Ruby Platinum CA Platinum
Price/30 days
Deductible
PPO Network Aetna Aetna Aetna
Maximum Benefit Unlimited Unlimited Unlimited
Deductible at SHC - $0 $0
Covid-19 Testing ✓ (1 Free without referral) ✓ (1 Free without referral) ✓ (1 Free without referral)
Co-Insurance 80% 80% 80%
Physician Visits $30 copay $25 copay $25 copay
Urgent Care $50 copay $50 copay $50 copay
Emergency Room Visits $250 copay $100 copay $100 copay
Prescription Drugs 80% $20/$40/$60 copays $20/$40/$60 copays
Preventive Care 100% In-Network 100% In-Network 100% In-Network
Pre-existing Condition No waiting period No Waiting Period No Waiting Period
Out-of-Pocket Maximum $6,350 $6,350 $6,350
Maternity 80% 80% 80%
Mental Health 80% 80% 80%
Intramural, Club & Recreational Sports ✓ ✓ ✓
Pediatric Dental/Vision ✘ ✓ ✓
Medical Evacuation & Repatriation ✓ ($100,000 Max) ✓ ✓
Return of Mortal Remains ✓ ($50,000 Max) ✓ ✓
Worldwide Coverage ✓ (except Home Country) ✓ (except Home Country) ✓ (except Home Country)