Poly Languages - English Language School
Irvine, CA
The following are ideal insurance plan solutions for those attending Poly Languages - English Language School. The Student Secure plan is designed to offer coverage for F-1 or J-1 visa holders with all levels meeting the Department of State visa requirements for J visas, offering coverage for new injuries and illnesses, mental health, maternity, pre-existing conditions after designated waiting periods, and more. The Atlas Travel works well for anyone outside of their home country offering coverage for new injuries and illnesses from as little as five days up to one year and is a great option for those on a tourist visa or dependents.
| Policy Max | Deductible | Brochure | Price per month * | |||
|---|---|---|---|---|---|---|
 |
Smart | $200,000 | $0 | $31 | ||
|
|
Budget | $500,000 | $0 | $52 | ||
|
|
Select | $1,000,000 | $0 | $104 | ||
|
|
Elite | $5,000,000 | $0 | $178 | ||
 |
J1 Compliant | $100,000–$2,000,000 | $0–$500 | $50.70 | ||
* rates are based on students aged 24 and under unless otherwise noted.
Compare Plan Level Benefits
- Smart
- Medical Maximum $200,000
- Per Injury/Illness Maximum $100,000
- Deductible $0(co-pays apply)
-
Coinsurance
In-Network: 80% of the next $100,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC) -
Pre-existing Conditions (Acute Onset)
$25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition only
See policy wording for full benefit description - Pre-existing Conditions Not Covered
- Maternity Not Covered
-
Mental Health
Outpatient: $50 per day, $500
Inpatient: Up to $5,000 - School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $50,000 / $25,000
- Budget
- Medical Maximum $500,000
- Per Injury/Illness Maximum $250,000
- Deductible $0 (co-pays apply)
-
Coinsurance
In-Network: 80% of the next $45,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC) -
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions 12-month waiting period
- Maternity Up to $5,000
-
Mental Health
Outpatient: Max. 30 days of coverage.
Inpatient: Max. 30 visits.
Coverage includes drug and alcohol abuse. - School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $250,000 / $25,000
- Select
- Medical Maximum $1,000,000
- Per Injury/Illness Maximum $500,000
- Deductible $0 (co-pays apply)
-
Coinsurance
In-Network: 80% of the next $25,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC) -
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions 6-month waiting period
- Maternity Up to $10,000
-
Mental Health
Outpatient: Max. 30 days of coverage.
Inpatient: Max. 30 visits.
Coverage includes drug and alcohol abuse. - School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $300,000 / $50,000
- Elite
- Medical Maximum $5,000,000
- Per Injury/Illness Maximum $500,000
- Deductible $0 (co-pays apply)
-
Coinsurance
In-Network: 80% of the next $10,000 of eligible expenses after applicable co-pays, then 100% to the overall maximum.
Out-Network: Usual, Reasonable, and Customary (URC) -
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions 6-month waiting period
- Maternity Up to $15,000
-
Mental Health
Outpatient: Max. 40 days of coverage.
Inpatient: Max. 40 visits.
Coverage includes drug and alcohol abuse. - School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $500,000 / $50,000
- America
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Medical Maximum
$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) - Per Injury/Illness Maximum Benefits up to policy max
- Deductible $0, $100, $250, $500, $1,000, $2,500 or $5,000
- Coinsurance 100% coverage on eligible expenses, after the deductible, up to the policy maximum.
-
Pre-existing Conditions (Acute Onset)
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 - Pre-existing Conditions Not Covered
- Maternity Only treatment for complications of pregnancy during the first 26 weeks of pregnancy can be covered.
- Mental Health Not Covered
- School Team Sports Not Covered
- Recreational, Fitness and Leisure Activities Covered per policy conditions
- Adventure Sports Some exclusions apply
- Emergency Medical Evacuation/Repatriation $1,000,000 / Equal to the elected overall maximum limit
Contact Us
If you need help selecting a plan or enrolling in a policy, please contact our customer service team, and they would be happy to help.- Toll Free: (877) 758-4391
- Direct/International : +1 (904) 758-4391
- Email: info@internationalstudentinsurance.com
International Student Insurance has gathered this information as a resource for international students, and this resource does not intend to imply a relationship between your school and our website or company. You should always double-check directly with your school and with our customer service team to ensure that our plans meets your school's international student insurance requirements.