Gold Platinum
Price/30 days
Deductible
PPO Network UnitedHealthcare UnitedHealthcare
Maximum Benefit $2,000,000 Unlimited
Deductible at SHC $0 $0
Covid-19 Testing ✓ ✓
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)