Sapphire Gold Blue Diamond
Price/30 days
Deductible
PPO Network UnitedHealthcare UnitedHealthcare UnitedHealthcare
Maximum Benefit $500,000 PIS $2,000,000 Unlimited
Deductible at SHC $45 $0 $250 per period of insurance
Covid-19 Testing ✓ ✓ ✓
Co-Insurance 80% 80% 80%
Physician Visits $0 copay $25 copay $30 copay
Urgent Care $0 copay $50 copay $50 copay
Emergency Room Visits $300 copay $500 copay $250 copay
Prescription Drugs 80% 70%; Max. Benefit of $2,000 80% with $30 copay
Preventive Care Not Covered 100% In-Network; Max. Benefit of $500 100% In-Network
Pre-existing Condition No Waiting Period $2500 benefit; No exclusion after 6-mos No Waiting Period
Out-of-Pocket Maximum $2,000 ✘ $6,350
Maternity 80% 80% 80%
Mental Health 80% 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) ✓ (except Home Country)