| USF World Elite 450 | Blue Diamond | Ruby | |
|---|---|---|---|
| Price/30 days |
$82.20
$450 ded.
|
$141.00
$250 ded.
|
$141.30
$90 ded.
|
| PPO Network | UnitedHealthcare | UnitedHealthcare | UnitedHealthcare |
| Maximum Benefit | Unlimited | Unlimited | Unlimited |
| Deductible at SHC | $0 | $250 per period of insurance | $90/400/1250 per period of insurance |
| Co-Insurance | 100% SHC & 80% In-Network | 80% | 80% |
| Physician Visits | $20 copay | $30 copay | $30 copay |
| Urgent Care | $50 copay | $50 copay | $50 copay |
| Emergency Room Visits | $200 copay (waived if admitted) | $250 copay | $250 copay |
| Prescription Drugs | $15/$40/$75 copay per prescription | 80% with $30 copay | 80% with $30 copay |
| Preventive Care | 100% In-Network | 100% In-Network | 100% In-Network |
| Pre-existing Condition | No Waiting Period | No Waiting Period | No waiting period |
| Out-of-Pocket Maximum | $5,000 | $6,350 | $6,350 |
| Maternity | 80% | 80% | 80% |
| Mental Health | 80% | 80% | 80% |
| Intramural, Club & Recreational Sports | ✓ (Recreational Sports) | ✓ | ✓ |
| Pediatric Dental/Vision | ✘ | ✘ | ✘ |
| Medical Evacuation & Repatriation | ✓ ($120,000) | ✓ ($100,000 Max) | ✓ ($100,000 Max) |
| Return of Mortal Remains | ✓ ($25,000) | ✓ ($50,000 Max) | ✓ ($50,000 Max) |
| Worldwide Coverage | ✓ (except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) |