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University of Kansas º¸Çèȸ»ç : UnitedHealthCare |
Insurance Provider | Çб³º¸Çè | UHC Plus | UHC Preferred |
Maximum Benefit | Unlimited | Unlimited | Unlimited |
In / Out of Network | 80% / 60% | 80% / 70% | 90% / 70% |
Deductible | $300 per year | $100 per year | $50 per year |
Mental Health Care | 80% / 60% | 80% / 70% | 90% / 70% |
Preventive Care | 100% / 0% | 100% | 100% |
Pre-Existing Condition | Covered | Covered | Covered |
Annual Insurance Rate | $1,489 | $1,088 | $1,240 |
Annual 08/01-07/31 | Fall 08/01-12/31 | Spring/Summer 01/01-07/31 | |
Çб³º¸Çè·á | $1,489 | $620 | $865 |
1. Coverage for essential benefits (with no dollar limits), as defined under the Patient Protection and Affordable Care Act. Standalone travel and/or emergency/urgent care coverage is not acceptable. The policy must include:
• pharmacy
• mental health services
• maternity benefits (if you are female or have a spouse on the plan)
• preventive care and coverage for pre-existing conditions
• Pediatric dental and vision coverage (if you have dependent children on the plan)
2. Unlimited Maximum Benefit for covered medical expenses.
3. A policy year deductible of $500 or less.
4. Maximum total out-of- pocket expenses cannot exceed $6,350 per member ($12,700 per family) with preferred providers. (Deductibles, coinsurance, and copays all count toward the out-of-pocket maximum.)
5. A minimum of 80% coinsurance payable by the insurance plan to network providers.
6. Coverage includes effective dates spanning the entire period for which the waiver is requested.
• Fall - 08/01/2015 through 12/31/2015
• Spring - 01/01/2016 through 05/31/2016
7. Plan document(s) are written in English, with currency amounts converted to U.S. dollars, and the insurance company contact phone # is located in the U.S.
8. Insurer has a base of operations in the US or has a US based claims payer.
9. At least $100,000 in coverage for repatriation and medical evacuation.
10. J-1 Exchange Visitors and their dependents only: Policy must be underwritten by an insurance company that meets the rating requirements of the USIA or is backed by the full faith and credit of your home government.