+256-742884798
Grigora travel agency limited
+256-742884798
Patriot Exchange Program Medical Insurance
Please use this high level information as a guide only and do not make any decisions solely based on this information. If you have any concerns, doubts or questions, please refer to the individual policy details for complete information, as it is not possible to accurately represent all the details in concise information such as follows, or call us for further details. If there is any discrepancy between this information and the actual policy details, the policy details will override.
All the amounts are in U.S. dollars.
Vision (eyeglasses, etc.) is not covered in any of the plans.
General
Medical - Outpatient
至最高保额
每天一次。
美国紧急护理:自付额免除,$50共同支付;除非$0自付额。
美国无需预约门诊:自付额免除,$20共同支付;除非$0自付额。
共同保险仍适用。
至最高保额
如果因生病但未住院,额外$500共同支付。
至最高保额, 每次提供90天处方药。承保期最高额度：每人$250,000。
至最高保额
至最高保额
至最高保额
主刀医生费用的20%，不包括旁站医生。
至最高保额
至最高保额
Medical - Inpatient
至最高保额, 包括护理服务的标准双人病房。
至最高保额
至最高保额
至最高保额
主刀医生费用的20%，不包括旁站医生。
至最高保额
至最高保额
Medical - Other Treatment And Services
-
标准基础医院病床和/或标准基础轮椅
可选：危险运动，适用于65岁以下人群。Add On，适用于高中和大学。
如果因承保的疾病/受伤住院赔付至最高保额。
-
$10,000。不包括学生健康中心。
每天$50, 最多$500。不包括学生健康中心。
包括心理& 神经系统保障
脊椎按摩护理: 至最高保额 理疗: 至最高保额, 每天1次 必须提前获得医生许可。
United Healthcare PPO
Network of physicians, hospitals, urgent cares, labs and other healthcare providers.
No network for pharmacies, dentists, ambulance.
12个月等待期后,每个保险期$500,最多$1,500。
美国公民: 突然 & 意外复发： 医疗至 $5,000。医疗运送至$25,000。
-
-
-
给付减少50％,最多惩罚$1,000
包括
Dental
疼痛 $350,非急诊受伤 $500
至最高保额
Travel
-
可选:附加追加条款,最多$250
-
$15,000,最多15天
$50,000
$25,000
$5,000
$10,000
Life
$25,000
$25,000
Other
-
意外:连续承保30天后14天,仅非美国居民。
-
-
-
可选：Add On，保险承保受伤最高至$2,000，损害至$500。
$50,000
在居住国之外
Plan Features
保险生效前, 全额退款。
保险生效后, 只要无任何理赔记录可按整月比例退款并扣除$50取消费。
最少1 个月最多4年
$0
可选: 附加法律援助,最多 $500
可选：手机保障
病房探视: $1,500
电子邮件
每次事故
$0 Up to 64
$100 Up to 64
$250 Up to 64
$500 Up to 64
每次事故
$50,000 Up to 64
$100,000 Up to 64
$250,000 Up to 64
$500,000 Up to 64
International Medical Group (IMG)
SiriusPoint Specialty Insurance Corporation
- For medical benefits, to policy maximum, refer to the Usual, Reasonable and Customary Charges. Deductible and coinsurance apply, unless otherwise noted.
- Whenever there is a difference in benefits levels within PPO network and outside PPO network, the benefits shown above are applicable when availing treatment within PPO network.
- Coverages shown are per person unless noted otherwise.
- The dash (-) in the fields above means Not Applicable (N/A).