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)
The plan comparison and benefit information provided on this webpage is for general reference only and does NOT guarantee coverage or payment. For complete and detailed information regarding your coverage, plan benefits, exclusions, and claims procedures please download the official Policy Brochure and/or Terms & Conditions. The provisions outlined in the Policy Brochure and/or Terms & Conditions will prevail.