University of Utah - J Visa Holders
Salt Lake City, UT
The Patriot Exchange plan meets the minimum requirements of the J-1 and J-2 visa exchange program for dependents looking for insurance options. Please see two options below that can be purchased for children and/or spouses.
| Policy Max | Deductible | Brochure | Price per month * | |||
|---|---|---|---|---|---|---|
 |
Budget | $500,000 | $0 | $52 | ||
|
|
Elite | $5,000,000 | $0 | $178 | ||
 |
J1 ($500-/$100k+) | $5,000,000 | $0–$500 | $57.67 | ||
* rates are based on students aged 24 and under unless otherwise noted.
Compare Plan Level Benefits
- Budget
- Medical Maximum $500,000
- Per Injury/Illness Maximum $250,000
- Deductible $0 (co-pays apply)
-
Coinsurance
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) -
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions 12-month waiting period
- Maternity Up to $5,000
-
Mental Health
Outpatient: Max. 30 visits.
Inpatient: Max. 30 days of coverage.
Coverage includes drug and alcohol abuse. - School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $250,000 / $25,000
- Elite
- Medical Maximum $5,000,000
- Per Injury/Illness Maximum $500,000
- Deductible $0 (co-pays apply)
-
Coinsurance
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) -
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions 6-month waiting period
- Maternity Up to $15,000
-
Mental Health
Outpatient: Max. 40 visits.
Inpatient: Max. 40 days of coverage.
Coverage includes drug and alcohol abuse. - School Team Sports Coverage up to $5,000 coverage per injury / illness — medical expenses only for intercollegiate, interscholastic, intramural, or club sports
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $500,000 / $50,000
- America
- Medical Maximum $5,000,000
- Per Injury/Illness Maximum Choice of $50,000, $100,000, $250,000, or $500,000
- Deductible Choice of $0, $100, $250, $500 per illness or injury
-
Coinsurance
USA In-Network: Plan pays 90%; $1000 out-of-pocket maximum
USA Out-of-Network: Plan pays 80%; up to maximum limit - Pre-existing Conditions (Acute Onset) Not Covered
-
Pre-existing Conditions
$500 per period of coverage, $1,500 maximum limit
Available after 12 months of continuous coverage - Maternity Not Covered
-
Mental Health
Outpatient: $50 maximum per day; $500 maximum limit
Inpatient: $10,000 maximum limit
Not covered if incurred in student health center -
School Team Sports
No Coverage
Optional Team Sports Add-on available, please select that option to view pricing. - Recreational, Fitness and Leisure Activities Covered per policy conditions
-
Adventure Sports
No Coverage
Optional Adventure Sports rider available, please select that option to view pricing. - Emergency Medical Evacuation/Repatriation $50,000/$25,000
Other University of Utah Student Categories
Contact Us
If you need help selecting a plan or enrolling in a policy, please contact our customer service team, and they would be happy to help.- Toll Free: (877) 758-4391
- Direct/International : +1 (904) 758-4391
- Email: info@internationalstudentinsurance.com
International Student Insurance has gathered this information as a resource for international students, and this resource does not intend to imply a relationship between your school and our website or company. You should always double-check directly with your school and with our customer service team to ensure that our plans meets your school's international student insurance requirements.