TaiAn Select ExtendSM
TaiAn Select ExtendSM

 
PLAN INFORMATION & HIGHLIGHTS
Benefits In-Network (U.S.) Out-of-Network (U.S.)
Maximum Limit Unlimited
Coinsurance for Eligible Medical Expenses Plan pays 80%
Insured pays 20%
Plan pays 70%
Insured pays 30%
Deductible $100
MyIMGSM 24-hour secure access from anywhere in the world to manage your account at anytime
International Emergency Care A wide range of international emergency benefits available, including emergency evacuation, emergency reunion and return of mortal remains
Dependent Coverage Coverage provided for dependents of faculty, scholars, students, and exchange participants
Optional Add-On Plan Additional coverage is available for high school sports, personal liability, and legal assistance
Pre-existing Conditions Period of Coverage Limit (after 12 months): $100,000 Maximum Limit: $125,000
MEDICAL BENEFITS
Benefits In-Network (U.S.) Out-of-Network (U.S.)
Hospitalization/Room & Board 80% 70%
Intensive Care 80% 70%
Physical Therapy: Inpatient
Medical order or treatment plan required
80% 70%
Physical Therapy: Outpatient
Maximum visits per day: 1
Medical order or treatment plan required
80% 70%
Physician Visits/Services
Maximum visits per day: 1
80% 70%
Student Health Center $5 copay per visit $5 copay per visit
Prescriptions 80% 70%
Eligible Medical Expenses 80% 70%
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
80% 70%
Dental Treatment
  • Subject to deductible and coinsurance
  • 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)
Not Applicable 70%
Injury Due to Accident $500
Sudden and Unexpected Emergency $350
Traumatic Dental Injury
Subject to deductible & coinsurance
80% 70%
INTERNATIONAL EMERGENCY CARE (When coordinated through the Plan Administrator)
Emergency Medical Evacuation 100% - $50,000 maximum limit
Emergency Reunion 100% - $15,000 maximum limit; 15 day maximum; $25 meal maximum per day
Return of Mortal Remains 100% - $25,000 maximum limit for return of mortal remains or $5,000 for cremation/burial
Political Evacuation & Repatriation 100% - $10,000 maximum limit
ADDITIONAL BENEFITS
Benefits In-Network (U.S.) Out-of-Network (U.S.)
Accidental Death & Dismemberment Principal Sum Maximum Limit: $25,000
Accidental Death: 100% of Principal Sum
Death must occur within 90 days of the accident
Terrorism 100% - $50,000
Incidental Trip Not Applicable 70% - maximum of 14 days
Preexisting Conditions Period of Coverage Limit (after 12 months): $100,000
Maximum Limit: $125,000
OPTIONAL ADD-ON PLAN
High School Interscholastic, Intramural, or Club Sports Coverage Up to Maximum Limit per Illness or Injury shown in the Declaration for Eligible Medical Expenses
Lost Personal Property $250 Maximum Limit per Period of Insurance for loss or theft of (a) Baggage; (b) Valuables; or (c) Personal papers.
Legal Assistance $500 Maximum Limit per Period of Coverage for legal expenses incurred in the event the Insured Person is served a summons, complaint, or other legal notice of a valid claim for personal injury or property damage against the Insured Person
Personal Liability

$2,000 Maximum Limit per Period of Coverage after $100 deductible is met for Injury caused by the Insured Person to a third party.

$500 Maximum Limit per Period of Coverage after $100 deductible is met for damage caused by the Insured Person to a third party’s property.