最高医疗保额 |
20万美元 |
50万美元 |
$600,000 |
$5,000,000 |
$50,000, $100,000, $250,000, $500,000 $1,000,000, or $2,000,000 (Ages 70 to 79: $50,000 or $100,000 limit; Ages 80+: $10,000 limit) |
每宗伤害或疾病的最高保额 |
$100,000 |
25万美元 |
30万美元 |
50万美元 |
保障直至最高保额 |
免赔额 |
$50 |
$45 |
$35 |
$25 |
$0, $100, $250, $500, $1,000, $2,500 or $5,000 |
共同保险额度 |
In-Network: 80% of eligible expenses after the deductible up to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 80% of the next $25,000 of eligible expenses after the deductible, then 100% to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 100% of eligible expenses after the deductible to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
扣除免赔额后,计划承担100%的合资格医疗费用直至最高保额 |
已存在状况/疾病 |
$25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition only
See policy wording for full benefit description |
12-month waiting period
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 |
6-month waiting period
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 |
6-month waiting period
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 |
Only charges resulting from an Acute Onset of a Pre-existing Condition can be eligible for coverage. Coverage is for those under age 80 and is up to the policy maximum of the plan. For Emergency Medical Evacuation, an Acute Onset of a Pre-existing Condition is covered up to a $25,000 lifetime maximum.
See policy wording for full benefit description |
怀孕生育保障 |
不理赔 |
最高上限$5,000 |
最高上限$10,000 |
最高上限$25,000 |
只覆盖怀孕头第26周妊娠合并症的治疗费用 |
心理健康保障 |
Outpatient: $50 per day, $500 Inpatient: Up to $5,000 |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
不理赔 |
学校团队运动保障 |
不理赔 |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
不理赔 |
休闲、娱乐、健身等活动/运动 |
按保障条款覆盖 |
按保障条款覆盖 |
按保障条款覆盖 |
按保障条款覆盖 |
按保障条款覆盖 |
极限运动 |
Some exclusions apply |
Some exclusions apply |
Some exclusions apply |
Some exclusions apply |
Some exclusions apply |
紧急医疗运送/遗体运送回国 |
$50,000 / $25,000 |
25万美元 / $25,000美元 |
30万美元 / $25,000美元 |
$50万美元 / $5万美元 |
$1,000,000 / Equal to the elected overall maximum limit |