University of Pennsylvania
- If you need specific coverage dates, please email Info@psiservice.com
- For Plans that we offer to Recent Grads, OPT Participants, and H1B visa holder, click HERE.
Age
Emerald Plan
- Unlimited Maximum & Lifetime Benefit
- Coinsurance 80% In-Network, 60% Out-Network
- Hospitalization, Inpatient Benefits
- Preventive Care per ACA - 100% In-Network
- Prescription Medications $30 Copay, 80% coinsurance
- No limits on Pre-Ex Conditions for Students
- Mental Health/Substance Abuse Treatments
- Intramural & Club Sports
- Maternity Care Benefits
- Out-of-Pocket Max $6,350/year
- No Copays at SHC
- Medical Evacuation & Repatriation
Platinum Plan
- Unlimited Maximum & Lifetime Benefit
- Coinsurance: 80% In-Network
- Hospitalization, In/Outpatient Benefits
- Preventive Care, GYN exams, Vaccines
- Prescription Drugs $20 copay/$40 copay/ 60%
- No limits on Pre-Ex Conditions for Students
- Mental Health Benefit
- Alcohol and Substance Abuse
- Maternity Care Benefits
- Intramural & Club Sports
- No Copays/Deductible at SHC
- Out-of-Pocket Max $6,350/year
- Medical Evacuation & Repatriation
Presidential Health
- Unlimited Maximum & Lifetime Benefits
- 90% In-Network Coinsurance
- Hospitalization, In/Outpatient Benefits
- Preventive Care, GYN, Vaccines, HPV
- Prescription Drugs $20 copay/$40 copay/ 60%
- Pre-existing Conditions - No limits
- Mental Health Benefit
- Alcohol and Substance Abuse
- Maternity Care Benefits
- Out-of-Pocket Maxi $6,350 per year
- No Copays/Deductible at SHC
- Medical Evacuation & Repatriation
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.
PSI gathered this information as a resource for students, and this does not intend to imply a relationship between your school and our website, or company. Our plans simply offer an
alternative to the university's student health insurance plan.