Student Health Advantage Plan, IMG Student Health Advantage Insurance

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Underwriter: Sirius International Insurance Corporation
Rating: A (excellent) by AM Best and A- by Standard & Poors
Administrator: International Medical Group
Eligibility:
- Applicant must be full time student or scholar at a college, university or educational institution
- The applicant must be living outside his/her home country
- Must not be a resident in the host country

Unique Features

Renewable up to 5 years
$500,000 lifetime maximum
No coinsurance for treatment outside USA
No coinsurance for treatment inside USA within PPO network or in Student Health Center
For treatment in USA and out of network, plan pays 80% of the first $5,000 of eligible expenses then 100% up to plan maximum
60 days benefit period
Covers basic school sports up to $5,000/injury or sickness
6 months waiting period for pre-existing conditions coverage if the optional rider is purchased

Advantages

$500,000 coverage for emergency medical evacuation independent of plan maximum
Availability of discounts on prescription drugs in participating pharmacies in US

Disadvantages

12 months waiting period for pre-existing conditions coverage
Covers maternity only if conception occurs plan start date
6 months pre-existing conditions rider is available if the destination is US and the states are Florida, Hawaii, Idaho or Massachusetts
Pre-certification penalty is 50% of the eligible expenses

Platinum Plan with Enhanced Features:

Maximum Limit: $1,000,000
Deductible:
- Treated outside the US & Canada: $25 per illness or injury
- Treated inside the US & Canada:
  Within the PPO Network - $25 per injury/illness
  Outside the PPO Network - $50 per injury/illness
  In a Student Health Center - $5
Reduced waiting period for pre-existing conditions overage: 6 months
Maternity is covered

Buy Platinum Plan

Coverage Example:
Policy maximum of the plan: $500,000
Deductible: $100
Coverage region: USA, claims incurred in the network hospital
First visit to the doctor due to sudden dental pain and the expense incurred is $100

The following table shows the amount paid by the plan and the customer:

Expense	Bill Amount	Customer pays	Plan Pays
First Visit to the Doctor due to Sudden Dental Pain	$100	$100 (Since the deductible is $100)	0
Accidental hospitalization
Hospital Room and Board	$40,000	$1000	$4,000 (coinsurance: 80% of first $5,000) + $35,000
Other expense	$40,000	$0	$40,000
Total:	$80,100	$1,100	$79,000

The usage of deductible and coinsurance:

First time you visit the doctor with sudden dental pain the bill amounts to $100 for a filling
You will have to pay the full $100 as the chosen deductible is $100
A few months later, you meet with a motor accident and get hospitalized to undergo a surgery for $80,000
Now the plan will pay 80% of the first $5,000. ie. Company will pay $4,000 and you will pay $1000
The plan will then pay the remaining eligible expenses