Máximo de cobertura |
$200.000 |
$500.000 |
$600,000 |
$5,000,000 |
$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) |
$50,000, $100,000, $500,000 or $1,000,000 (Ages 70 to 79: $50,000 limit; Ages 80+: $10,000 limit) |
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 |
Beneficios hasta el máximo de póliza |
Beneficios hasta el máximo de póliza |
Deducible |
$50 |
$45 |
$35 |
$25 |
Choice of $0, $100, $250, $500 per illness or injury |
$0, $100, $250, $500, $1,000, $2,500 or $5,000 |
$0, $100, $250, $500, $1.000 o $2.500 |
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 |
100% coverage on eligible expenses, after the deductible, up to the policy maximum. |
In Network: 100% Coverage Out of Network: 80% coverage up to $5,000, then 100% up to the policy maximum |
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. |
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 |
Only charges resulting directly from an Acute Onset of a Pre-existing Condition can be eligible for coverage prior to age 70 : Up to the maximum limit of the policy purchased |
Maternidad |
Sin cobertura |
Up to $5,000 |
Up to $10,000 |
Up to $25,000 |
Sin cobertura |
Solo se puede dar cobertura al tratamiento para complicaciones de embarazo durante las primeras 26 semanas de embarazo. |
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 |
Sin cobertura |
Sin cobertura |
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. |
Sin cobertura |
Sin cobertura |
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 |
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. |
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 |
$1,000,000 / Equal to the elected overall maximum limit |
$1,000,000 / Up to the maximum limit |