Hello. Hola. Hallo. Hej. 您好.
You can greet someone in a foreign country in many ways. When you travel, stay safe and secure by saying hello to Student Health AdvantageSM, a one-of-a-kind international medical insurance plan that brings you Global Peace of Mind® when you're traveling abroad.
The Administrator Advantage
Our focus on Service, Strength, and Safety Solutions provides you with the ultimate advantage: Global Peace of Mind.
Service - Help when and where you need it.
Nobody wants to experience an emergency while traveling the world, but if you do, you’ll want a team you can trust to have your back. The administrator's expert staff is here for you 24/7. We’re accustomed to working in multiple time zones, languages, and currencies, so rest assured we have the training to assist you—even in remote and hazardous locations. Our international and U.S. provider networks include more than one million physicians and facilities across the globe, giving you access to quality care while away from your primary care team. Our innovative technology allows you to manage your claims, your account, and search for providers through our online portal and mobile app around the clock.
Strength - A market leader you can trust.
You can feel confident with the administrator knowing our industry expertise has led us to serve millions of customers worldwide since 1990. Owned by SiriusPoint, a multi-billion-dollar insurance industry leader and rated “A-” by A.M. Best, an independent analyst of the insurance industry, the administrator has a strong financial backing and vision to become the preeminent provider of travel and health safety solutions. With loyal customers ranging from Fortune 500 companies, universities, to individuals and other insurance companies, our personalized offerings allow us to meet the needs of nearly anyone traveling internationally.
Safety Solutions - Products and services designed with your safety in mind.
Pursuing an education away from your home country is already stressful. We know your safety and wellbeing while studying abroad is important to you, so Student Health Advantage has solutions designed to protect you and give you Global Peace of Mind.
Physical Health
You can't plan when you get sick, and unforunately, it can happen anytime and anywhere. Medical bills can be expensive, and this plan provides the cross-border medical coverage you need for unexpected medical care and rountine visits.
Mental Wellness
Being away from your support system can be challenging. This plan provides access to mental health services, like virtual counseling, to help with the transition as you adapt to cultural differences, adjust to a change in education, and navigate new relationships while you're away from loved ones.
Personal Property
There are some belongings you know you can't live without. The administrator has you covered and can reimburse costs if your mobile device is lost, stolen, or damaged during your travels abroad.
Crisis Support
Navigating an emergency in a foreign country is never easy. That's why the administrator offers a multilingual staff of nurses, doctors, and case managers provide 24/7 assistance services to facilitate a response to urgent and emergency situations, such as evacuations or search and rescue missions.
Financial Protection
Costs can add up while seeking medical treatment. However, access to the administrator's international physician and provider networks and pharmacy discount programs can help you save on out-of-pocket medical expenses and prescription medications.
Why Student Health Advantage?
As an international student or scholar, the thrill of studying abroad is extraordinary. Your new surroundings are amazing and you’re involved in new and exciting experiences. You’re seeing and visiting places for the first time, while receiving the benefits of a long-term education.
Caught up in all the excitement, you may not think about falling ill or getting injured during your studies. Without warning, your experience abroad can quickly become frightening and risky if you’re not prepared for a medical emergency. As an international student, peace of mind is a priority when you study abroad.
Your educational adventure or cultural exchange program should be enjoyable and gratifying. Maintaining the ability to be flexible and responsive, Student Health AdvantageSM is an international medical plan designed to specifically meet the needs of international students, scholars, and people involved in long-term educational and cultural exchange programs. The plan offers a robust package of benefits while outside your home country available 24 hours a day, providing you with Global Peace of Mind®. After all, you are global. Your medical insurance should be too.
Plan Highlights
- Meets U.S. student, scholar, and cultural exchange program visa requirements
- Coverage for individuals or groups of five or more primaries and their dependents
- Mental and nervous disorders and substance abuse coverage
- Intercollegiate/interscholastic/intramural or club sports coverage
- Maternity coverage (Platinum only)
- International emergency care
Student Health Advantage Standard - Summary of Benefits
Eligible Medical Expenses are limited to Usual, Reasonable, and Customary
Limits per Period of Coverage unless stated as Maximum Limit
| Coverage Limit/Maximum Amount for Eligible Medical Expenses | |||
|---|---|---|---|
| Maximum Limit | Student: $500,000 Dependent: $100,000 | ||
| Per Illness or Injury limit | Student: $300,000 Dependent: $100,000 | ||
| Deductible Per Illness or Injury | $250 | ||
| Coinsurance for Eligible Medical Expenses | |||
| Benefits | In-Network | Out-of-Network | International |
| Coinsurance In addition to deductible | Plan pays 90% Insured pays 10% | Plan pays 80% Insured pays 20% | Plan pays 100% Insured pays 0% |
| Out of Pocket Maximum | $1,000 | Up to the Maximum Limit | $0 |
| Precertification | |||
| Interfacility Ambulance Transfer, Emergency Medical Evacuation | No coverage if Pre-certification requirements are not met | ||
| All other Treatments & supplies | 50% reduction of Eligible Medical Expenses if Pre-certification requirements are not met | ||
| Pre-Existing Conditions | |||
| Charges resulting directly or indirectly from or relating to any Pre-existing Condition that existed within 36 months prior to the Effective Date are excluded until the Insured Person has maintained 12 months of continuous coverage under this insurance. | |||
| Student Health Center | |||
| Copayment per visit - Not subject to the per Illness or Injury Deductible | $5 | ||
| Coinsurance | Plan pays 100% Insured pays 0% | ||
| Inpatient/Outpatient Benefits | |||
| Benefits | In-Network | Out-of-Network | International |
| Eligible Medical Expenses | 90% | 80% | 100% |
| Physician Visits / Services - Maximum Visits per day: 1 - Surgery is not subject to the Maximum visit limit | 90% | 80% | 100% |
| Hospital Emergency Room - Injury: Not subject to Emergency Room Deductible - Illness: Subject to a $250 Deductible for each Emergency Room visit for Treatment that does not result in a direct Hospital admission. | 90% | 80% | 100% |
| Teleconsultation (Groups only) | - Not subject to Deductible and Coinsurance - Mental or Nervous Disorders are not covered - Coverage for a Teleconsultation is not a determination that any specific condition discussed, raised or identified during such consultation is covered under this insurance. The Company reserves the right to decline future claims relating to or arising from any condition discussed, raised or identified during a Teleconsultation where the Illness or Injury is directly or indirectly related to any Pre-existing Condition or is otherwise excluded under this Certificate of Insurance | ||
| Hospitalization / Room & Board - Average semi-private room rate - Includes nursing, miscellaneous and Ancillary Services | 90% | 80% | 100% |
| Intensive Care | 90% | 80% | 100% |
| Outpatient Surgical / Hospital Facility | 90% | 80% | 100% |
| Laboratory | 90% | 80% | 100% |
| Radiology / X-ray | 90% | 80% | 100% |
| Chemotherapy / Radiation Therapy | 90% | 80% | 100% |
| Pre-admission Testing | 90% | 80% | 100% |
| Surgery | 90% | 80% | 100% |
| Reconstructive Surgery - Surgery is incidental to and follows Surgery that was covered under the plan | 90% | 80% | 100% |
| Assistant Surgeon - 20% of the primary surgeon’s eligible fee | 90% | 80% | 100% |
| Anesthesia | 90% | 80% | 100% |
| Durable Medical Equipment | 90% | 80% | 100% |
| Chiropractic Care - Medical order or Treatment plan required | 90% | 80% | 100% |
| Physical Therapy - Maximum Visits per day: 1 - Medical order or Treatment plan required | 90% | 80% | 100% |
| Extended Care Facility - Upon direct transfer from an acute care Hospital | 90% | 80% | 100% |
| Home Nursing Care - Provided by a Home Health Care Agency - Upon direct transfer from an acute care Hospital | 90% | 80% | 100% |
| Prescription Drugs and Medication | |||
| The following Prescription Drugs and Medication Period of Coverage limit accumulates toward the Maximum Limit | |||
| Period of Coverage limit - Subject to the Coinsurance amounts listed below | - Student: $250,000 per person - Dependents: Up to the Maximum Limit ($100,000) | ||
| Inpatient and Outpatient Surgery Prescription Drugs and Medication | 90% | 80% | 100% |
| Emergency Room and Outpatient Office Visits Prescription Drugs and Medication | 90% | 80% | 100% |
| Retail Pharmacy Prescripton Drugs and Medication - Dispensing maximum for Retail Pharmacy: 90 days per prescription | N/A | 50% | 50% |
| Mental or Nervous / Substance Abuse | |||
| Inpatient Mental or Nervous / Substance Abuse - Maximum Limit: $10,000 - Not covered if incurred at the Student Health Center | 90% | 80% | 100% |
| Outpatient Mental or Nervous / Substance Abuse - Maximum Limit per day: $50 - Maximum Limit: $500 - Not covered if incurred at the Student Health Center | 90% | 80% | 100% |
| Emergency Services | |||
| Emergency Local Ambulance - Period of Coverage Limit per Injury $350 - Period of Coverage Limit per Illness $350 (resulting in an Inpatient Hospitalization) | 100% | 100% | 100% |
| Emergency Medical Evacuation - Maximum Limit: $500,000 - Must be approved in advance and coordinated by the Company | 100% | 100% | 100% |
| Emergency Reunion - Maximum Limit: $50,000 - Maximum Days: 15 - Meal Maximum per day: $25 - Reasonable and necessary travel costs and accommodations - Must be approved in advance by the Company | 100% | 100% | 100% |
| Interfacility Ambulance Transfer - Up to the per Injury or Illness limit - Services rendered in the United States - Transfer must be a result of an Inpatient Hospital admission | 100% | 100% | 100% |
| Political Evacuation and Repatriation - Maximum Limit: $10,000 - Must be approved in advance by the Company | 100% | 100% | 100% |
| Repatriation for Medical Treatment - Maximum Benefit: $100,000. This is in addition to the plan maximum limit/per injury or illness maximum limit - Approved in advance and coordinated by the Company - Refer to the REPATRIATION FOR MEDICAL TREATMENT provision for further details | 100% | 100% | 100% |
| Return of Mortal Remains - Maximum Limit: $50,000 - Local Burial / Cremation at place of death - Maximum Limit: $5,000 - Return of Insured Person’s Mortal Remains to Country of Residence - Must be approved in advance by the Company | 100% | 100% | 100% |
| Other Services | |||
| Terrorism - Not subject to Deductible and Coinsurance - Maximum Limit: $50,000 | 100% | 100% | 100% |
| Dental Treatment - Period of Coverage Limit: $350 (Treatment due to Unexpected pain to sound, natural teeth) - Period of Coverage Limit per Injury: $500 (Non-emergency Treatment by a Dental Provider due to an Accident) | N/A | 90% | 100% |
| Traumatic Dental Injury - Treatment at a Hospital Facility due to an Accident - Additional Treatment for the same Injury rendered by a Dental Provider will be paid at 100% | 90% | 80% | 100% |
| Intercollegiate, Interscholastic, Intramural, or Club Sports - Period of Coverage Limit per illness or injury: $5,000 | 90% | 80% | 100% |
| Accidental Death & Dismemberment - Not subject to Deductible and Coinsurance - Death must occur within 90 days of the Accident | Accidental Death: 100% of Principal Sum Student: $25,000 Spouse: $10,000 Child: $5,000 Accidental Dismemberment: Loss: Percent of Principal Sum Sight of 1 eye: 50% 1 hand or 1 foot: 50% 1 hand and loss of sight of 1 eye: 100% 1 foot and loss of sight of 1 eye: 100% 1 hand and 1 foot: 100% Both hands or both feet: 100% Sight of both eyes: 100% | ||
| Incidental Trip - Maximum days: 14 - Country of Residence is outside the United States - Refer to the INCIDENTAL TRIP provision for further details | 90% | 80% | 100% |
| Personal Liability - Secondary to any other insurance - No coverage for Injury to a related Third Party or damage to related Third Person’s property - Refer to the PERSONAL LIABILITY provision for further details and requirements | Combined Maximum Limit: $10,000 Injury to Third Person: Per Injury Deductible: $100 Damage to Third Person’s property: Per damage Deductible: $100 | ||
| Mobile Device Protection Rider | |||
| Mobile Device Protection Rider | Coverage for repair or replacement of your cell phone if it is lost, stolen or accidently damaged on your trip. | ||
Groups may also purchase a customizable long-term plan. Any coverages, benefits and premium rates offered are in U.S. Dollars. Benefits are subject to exclusions and limitations. This is only a summary and does not supersede in any way the Certificate of Insurance and governing policy documents (together the "Insurance Contract"). The Insurance Contract is the only source of the actual benefits provided.
Student Health Advantage Platinum - Summary of Benefits
Eligible Medical Expenses are limited to Usual, Reasonable, and Customary
Limits per Period of Coverage unless stated as Maximum Limit
| Coverage Limit/Maximum Amount for Eligible Medical Expenses | |||
|---|---|---|---|
| Maximum Limit | Student: $1,000,000 Dependent: $100,000 | ||
| Per Illness or Injury limit | Student: $500,000 Dependent: $100,000 | ||
| Benefits | In-Network | Out-of-Network | International |
| Deductible Options Per Illness or injury | $100 | $150 | $25 |
| Coinsurance for Eligible Medical Expenses | |||
| Coinsurance In addition to deductible | Plan pays 90% Insured pays 10% | Plan pays 80% Insured pays 20% | Plan pays 100% Insured pays 0% |
| Out of Pocket Maximum | $1,000 | Up to the Maximum Limit | $0 |
| Precertification | |||
| Interfacility Ambulance Transfer, Emergency Medical Evacuation | No coverage if Pre-certification requirements are not met | ||
| Maternity | 50% reduction of Eligible Medical Expenses if Pre-certification requirements are not met | ||
| All other Treatments & supplies | 50% reduction of Eligible Medical Expenses if Pre-certification requirements are not met | ||
| Pre-Existing Conditions | |||
| Charges resulting directly or indirectly from or relating to any Pre-existing Condition are excluded until the Insured Person has maintained 6 months of continuous coverage under this insurance. | |||
| Student Health Center | |||
| Copayment per visit - Not subject to the per Illness or Injury Deductible | $5 | ||
| Coinsurance | Plan pays 100% Insured pays 0% | ||
| Inpatient/Outpatient Benefits | |||
| Benefits | In-Network | Out-of-Network | International |
| Eligible Medical Expenses | 90% | 80% | 100% |
| Physician Visits/Services - Maximum Visits per day: 1 - Surgery is not subject to the Maximum visit limit | 90% | 80% | 100% |
| Teleconsultation (Groups only) | - Not subject to Deductible and Coinsurance - Mental or Nervous Disorders are not covered - Coverage for a Teleconsultation is not a determination that any specific condition discussed, raised or identified during such consultation is covered under this insurance. The Company reserves the right to decline future claims relating to or arising from any condition discussed, raised or identified during a Teleconsultation where the Illness or Injury is directly or indirectly related to any Pre-existing Condition or is otherwise excluded under this Certificate of Insurance | ||
| Hospital Emergency Room - Injury: Not subject to Emergency Room Deductible - Illness: Subject to a $250 Deductible for each Emergency Room visit for Treatment that does not result in a direct Hospital admission. | 90% | 80% | 100% |
| Hospitalization / Room & Board - Average semi-private room rate - Includes nursing, miscellaneous and Ancillary Services | 90% | 80% | 100% |
| Intensive Care | 90% | 80% | 100% |
| Outpatient Surgical / Hospital Facility | 90% | 80% | 100% |
| Laboratory | 90% | 80% | 100% |
| Radiology / X-ray | 90% | 80% | 100% |
| Chemotherapy / Radiation Therapy | 90% | 80% | 100% |
| Pre-admission Testing | 90% | 80% | 100% |
| Surgery | 90% | 80% | 100% |
| Reconstructive Surgery - Surgery is incidental to and follows Surgery that was covered under the plan | 90% | 80% | 100% |
| Assistant Surgeon - 20% of the primary surgeon’s eligible fee | 90% | 80% | 100% |
| Anesthesia | 90% | 80% | 100% |
| Maternity and Newborn Care - Maximum Limit: $5,000 - Pre-natal care, delivery of a Newborn, and post-natal care of an Insured Person, including complications - Newborn routine care during the first 31 days of life | 80% | 60% | 100% |
| Durable Medical Equipment | 90% | 80% | 100% |
| Chiropractic Care - Medical order or Treatment plan required | 90% | 80% | 100% |
| Physical Therapy - Maximum Visits per day: 1 - Medical order or Treatment plan required | 90% | 80% | 100% |
| Extended Care Facility - Upon direct transfer from an acute care Hospital | 90% | 80% | 100% |
| Home Nursing Care - Provided by a Home Health Care Agency - Upon direct transfer from an acute care Hospital | 90% | 80% | 100% |
| Prescription Drugs and Medication | |||
| The following Prescription Drugs and Medication Period of Coverage limit accumulates toward the Maximum Limit | |||
| Period of Coverage limit - Subject to the Coinsurance amounts listed below | - Primary Insured Person: $250,000 per person - Spouse and Child: Up to the Maximum Limit ($100,000) | ||
| Inpatient and Outpatient Surgery Prescription Drugs and Medication | 90% | 80% | 100% |
| Emergency Room and Outpatient Office Visits Prescription Drugs and Medication | 90% | 80% | 100% |
| Retail Pharmacy Prescripton Drugs and Medication - Dispensing maximum for Retail Pharmacy: 90 days per prescription | N/A | 50% | 50% |
| Mental or Nervous / Substance Abuse | |||
| Inpatient Mental or Nervous / Substance Abuse - Maximum Limit: $10,000 - Not covered if incurred at the Student Health Center | 90% | 80% | 100% |
| Outpatient Mental or Nervous / Substance Abuse - Maximum Limit per day: $50 - Maximum Limit: $500 - Not covered if incurred at the Student Health Center | 90% | 80% | 100% |
| Emergency Services | |||
| Emergency Local Ambulance - Period of Coverage Limit per Injury $750 - Period of Coverage Limit per Illness $750 (resulting in an Inpatient Hospitalization) | 100% | 100% | 100% |
| Emergency Medical Evacuation - Maximum Limit: $500,000 - Must be approved in advance and coordinated by the Company | 100% | 100% | 100% |
| Emergency Reunion - Maximum Limit: $50,000 - Maximum Days: 15 - Meal Maximum per day: $25 - Reasonable and necessary travel costs and accommodations - Must be approved in advance by the Company | 100% | 100% | 100% |
| Interfacility Ambulance Transfer - Up to the per Injury or Illness limit - Services rendered in the United States - Transfer must be a result of an Inpatient Hospitalization | 100% | 100% | N/A |
| Political Evacuation and Repatriation - Maximum Limit: $10,000 - Must be approved in advance by the Company | 100% | 100% | 100% |
| Repatriation for Medical Treatment - Maximum Benefit: $100,000 - Approved in advance and coordinated by the Company - Refer to the REPATRIATION FOR MEDICAL TREATMENT provision for further details | 100% | 100% | 100% |
| Return of Mortal Remains - Maximum Limit: $50,000 - Local Burial / Cremation at place of death - Maximum Limit: $5,000 - Return of Insured Person’s Mortal Remains to Country of Residence - Must be approved in advance by the Company | 100% | 100% | 100% |
| Other Services | |||
| Accidental Death & Dismemberment - Not subject to Deductible and Coinsurance - Death must occur within 90 days of the Accident | Accidental Death: 100% of Principal Sum Student: $25,000 Spouse: $10,000 Child: $5,000 Accidental Dismemberment: Loss: Percent of Principal Sum Sight of 1 eye: 50% 1 hand or 1 foot: 50% 1 hand and loss of sight of 1 eye: 100% 1 foot and loss of sight of 1 eye: 100% 1 hand and 1 foot: 100% Both hands or both feet: 100% Sight of both eyes: 100% | ||
| Incidental Trip - Maximum days: 14 - Country of Residence is outside the United States - Refer to the INCIDENTAL TRIP provision for further details | 90% | 80% | 100% |
| Dental Treatment - Period of Coverage Limit: $350 (Treatment due to Unexpected pain to sound, natural teeth) - Period of Coverage Limit per Injury: $500 (Non-emergency Treatment by a Dental Provider due to an Accident) | N/A | 90% | 100% |
| Traumatic Dental Injury - Treatment at a Hospital Facility due to an Accident - Additional Treatment for the same Injury rendered by a Dental Provider will be paid at 100% | 90% | 80% | 100% |
| Intercollegiate, Interscholastic, Intramural, or Club Sports - Period of Coverage Limit per Illness or Injury: $5,000 | 90% | 80% | 100% |
| Personal Liability - Secondary to any other insurance - No coverage for Injury to a related Third Party or damage to related Third Person’s property - Refer to the PERSONAL LIABILITY provision for further details and requirements | Combined Maximum Limit: $10,000 Injury to Third Person: Per Injury Deductible: $100 Damage to Third Person’s property: Per damage Deductible: $100 | ||
| Terrorism - Not subject to Deductible and Coinsurance - Maximum Limit: $50,000 | 100% | 100% | 100% |
| Mobile Device Protection Rider | |||
| Mobile Device Protection Rider | Coverage for repair or replacement of your cell phone if it is lost, stolen or accidently damaged on your trip. | ||
Groups may also purchase a customizable long-term plan. Any coverages, benefits and premium rates offered are in U.S. Dollars. Benefits are subject to exclusions and limitations. This is only a summary and does not supersede in any way the Certificate of Insurance and governing policy documents (together the "Insurance Contract"). The Insurance Contract is the only source of the actual benefits provided.
SHA Included Services
Pharmacy Discount Savings
Universal RX is a discount savings program allows you to purchase prescriptions from one of 35,000 participating pharmacies in the U.S. and receive the lower of 1) Universal Rx contract price or 2) the pharmacy regular retail price. This network offers a simplified claims process with minimal paperwork for the member if they visit an in-network provider.
This program is not insurance coverage; it is purely a discount program.
Teleconsultation (For groups only)
Teleconsultation provides access to a national network of board-certified doctors and pediatricians in the U.S. who are available 24 hours a day, seven days a week, 365 days a year to help diagnose, treat and prescribe medication (when necessary and available) for many non-emergent medical issues via phone or online video consultations. Teleconsultation does not replace existing primary care physician relationships, but supplements them as a convenient, affordable alternative for non-emergency medical care. The use of Teleconsultation will be considered as treatment inside the U.S. - PPO Network.
SHA Optional Riders
Adventure Sports Rider
The Adventure Sports Rider is available for eligible participants. Certain activities designated as adventure sports can be covered up to the maximums listed below. Certain activities are never covered, regardless of whether or not you purchase the Adventure Sports Rider. For a list of all the activities which can be considered to be adventure sports, please look at Adventure Sports Rider.
| Age | Maximum Limit |
|---|---|
| Through age 49 | $50,000 |
| 50-59 | $30,000 |
| 60-64 | $15,000 |
Mobile Device Protection Rider (For individuals only)
Cell phones are essential when traveling internationally to keep you safe, connect with friends and family back home, and to take photos of your travels. Device protection is for individuals and provides coverage for repair or replacements of your cell phone when it becomes lost, stolen, or accidentally damaged. With Mobile Device Protection, you can continue your travels and stay digitally connected wherever you are in the world.
*Benefits are subject to exclusions and limitations. This is only a summary and does not supersede in any way the Certificate of Insurance and governing policy documents (together the "Insurance Contract"). The Insurance Contract is the only source of the actual benefits provided.
SHA Plan Information
Eligibility
To be eligible to apply to the Student Health Advantage plan, you must:
- Be a participant: a student, scholar, intern, teacher or trainee enrolled in an educational or cultural exchange program for the purposes of teaching, study, research or receiving on the job training for a temporary period of time
- Be the spouse of a participant or children of a participant and residing outside his/her primary country of residence for a temporary period of time. Primary applicant must hold a J, M, F, or A visa
- Be at least 31 days old but not yet 65 years old
- Be physically and legally residing in the destination country with the intent to reside there for at least 30 days on the effective date and at renewal
Enrollment Process
Before you begin your travel, simply apply online or fill out the application and calculate the estimated premium for the time period you, your group, and/or your dependents will be traveling. Once you have completed the application, return it to us.
Eligible individuals listed on the application and for whom premiums have been paid will be covered from the latest of the following dates:
- The date the administrator approves your completed application and receives the appropriate premium
- The date you depart from your primary country of residence
- The date requested on your application
Eligible individuals may pay their rates on a monthly basis but will incur a 4 percent administration fee.
Fulfillment Kits
We process applications in a quick, timely manner. Once processing is complete, we will email the fulfillment kit(s) to the email listed in the Application. The fulfillment kit(s) will include an identification card(s), and the insurance certificate providing a complete description of the rights and benefits under the contract. For your convenience, you will get emailed this information and may also access it online.
Conditions of Coverage
1) Coverage and benefits are subject to the deductible limits, and coinsurance, and all terms of the certificate of insurance and master policy and all governing documents, as summarized in the certificate of insurance. 2) Coverage under a Student Health Advantage plan is secondary to any other coverage. 3) Coverage and benefits are for eligible medical expenses which are medically necessary and usual, reasonable, and customary. 4) Charges must be administered or ordered by a licensed physician. 5) Charges must be incurred during the period of coverage.
Renewal of Coverage
Eligible insureds can request coverage under the plan be renewed a minimum of five (5) days, up to a maximum of 60 continuous months, as long as the premium is paid when due and the insured continues to meet the eligibility requirements of the plan.
How Does the United States Affordable Care Act (ACA) Affect My Coverage?
Non-U.S. Citizens: As non-resident aliens, international students, scholars, and people involved in cultural exchange programs on F, J, M, or Q visas (and certain family members) are not subject to the individual mandate for their first five years in the U.S. All other J categories (teacher, trainee, work and travel, au pair, high school, etc.) are not subject to the individual mandate if in the U.S. for two of the past six years. Since international students are not subject to the mandate, they are not required to purchase a plan that meets ACA requirements and can purchase the Student Health Advantage.
U.S. Citizens: Under the ACA, all U.S. citizens, nationals, and resident aliens are required to purchase minimum essential coverage (ACA-compliant coverage), unless they are exempt. Exempt U.S. citizens include U.S. citizens who reside outside of the U.S. for 330 of any 365-day period, or have a tax home (main place of work or employment, or if you don’t have a main place of work or employment, your main residence) in a foreign country, and are a bona fide resident of a foreign country.
Please note that this insurance is not subject to, and does not provide benefits required by, ACA. Since January 1, 2014, ACA requires U.S. citizens, U.S. nationals and resident-aliens to obtain ACA compliant insurance coverage unless they are exempt from ACA (international students on F, J, M and Q visas (and certain family members of students) are not subject to the individual mandate for their first 5 years in the U.S. All other J categories - teacher, trainee, work and travel, au pair, high school, etc. - are not subject to the individual mandate for 2 years out of the past six). Penalties may be imposed on persons who are required to maintain ACA compliant coverage but do not do so. Eligibility to purchase or renew this product, or its terms and conditions, may be modified or amended based upon changes to applicable law, including ACA. Please note that it is solely your responsibility to determine if ACA is applicable to you and the Company and the administrator shall have no liability whatsoever, including for any penalties that you may incur, for your failure to obtain required ACA compliant coverage. The materials available on this website are for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem. This brochure is intended to convey general information only and not to provide legal advice or opinions.
SHA Claims Procedure
Precertification:
Certain treatment and supplies including hospital admission, inpatient or outpatient surgery, and other procedures as noted in the certificate wording, must be precertified for medical necessity, which means the insured person or their attending physician must communicate with a representative at the number listed on the ID card prior to admission to a hospital before receiving certain treatments and supplies, or performance of a surgery. In case of an emergency admission, the precertification must be made within 48 hours of the admission, or as soon as reasonably possible. If a hospital admission or a surgery is not precertified, eligible claims and expenses will be reduced by 50 percent. It is important to note that precertification is only a determination of medical necessity, not an assurance of coverage, verification of benefits, or a guarantee of payment. All medical expenses eligible for reimbursement must be medically necessary and will be paid or reimbursed at usual, reasonable, and customary rates. Please refer to the certificate wording for full details of the precertification requirements.
Note: You may begin the precertification process online here or by going through Policy Service. Simply look for the precertification option. You will be asked to provide the required information, which can then be submitted electronically. Once we have received all required information and medical records, our utilization management and review team will review the information provided and normally responds to the insured person or the provider within 2 business days. Please note that this online service will only initiate the process for treatment and supplies outlined in the contract, and it should not be used to request precertification for emergency admissions, procedures, or evacuations.
How to File a Claim
Claim forms can be accessed here and mailed to the address on the claim form. All contact numbers, claim forms and Certificate of Insurance are included in the fulfillment kit.
MyAccount
MyAccount provides service at your fingertips, giving you the information and tools to manage your plans anytime, anywhere, through easy-to-use technology. You’ll have immediate access to important resources online, including our service center team, plan document access, claim forms and much more.
U.S. Network Access
UnitedHealthcare provides travelers in the U.S. with direct access to one of the largest networks of providers in the U.S. that includes:
- Over 1.4M physicians
- 6,797 hospitals
- Over 45,000 clinics
- 67,000 pharmacies
- 1,800 convenience clinics
International Provider AccessSM
Travelers outside of the U.S. can also enjoy access to quality healthcare worldwide with our proprietary IPA network that includes:
- Over 45,000 physicians and facilities
- Direct billing arrangements that minimize time and upfront expense
SHA Premium Rates
SHA Standard
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SHA Platinum
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New premium rates per insured person effective 05/01/2024 for eligible individuals whose applications are approved by the administrator. The administrator reserves the right to modify or replace these rates at any time.
Administrator
IMG9200 Keystone Crossing
Suite 800
Indianapolis, IN 46240
FOR ADDITIONAL INFORMATION
Kasia Matlag3824 Cedar Springs Rd #801-5954
Dallas, TX 75219
United States
Phone: (214) 677-4749
Website: matlag.brokersnexus.com
Coverage is underwritten and issued by SiriusPoint Specialty Insurance Corporation, rated “A-” (excellent) by A.M. Best and A- by Standard & Poor’s (at the time of printing).
This invitation to inquire allows eligible applicants an opportunity to seek information about the insurance offered and is limited to a brief description of any loss for which benefits may be payable.
Benefits are offered as described in the Insurance Contract. Benefits are subject to all deductibles, coinsurance, provisions, terms, conditions, limitations and exclusions in the Insurance Contract. Certain contracts do contain a pre-existing condition exclusion and do not cover losses or expenses related to a pre-existing condition.
This brochure contains many of the valuable trademarks, names, titles, logos, images, designs, copyrights and other proprietary materials owned and registered and used by International Medical Group, Inc. and its representatives throughout the world. © 2007-2022 International Medical Group, Inc. All rights reserved.
The UnitedHealthcare name and logo are registered trademarks of UnitedHealth Group in the U.S. and other jurisdictions.
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