J1 Exchange Plans
J1 plans designed to meet the U.S. Department of State requirements
Maple J1
$613
$500 deductible
$500 deductible
$50
$500 deductible
$500 deductible
- No Lifetime Limits On Benefits
- $100,000 per Injury/Illness
- Coinsurance: 80% In-Network
- $5 Copay / No Deductible at SHC
- Prescriptions - 80%
- Pre-ex Condition - covered after 12 months
- Physical Therapy
Oak J1
$726
$250 deductible
$250 deductible
$60
$250 deductible
$250 deductible
- No Lifetime Limits On Benefits
- $100,000 per Injury/Illness
- Coinsurance: 80% In-Network
- $5 Copay / No Deductible at SHC
- Prescriptions - 80%
- Pre-ex Condition - covered after 6 months
- Physical Therapy
Cedar J1
$734
$100 deductible
$100 deductible
$60
$100 deductible
$100 deductible
- No Lifetime Limits On Benefits
- $100,000 per Injury/Illness
- Coinsurance: 100%
- $5 Copay / No Deductible at SHC
- Prescriptions - 100%
- Pre-ex Condition - covered after 12 months
- Physical Therapy
The plan comparison and benefit information provided on this webpage is for general reference only and does NOT guarantee coverage or payment. For complete and detailed information
regarding your coverage, plan benefits, exclusions, and claims procedures please download the official Policy Brochure and/or Terms & Conditions. The provisions outlined in the Policy Brochure
and/or Terms & Conditions will prevail.
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