Gold | Platinum | |
---|---|---|
Price/30 days |
$78.90
$500 ded.
$96.30
$250 ded.
|
$120.60
$500 ded.
$142.80
$250 ded.
|
PPO Network | UnitedHealthcare | UnitedHealthcare |
Maximum Benefit | $2,000,000 | Unlimited |
Deductible at SHC | $0 | $0 |
Co-Insurance | 80% | 80% |
Physician Visits | $25 copay | $25 copay |
Urgent Care | $50 copay | $50 copay |
Emergency Room Visits | $500 copay | $500 copay |
Prescription Drugs | 70%; Max. Benefit of $2,000 | $20 copays/$40 copays / 60% co-insurance |
Preventive Care | 100% In-Network; Max. Benefit of $500 | 100% In-Network |
Pre-existing Condition | $2500 benefit; No exclusion after 6-mos | No Waiting Period |
Out-of-Pocket Maximum | ✘ | $6,350 |
Maternity | 80% | 80% |
Mental Health | 80% | 80% |
Intramural, Club & Recreational Sports | ✘ | ✓ |
Pediatric Dental/Vision | ✘ | ✓ |
Medical Evacuation & Repatriation | ✓ | ✓ |
Return of Mortal Remains | ✓ | ✓ |
Worldwide Coverage | ✓ (except Home Country) | ✓ (except Home Country) |