限运动
Some exclusions apply
紧急医疗运送/遗体运送回国
$300,000 / $50,000
Elite
最高医疗保额
$5,000,000
每宗伤害或疾病的最高保额
50万美元
免赔额
$0 (co-pays apply)
共同保险额度
In-Network: 80% of the next $10,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC)
已存在状况/疾病 (急性发作)
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description
已存在状况/疾病
6-month waiting period
怀孕生育保障
Up to $15,000
心理健康保障
Outpatient: Max. 40 days of coverage. Inpatient: Max. 40 visits. Coverage includes drug and alcohol abuse.
学校团队运动保障
Coverage up to $5,000 coverage per injury / illness — medical expenses only for intercollegiate, interscholastic, intramural, or club sports
休闲、娱乐、健身等活动/运动
按保障条款覆盖
极限运动
Some exclusions apply
紧急医疗运送/遗体运送回国
$50万美元 / $5万美元
Standard
最高医疗保额
50万美元
每宗伤害或疾病的最高保额
30万美元
免赔额
$100
共同保险额度
In-Network: The plan pays 100% of eligible expenses up to Maximum Limit Out-Network:The plan pays 80% of eligible expenses up to $5,000, then 100% up to Maximum Limit
学校团队运动保障
Coverage up to $5,000 coverage per injury / illness — medical expenses only for intercollegiate, interscholastic, intramural, or club sports
休闲、娱乐、健身等活动/运动
按保障条款覆盖
极限运动
No Coverage
Optional Adventure Sports rider available, please select that option to view pricing.
紧急医疗运送/遗体运送回国
$50万美元 / $5万美元
LeMoyne College students are encouraged to watch the below video to better understand the US healthcare system and how insurance works.
This video teaches international students how to prepare for their arrival in the US, how the US healthcare system works and how students should seek medical care appropriately if they become sick or injured.
