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Student Health AdvantageSM
Student Health AdvantageSM

All amounts shown are in U.S. dollars. Click the orange headers for further information.

Summary of Benefits
Maximum Limit
Per Illness/Injury Maximum
Deductible
Coinsurance
Inpatient/Outpatient Benefits
Hospital Room and Board Average semi-private room rate, including nursing service
Intensive Care URC
Maternity  
Routine Newborn Care $750 maximum per period of coverage
Emergency Room
Mental & Nervous Disorders
Prescription Drugs
Physical Therapy URC - limit once per day
Local Ambulance
Dental
Eligible Medical Expenses URC
Evacuation Benefits
Emergency Medical Evacuation $500,000 lifetime maximum
Emergency Reunion $50,000 lifetime maximum
Return of Mortal Remains $50,000 maximum
Political Evacuation $10,000 lifetime maximum
ADDITIONAL BENEFITS
Intercollegiate/Interscholastic/ Intramural or Club Sports $5,000 maximum per injury/illness
Incidental Trip Coverage Up to a cumulative two weeks
Pre-existing Conditions Charges excluded after 12 months of continuous coverage (6 months for Platinum)
Terrorism Coverage $50,000 lifetime maximum
AD&D
Treatment Period 60 Day minimum

* This Web page contains only a consolidated and summary description of all current benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.

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