Jade Blue Diamond
Price/30 days
$63.00
$90 ded.
$121.20
$250 ded.
PPO Network UnitedHealthcare UnitedHealthcare
Maximum Benefit $500,000 PIS Unlimited
Deductible at SHC $45 $250 per period of insurance
Co-Insurance 80% 80%
Physician Visits $0 copay $30 copay
Urgent Care $0 copay $50 copay
Emergency Room Visits $300 copay $250 copay
Prescription Drugs 80% 80% with $30 copay
Preventive Care Not Covered 100% In-Network
Pre-existing Condition ✓ (after 6 months) No Waiting Period
Out-of-Pocket Maximum $5,000 $6,350
Maternity 80% 80%
Mental Health 80% 80%
Intramural, Club & Recreational Sports ✘ ✓
Pediatric Dental/Vision ✘ ✘
Medical Evacuation & Repatriation ✓ ($60,000 Max) ✓ ($100,000 Max)
Return of Mortal Remains ✓ ($50,000 Max) ✓ ($50,000 Max)
Worldwide Coverage ✓ (except Home Country) ✓ (except Home Country)