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 |
终身最高2.5万美元 - 仅适用于合资格已存在狀況/疾病的急性发作 |
12-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
只覆盖已存在病症/状况的急性发作(不包括慢性和先天性状况)费用。70岁以下: 直至所选的最高总保额; 70至79岁: 直至10万美元(已存在病症/状况的急性发作的紧急医疗运送最高保额为终生25,000美元) |
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 |