
The minimum requirements are as follows: - Basic Benefits: Room, board, hospital services, physician fees, surgeon fees, ambulance, outpatient services, and outpatient customary fees must be paid at 80% or more of usual, customary, reasonable charge per accident or illness, after deductible is met, for in-network, and 70% or more of usual, customary, and reasonable charge for out-of-network providers per accident or illness.
- Inpatient Mental Health Care: Must be paid at 80% in-network or 60% out-of-network of the usual and customary fees for a minimum of 30 (preferably 40) sessions per year.
- Outpatient Mental Health Care: Must be paid at 80% in-network or 60% out-of-network of the usual and customary fees for a minimum of 30 (preferably 40) sessions per year.
- Maternity Benefits: Must be treated as any other temporary medical condition and paid at no less than 80% of usual and customary fees in-network or 60% out-of-network.
- Inpatient/Outpatient Prescription Medication: Must include coverage of $1,000 or more per policy year.
- Repatriation: $10,000 (coverage to return the student’s remains to his/her native country).
- Medical Evacuation: $25,000 (to permit the patient to be transported to his/her home country and to be accompanied by a provider or escort, if directed by the physician in charge.)
- Exclusion for Pre-Existing Conditions: First six months of policy period at most.
- Deductible: Maximum of $50.00 per occurrence if treatment or services are rendered at the Student Health Center; maximum of $100 per occurrence if treatment or services are rendered at an off-campus ambulatory care or hospital emergency department facility.
- Minimum coverage: $200,000 for covered injuries/illnesses per policy year.
- Insurance Carrier must have an “A” rating or above per Part 62.14(c)(1) of Section 22 of the Code of Federal Regulations.
- Policy must not unreasonably exclude coverage for perils inherent to the student’s program of study.
- Claims must be paid in U.S. dollars payable on a U.S. financial institution.
- Policy provisions must be available from the insurer in English.
|