Ruby | Platinum | CA Platinum | |
---|---|---|---|
Price/30 days |
$76.20
$1250 ded.
$88.20
$400 ded.
$107.10
$90 ded.
|
$92.10
$1500 ded.
$106.20
$500 ded.
$126.00
$100 ded.
|
$133.80
$0 ded.
|
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) |