GeoBlue Navigator Student Medical Insurance

Please use this high level information as a guide only and do not make any decisions solely based on this information. If you have any concerns, doubts or questions, please refer to the individual policy details for complete information, as it is not possible to accurately represent all the details in concise information such as follows, or call us for further details. If there is any discrepancy between this information and the actual policy details, the policy details will override.

All the amounts are in U.S. dollars.

Vision (eyeglasses, etc.) is not covered in any of the plans.

General

Navigator® Student
Comprehensive
PPO 网络内: 自付额后, 保险支付80%至您共同保险最大限额, 之后保险支付100%。 PPO 网络外: 自付额后, 保险支付 60% 至您共同保险最大限额, 之后保险承保100%。 美国境外: 自付额后, 保险承保100%。 共同保险最大限额根据您选择的自付额而定。
至最高保额

Medical - Outpatient

PPO 网络内: $30 共付额: 自付额免除。 否则, 至最高保额。每年8次。
PPO 网络内: $75 共付额: 自付额免除。否则, 至最高保额。
至最高保额 如果急诊但未住院,另付$100共付额。
$5,000, 每次最多提供90天处方药-无需免赔额
至最高保额
至最高保额
至最高保额
至最高保额
至最高保额
至最高保额

Medical - Inpatient

至最高保额, 包括护理服务的标准双人病房。
至最高保额
至最高保额
至最高保额
至最高保额
至最高保额
至最高保额

Medical - Other Treatment And Services

10天
至最高保额
与其它符合条件的医疗费用一样。职业运动与深度超过20米的水肺潜水除外。
至最高保额
仅限妊娠并发症。
至最高保额, 最多60天。
美国境外共付额$10,美国PPO网络内共付额$30。
包括心理& 神经系统保障
物理治疗:承保至最高保额,每年6次。
BlueCross BlueShield PPO
Network of physicians, hospitals, urgent cares, labs and other healthcare providers.
No network for pharmacies, dentists, ambulance.
等待期12个月后, 与其它符合要求的医疗费用相同。
-
至最高保额
-
身体检查: 每年一次最多$250。 其它健康项目: 至最高保额,自付额免除。
-
包括

Plan Features

保险生效前, 全额退款。 保险生效后, 无退款。
3 个月至12个月 - 之后被保险人可以重新购买至75岁
$0
家庭免赔额限制于个人的2.5 倍 旅行疫苗: $500
电子邮件
年度
$0 0-74
$250 0-74
$500 0-74
$1,000 0-74
$2,500 0-74
$5,000 0-74
无限制
-$1 0-74
GeoBlue
4 Ever Life International Limited

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  • For medical benefits, to policy maximum, refer to the Usual, Reasonable and Customary Charges. Deductible and coinsurance apply, unless otherwise noted.
  • Whenever there is a difference in benefits levels within PPO network and outside PPO network, the benefits shown above are applicable when availing treatment within PPO network.
  • Coverages shown are per person unless noted otherwise.
  • The dash (-) in the fields above means Not Applicable (N/A).

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