Máximo de cobertura |
$200.000 |
$500.000 |
$600,000 |
$5,000,000 |
$5,000,000 |
Beneficio máximo por lesión o enfermedad |
$100,000 |
$250.000 |
$300.000 |
$500.000 |
Choice of $50,000, $100,000, $250,000, or $500,000 |
Deducible |
$50 |
$45 |
$35 |
$25 |
Choice of $0, $100, $250, $500 per illness or injury |
Coaseguro |
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) |
USA In-Network: Plan pays 90%; $1000 out-of-pocket maximum USA Out-of-Network: Plan pays 80%; up to maximum limit |
Enfermedades preexistentes |
$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 |
For conditions existing within 36 months before effective date, charges excluded until after 12 months of coverage and then $500 per period of coverage and $1,500 maximum limit. |
Maternidad |
Sin cobertura |
Up to $5,000 |
Up to $10,000 |
Up to $25,000 |
Sin cobertura |
Salud mental |
Paciente ambulatorio: $50 por día, $500 Paciente hospitalizado: hasta $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. |
Outpatient: $50 maximum per day; $500 maximum limit
Inpatient: $10,000 maximum limit
Not covered if incurred in student health center |
Deportes en equipo |
Sin cobertura |
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 |
No Coverage
Optional Team Sports Add-on available, please select that option to view pricing. |
Actividades recreativas, de ocio y de acondicionamiento |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Deportes de aventura |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
No Coverage
Optional Adventure Sports rider available, please select that option to view pricing. |
Evacuación/Repatriacón Médica de Emergencia |
$50.000 / $25.000 |
$250.000 / $25.000 |
$300.000 / $25.000 |
$500.000 / $50.000 |
$50,000/$25,000 |