Liberty Liberty Empire Empire
Price/30 days
$78.00
$1250 ded.
$78.00
$1250 ded.
$87.90
$500 ded.
$87.90
$500 ded.
PPO Network Aetna UnitedHealthcare Aetna UnitedHealthcare
Maximum Benefit Unlimited Unlimited Unlimited Unlimited
Deductible at SHC $1250 per period of insurance $1250 per period of insurance $500 per period of insurance $500 per period of insurance
Covid-19 Testing - ✓ - ✓
Co-Insurance 80% 80% 80% 80%
Physician Visits $30 copay $30 copay $30 copay $30 copay
Urgent Care $50 copay $50 copay $50 copay $50 copay
Emergency Room Visits $300 copay (waived if admitted) $300 copay (waived if admitted) $300 copay (waived if admitted) $300 copay (waived if admitted)
Prescription Drugs 80% with $30 copay 80% with $30 copay 80% with $30 copay 80% with $30 copay
Preventive Care 100% In-Network 100% In-Network 100% In-Network 100% In-Network
Pre-existing Condition No Waiting Period No Waiting Period No Waiting Period No Waiting Period
Out-of-Pocket Maximum $6,350 $6,350 $6,350 $6,350
Maternity 80% 80% 80% 80%
Mental Health 80% 80% 80% 80%
Intramural, Club & Recreational Sports ✓ ✓ ✓ ✓
Pediatric Dental/Vision ✘ ✘ ✘ ✘
Medical Evacuation & Repatriation ✓ ($100,000 Max) ✓ ($100,000 Max) ✓ ($100,000 Max) ✓ ($100,000 Max)
Return of Mortal Remains ✓ ($50,000 Max） ✓ ($50,000 Max） ✓ ($50,000 Max） ✓ ($50,000 Max）
Worldwide Coverage ✓ (including Home Country) ✓ (including Home Country) ✓ (including Home Country) ✓ (including Home Country)