Page 3 - Comparison of BLANK verses StudentSecure Plan of Tokio Marine HCC
P. 3
delivery, and 96 hours cesarean delivery. May be ELITE: Up to $750
discharged earlier. Paid as any other sickness. SELECT: Up to $750
BUDGET: Up to $250
Routine Newborn Care: Paid as any other Sickness SMART: No coverage.
matching with mother’s stay as Inpatient. Therapeutic Termination of Pregnancy: Up to $500. Not
subjected to coinsurance. (All plans)
6 Repatriation of Mortal Remains: - Available in policy through worldwide assistance ELITE: Up to $50,000 lifetime maximum
$25,000 (coverage to return the services. SELECT, BUDGET, and SMART: Up to $25,000 lifetime
student's remains to his/her native - Amount not stipulated. maximum.
country). (not subjected to deductible, coinsurance, or overall
maximum limit).
7 Medical Evacuation and Medical All Plans: Emergency Medical Evacuation: (not subjected to
Repatriation: $50,000 (to permit the Available through worldwide assistance services: deductible)
patient to be transported to his/her - Can send doctor/specialists to patient when and ELITE: Up to $500,000 lifetime maximum.
home country and to be accompanied where necessary, SELECT: Up to $300,000 lifetime maximum.
by a provider or escort, if directed by - Medical Repatriation for insured injured/sick BUDGET: Up to $250,000 lifetime maximum.
the physician in charge) person may be arranged if necessary to person’s SMART: Up to $50,000 lifetime maximum.
permanent place of residence for further medical
treatment. Emergency reunion (not subject to deductible or
- Transportation after Stabilization to original coinsurance)
point of origin; home country or host country. ELITE and SELECT: Up to $5,000, subject to a maximum of 15
- Transportation to join hospitalized insured days
person. BUDGET and SMART: Up to $1,000, subject to a maximum
- Return of minor children of 15 days
- No financial limit.
8 Deductible: Maximum of $50 per Per insured per policy year. Network Area: 50 miles - ELITE: $25 per injury or illness within PPO network,
occurrence if treatment or services radius around the local school campus the Insured is outside US, or at students health center; otherwise $50
are rendered at the Student Health attending. per injury or illness. Emergency Room (in US only): $100
Center; maximum of $100 per - SELECT: $35 per injury or illness within PPO network,
occurrence if treatment or services - ESSENTIAL: PPO: $100; Non-PPO: $500 outside US, or at students health center; otherwise $70
are rendered at an off-campus - BRONZE: In PPO: $100, Non=PPO: $500 per injury or illness. Emergency Room (in US only): $200
ambulatory care or hospital - SILVER: PPO: $100; Non-PPO: $500 (per insured, - BUDGET: $45 per injury or illness within PPO network,
emergency department facility. per policy per year) outside US, or at students health center; otherwise $90
- ELITE: PPO: $100; Non-PPO: $500 (per insured, per injury or illness. Emergency Room (in US only): $350
per policy per year) - SMART: $50 per injury or illness within PPO network,
outside US, or at students health center; otherwise
$100 per injury or illness. Emergency Room (in US only):
$350
9 Minimum coverage: $100,000 for Based on specific policy given below: Certificate Period Maximum | Maximum Benefit per Injury
or Illness
covered injuries/illnesses per policy
discharged earlier. Paid as any other sickness. SELECT: Up to $750
BUDGET: Up to $250
Routine Newborn Care: Paid as any other Sickness SMART: No coverage.
matching with mother’s stay as Inpatient. Therapeutic Termination of Pregnancy: Up to $500. Not
subjected to coinsurance. (All plans)
6 Repatriation of Mortal Remains: - Available in policy through worldwide assistance ELITE: Up to $50,000 lifetime maximum
$25,000 (coverage to return the services. SELECT, BUDGET, and SMART: Up to $25,000 lifetime
student's remains to his/her native - Amount not stipulated. maximum.
country). (not subjected to deductible, coinsurance, or overall
maximum limit).
7 Medical Evacuation and Medical All Plans: Emergency Medical Evacuation: (not subjected to
Repatriation: $50,000 (to permit the Available through worldwide assistance services: deductible)
patient to be transported to his/her - Can send doctor/specialists to patient when and ELITE: Up to $500,000 lifetime maximum.
home country and to be accompanied where necessary, SELECT: Up to $300,000 lifetime maximum.
by a provider or escort, if directed by - Medical Repatriation for insured injured/sick BUDGET: Up to $250,000 lifetime maximum.
the physician in charge) person may be arranged if necessary to person’s SMART: Up to $50,000 lifetime maximum.
permanent place of residence for further medical
treatment. Emergency reunion (not subject to deductible or
- Transportation after Stabilization to original coinsurance)
point of origin; home country or host country. ELITE and SELECT: Up to $5,000, subject to a maximum of 15
- Transportation to join hospitalized insured days
person. BUDGET and SMART: Up to $1,000, subject to a maximum
- Return of minor children of 15 days
- No financial limit.
8 Deductible: Maximum of $50 per Per insured per policy year. Network Area: 50 miles - ELITE: $25 per injury or illness within PPO network,
occurrence if treatment or services radius around the local school campus the Insured is outside US, or at students health center; otherwise $50
are rendered at the Student Health attending. per injury or illness. Emergency Room (in US only): $100
Center; maximum of $100 per - SELECT: $35 per injury or illness within PPO network,
occurrence if treatment or services - ESSENTIAL: PPO: $100; Non-PPO: $500 outside US, or at students health center; otherwise $70
are rendered at an off-campus - BRONZE: In PPO: $100, Non=PPO: $500 per injury or illness. Emergency Room (in US only): $200
ambulatory care or hospital - SILVER: PPO: $100; Non-PPO: $500 (per insured, - BUDGET: $45 per injury or illness within PPO network,
emergency department facility. per policy per year) outside US, or at students health center; otherwise $90
- ELITE: PPO: $100; Non-PPO: $500 (per insured, per injury or illness. Emergency Room (in US only): $350
per policy per year) - SMART: $50 per injury or illness within PPO network,
outside US, or at students health center; otherwise
$100 per injury or illness. Emergency Room (in US only):
$350
9 Minimum coverage: $100,000 for Based on specific policy given below: Certificate Period Maximum | Maximum Benefit per Injury
or Illness
covered injuries/illnesses per policy
