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2/4/2019 https://quote.hccmis.com/content/studentsecure/help/PolicyHelpStd.htm#diff

Visa, MasterCard, and Discover

For Visa, MasterCard and Discover
there are 3 digits on the back of the
card in the area shown by the graphic to
the right.

American Express

For American Express there are 4 digits
on the front of the card in the area
shown by the graphic to the right.

Benefits and Limits of StudentSecure®

BENEFIT ELITE SELECT BUDGET SMART
$1,000,000 $600,000 $500,000 $200,000
Certificate Period
Maximum

Maximum Benefit $500,000 $300,000 $250,000 $100,000
per Injury or Illness

Deductible(Except $25 per injury or illness $35 per injury or $45 per injury or $50 per injury or
Emergency Room) within the PPO network, illness within the illness within the illness within the
outside the U.S. or at a PPO network, PPO network, PPO network,
student health center; outside the U.S. outside the U.S. outside the U.S.
otherwise $50 per injury or or at a student or student health or student health
illness health center; center; otherwise center; otherwise
otherwise $70 $90 per injury or $100 per injury
per injury or illness or illness
illness

Emergency Room $100 for treatment received $200 for $350 for treatment received in an
Deductible (Claims in an emergency room treatment emergency room
incurred in the U.S. received in an
only) emergency room

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