Emerald | Emerald | Platinum | Platinum | Presidential Health | Presidential Health | |
---|---|---|---|---|---|---|
Price/30 days |
$105.30
$400 ded.
|
$105.30
$400 ded.
|
$132.60
$500 ded.
$157.20
$250 ded.
|
$132.60
$500 ded.
$157.20
$250 ded.
|
$168.90
$500 ded.
$186.00
$250 ded.
|
$168.90
$500 ded.
$186.00
$250 ded.
|
PPO Network | Aetna | UnitedHealthcare | UnitedHealthcare | Aetna | Aetna | UnitedHealthcare |
Maximum Benefit | Unlimited | Unlimited | Unlimited | Unlimited | Unlimited | Unlimited |
Deductible at SHC | $400 per period of insurance | $400 per period of insurance | $0 | $0 | $0 | $0 |
Co-Insurance | 80% | 80% | 80% | 80% | 90% | 90% |
Physician Visits | $30 copay | $30 copay | $25 copay | $25 copay | $25 copay | $25 copay |
Urgent Care | $50 copay | $50 copay | $50 copay | $50 copay | $50 copay | $50 copay |
Emergency Room Visits | $250 copay | $250 copay | $500 copay | $500 copay | $500 copay | $500 copay |
Prescription Drugs | 80% with $30 copay | 80% with $30 copay | $20 copays/$40 copays / 60% co-insurance | $20 copay/$40 copay/ 60% | $20 copays/$40 copays / 60% co-insurance | $20 copays/$40 copays / 60% co-insurance |
Preventive Care | 100% In-Network | 100% In-Network | 100% In-Network | 100% In-Network | 100% In-Network, including HPV | 100% In-Network |
Pre-existing Condition | No Waiting Period | No Waiting Period | No Waiting Period | No Waiting Period | No Waiting Period | No Waiting Period |
Out-of-Pocket Maximum | $6,350 | $6,350 | $6,350 | $6,350 | $6,350 | $6,350 |
Maternity | 80% | 80% | 80% | 80% | 90% | 90% |
Mental Health | 80% | 80% | 80% | 80% | 90% | 90% |
Intramural, Club & Recreational Sports | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Pediatric Dental/Vision | ✘ | ✘ | ✓ | ✓ | ✓ | ✓ |
Medical Evacuation & Repatriation | ✓ ($100,000 Max) | ✓ ($100,000 Max) | ✓ | ✓ | ✓ | ✓ |
Return of Mortal Remains | ✓ ($50,000 Max) | ✓ ($50,000 Max) | ✓ | ✓ | ✓ | ✓ |
Worldwide Coverage | ✓ (except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) |