Hospitalization only plan for non-U.S. citizens
- Plan offers $100,000 for hospitalization only
- Medical evacuation & repatriation benefits
- Doctor visit & prescriptions are covered only when hospitalized!!!
- 25 - 29$54
- 30 - 64$65
- 7 - 24$39
Lifetime maximum:No Lifetime Maximum
Maximum per injury/sickness:$150,000
Deductible per event at SHC / PPO / else:$100 / $100
Repatriation of remains:$15,000
Co-insurance in network:80% up to $20,000; 100% up to $150,000, hospitalization only
Co-insurance out-of-network:60% up to $150,000 of Reasonable & Customary charges, hospitalization only
Pre-existing conditions:Not covered
For purposes of this insurance, if your home country (passport country) is different from your country of permanent residence (location in which you permanently reside), you will not be covered in either location. Permanent residents are not eligible for coverage.