Thursday, January 17, 2008

International Student Insurance

International Students (F1 visa) Health Insurance, their spouses and children (F2 dependents) are required by US Universities to have good medical insurance coverage. International Students (F1 visa) Health Insurance plans cover medical expenses (pre-existing conditions & pregnancy may be covered), prescription drugs expenses, emergency medical evacuation and repatriation.

International Student Insurance - Introduction

International Student Insurance plans are designed to the special needs of international students enrolled in US universities. Spouses and children (dependents) of international students (F1 visa) are also eligible for these plans. International Students (F1 visa) and their dependents (F4 visa) are usually not eligible for mainstream UShealth insurance coverage because most of mainstream policies require local residency (6 months to 2 years) or US citizenship.

International Student Insurance plans focus on providing coverage for your medical expenses resulting from sudden illness or injuries during your period of study. International Student Insurance plans typically offer coverage for 4 or more years.

A few plans for international students offer maternity coverage provided conception occurs after a certain period of coverage (can range from 3 months to 2 years).

We have created a friendly online insurance compare/quote facility. Here you have to simply enter the relevant information. Our system will then search all your options from leading insurers and produce a list of plans that you are eligible for. You can then easily compare the different plans based on their price and different offerings. You can then select the one that you like best and purchase it directly online.


International Student Medical Insurance - Benefits

  • Emergency Medical Expenses,
  • Dental Expenses,
  • Prescription Drugs
  • Pregnancy, Maternity Expenses
  • Emergency Medical Evacuation
  • Repatriation of Mortal Remains
  • Emergency Medical Reunion
  • Accidental Death & Dismemberment (AD&D)
  • Flight Accident or Common Carrier Accidental Death & Dismemberment
  • Home Country Coverage

Emergency Medical Expenses:


International Student Insurance plan will pay for Hospital, in-patient and out-patient medical expenses incurred due to the treatment of injuries or illness occurring during the trip. Covered expenses include hospital room, intensive care, surgery, diagnostics, X-rays, tests etc.

Dental Expenses


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Organ Transplants


Most International Student Insurance plans include coverage for expenses related to organ transplants.

Mental Health Expenses


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Preventive & Wellness Checkups


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Prescription Drugs


Most International Student Insurance plans treat prescription drugs as emergency medical expenses and hence covered.

Pregnancy & Maternity Expenses


In the event of pregnancy and child birth a few select plans will pay for the associated costs. This benefits is only available to those who have been covered by the plan for a certain minimum number of months (the minimum number varies by the plan).

Emergency Medical Evacuation:


If the attending Physician determines that adequate medical treatment is not locally available, the plan will pay for evacuation to the nearest adequate medical facility.

Emergency Medical Re-union:


When Emergency Medical Evacuation or Repatriation is ordered and the attending Physician recommends that a family member travel with the Insured, the program will pay for the costs of a person accompanying the insured.

Accidental Death & Dismemberment (AD&D):


In case the Insured is injured or dies in an accident during the Trip, the policy will offer certain pre-determined amounts for loss of life, loss of one limb, loss of two limbs, loss of eyes etc.

Flight Accident or Common Carrier Accidental Death & Dismemberment (CADD):


In case the Insured is injured or dies on a commercial flight during the trip, the policy will offer certain pre-determined amounts for loss of life, loss of one limb, loss of two limbs, loss of eyes etc.

Home-country Coverage:
During a long USA stay (H1B, H4, J1 workers, F1, F4 students, Green Card holders awaiting citizenship) if you have to make unexpected short incidental trips to your Home Country the plan can extend coverage in India as well.


International Student Health Insurance - Characteristics

  • Features for renewals so that periodic premium payments can be made
  • High coverage amounts up to $5 Million for long term stay in the US (some plans are similar to main-stream plans offered only to US citizens or permanent residents)
  • Various levels of Deductibles and Co-insurance to suit your needs
  • Possibility of covering pre-existing conditions
  • Maternity coverage after a certain period of time
  • Reduced rates for dependent children `
  • Most plans can make direct payments to hospitals and doctors

Emergency Medical Expenses:


International Student Insurance plan will pay for Hospital, in-patient and out-patient medical expenses incurred due to the treatment of injuries or illness occurring during the trip. Covered expenses include hospital room, intensive care, surgery, diagnostics, X-rays, tests etc.

Dental Expenses


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Organ Transplants


Most International Student Insurance plans include coverage for expenses related to organ transplants.

Mental Health Expenses


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Preventive & Wellness Checkups


Most International Student Insurance plans include accidental dental coverage (expenses related to teeth injured in an accident) but very few offer emergency dental coverage (expenses related to sudden tooth ache, infection etc.).

Prescription Drugs


Most International Student Insurance plans treat prescription drugs as emergency medical expenses and hence covered.

Pregnancy & Maternity Expenses


In the event of pregnancy and child birth a few select plans will pay for the associated costs. This benefits is only available to those who have been covered by the plan for a certain minimum number of months (the minimum number varies by the plan).

Emergency Medical Evacuation:


If the attending Physician determines that adequate medical treatment is not locally available, the plan will pay for evacuation to the nearest adequate medical facility.

Emergency Medical Re-union:


When Emergency Medical Evacuation or Repatriation is ordered and the attending Physician recommends that a family member travel with the Insured, the program will pay for the costs of a person accompanying the insured.

Accidental Death & Dismemberment (AD&D):


In case the Insured is injured or dies in an accident during the Trip, the policy will offer certain pre-determined amounts for loss of life, loss of one limb, loss of two limbs, loss of eyes etc.

Flight Accident or Common Carrier Accidental Death & Dismemberment (CADD):


In case the Insured is injured or dies on a commercial flight during the trip, the policy will offer certain pre-determined amounts for loss of life, loss of one limb, loss of two limbs, loss of eyes etc.

Home-country Coverage:


During a long USA stay (H1B, H4, J1 workers, F1, F4 students, Green Card holders awaiting citizenship) if you have to make unexpected short incidental trips to your Home Country the plan can extend coverage in India as well.

International Student Medical Insurance - Benefits and Characteristics

International Student Medical Insurance - Benefits

  • Emergency Medical Expenses,
  • Dental Expenses
  • Prescription Drugs
  • Pregnancy, Maternity Expenses
  • Emergency Medical Evacuation
  • Repatriation of Mortal Remains
  • Emergency Medical Reunion
  • Accidental Death & Dismemberment (AD&D)
  • Flight Accident or Common Carrier Accidental Death & Dismemberment
  • Home Country Coverage


International Student Medical Insurance - Characteristics

  • Features for renewals so that periodic premium payments can be made
  • High coverage amounts up to $5 Million for long term stay in the US (some plans are similar to main-stream plans offered only to US citizens or permanent residents)
  • Various levels of Deductibles and Co-insurance to suit your needs
  • Possibility of covering pre-existing conditions
  • Maternity coverage after a certain period of time
  • Reduced rates for dependent children
  • Most International Student Health Insurance plans can make direct payments to hospitals and doctors

AM Best

AM Best Rating:


The A.M. Best Company, is considered the most authoritative source of Insurance company information. The company provides comprehensive data to insurance professionals. Founded in 1899 by Alfred M. Best, A.M. Best is the world's oldest source of insurance company ratings and information. Its Best's Ratings are the industry's standard measure of insurer financial performance.
Please note these ratings are assigned to usually the insurance underwriters of the policies you purchase and not to the policy or the policy administrator or the insurance agent.

Following are various AM Best ratings:
A++: Superior
A+ : Superior
A : Excellent
A- : Excellent
B++: Very Good
B+ : Very Good
B : Fair
B- : Fair
C++: Marginal
C+ : Marginal
C : Weak
C- : Weak
D : Poor
E : Under Regulatory Supervision
F : In Liquidation
S : Rating Suspended

Beneficiary:


Person(s) designated by the insured(s) that would receive the proceeds of an insurance policy upon death of the insured. You would typically assign a beneficiary at the time of completing the policy application.

Benefit:


Amount an insurance company pays to a claimant, assignee or beneficiary when the insured suffers a covered loss, injury, accident etc.

Benefit Period:


Benefit Period is the maximum time period up to which the plan will pay benefits for any one eligible condition. Some policies have a 12 month while others have a 6 month benefit period; usually this period can extend beyond the date of policy expiration.

Carrier:


Insurance company that actually underwrites and issues the insurance policy. The term refers to the fact that the company carries (or assumes) certain risks for the policyholder.

Certificate of Coverage:


A statement of coverage, also known as a Certificate of Insurance, that an individual receives when insured under a group contract. The certificate serves as proof of insurance, and outlines benefits and provisions.

Claim:


Request by the insured(or his/her provider) to an insurance company to pay for services obtained from a health care provider. The claim is usually submitted in a pre-determined format or a claim form.

COBRA (Consolidated Omnibus Budget Reconciliation):


Regulations requiring an employer who employs more than 20 people to offer continued group insurance coverage to former employees for up to 18 months. If the employee dies, the employer must offer continued group health insurance coverage to widowed spouses and dependent children for up to 36 months.

Co-Insurance:


After paying the deductible, percentage or amount of covered expenses that the insured pays.
For example, an insurance policy brochure may mention that the policy will pay 80% of the first $5,000 and 100% thereafter of the usual and customary charges;
In some health insurance plans, it is also called "co-payment".

e.g., Suppose you buy insurance policy with $50,000 policy maximum, $250 deductible per policy period and 80/20 co-insurance for the first $5000 and 100% coverage thereafter. Suppose you incur covered expense of $10,250. You pay first $250 deductible; then out of the remaining $10,000 covered expenses, you pay 20% of the first $5000 (i.e., $1000); the insurance policy pays for the remaining expenses (i.e. $9,000).
That means, you pay $250 + $1000 = $1250 total; and insurance company pays $4000 + $5000 = $9000.

Common carrier:


A vehicle or service licensed to carry passengers for hire on a regularly scheduled basis. Good examples are airplanes, trains etc.

Common carrier AD&D beneficiary:


If the insured person gets into an accident(while in plane for example), either loses hand, foot, eye etc. or dies, the insurance company will pay money. You should specify enter the name of the relative to whom that money should go to (in case of death) as 'Common Carrier AD&D Beneficiary'. That is usually close relative like son, daugther, son-in-law etc. If you are buying insurance for your mother and father both, please do not put any of their names in the beneficiary. This question is for who should that money go to in case both die.

Copay:


A predetermined flat fee that the insured pays for healthcare services, in addition to what the insurance covers. Copay is usually not specified in percentage of the total healthcare cost. e.g., you pay $10 for a visit to the doctor's office, no matter how much the doctor's office visit charge is.

Coverage period:


In most plans, insurance coverage can be purchased in the combination of monthly and/or 15 days increments to suit your needs. e.g., for a trip of 3.5 months, you can choose 3 monthly increments and one 15 days increment. Effective date for insurance coverage can be the date of departure from home country, or it can be any other later date specified by insured. It is wise to have the insurance effective date same as the date when you depart from home country for the destination and end date same as the date you arrive back in the home country so that you will be covered for any medical emergencies(for covered expenses) even during your journey.

Deductible:


Amount to be paid by the insured person before the insurance company begins to pay for the covered expenses. Deductible may be either per sickness/injury or once per policy period or once per year depending upon the insurance policy you purchase. You will not get receive any reimbursement later from insurance company for the deductible you pay.
e.g., Let us consider that you have purchased an insurance policy with a $50,000 policy maximum, $250 deductible per policy period and 80/20 co-insurance.
Suppose you incur a covered expense of $10,250; then the insurance company will pay the covered expenses according to policy terms after you make a a payment of the deductible (i.e. $250).

Denial of claim:


Refusal by an insurance company to honor a a request by an insured (or his/her healthcare provider) to pay for healthcare services. This would usually be due to pre-existing conditions.

Emergency evacuation:


Coverage for emergency medical evacuation to the nearest qualified medical facility or the country of residence, as determined by the insurance compnay; exepenses for reasonable travel and accommodations resulting from the evacuation; and the cost of returning to either the countgry of residence or the country where the evacuation occured, up to resonable maximum limit.

Emergency reunion:


Emergency reunion coverage for certain maximum amount, and for certain maximum duration such as 15 days, for the resonable travel and lodging expenses of a relative or friend during an emergency medical evacuation: generally either the cost of accompanying the insured during the evacuation or traveling from the country of residence to be reunited with the insured.

Exclusions:


Healthcare services not covered by an insured's health insurance policy. This would usually be due to pre-existing conditions or due to the limitation of the insurance plan.

Hazardous sports coverage:


Coverage for injuries incurred during amateur athletic activities which are non-contract and engaged in by an insured person solely for leisure, recreation, entertainment or fitness purposes.However, activities not covered include amateur or professional sports or other athletic activity which is organized and/or sanctioned, or which involves regular or scheduled practices, games or competition. Usually, following hazardous activities can be included by optional sports rider at additional premium cost: scuba diving, mountain climbing(up to 4500 meters or where ropes or guides are normally used), jet, snow and water skiing and snowboarding, sky diving, amateur racing, piloting an aircraft, bungee jumping and spelunking.

Individual policy:


An insurance policy (life, health, or disability) that provides coverage for an individual person (and, in some cases, his/her immediate family members), as opposed to a group policy that provides coverage for a group of individuals such as coverage through an employer.

Insured:


Person that purchases the insurance policy or enrolls into the insurance plan.

Lost luggage:


This benefit will be paid in the event that the common carrier permanently looses an insured person's checked luggage.This coverage is secondary to any other available coverage, including the carrier's.

Out of pocket maximum:


Maximum amount of money that the insured must pay on his own before the insurance company will pay 100% for insured's healthcare expenses.

Pre-existing conditions:


A pre-existing condition is defined as any injury, illness, sickness, disease, or other physical, medical, mental or nervous condition, disorder or ailment that existed at the time of application or during the past duration(specified by each insurance plan) prior to the effective date of the insurance, including any subsequent, chronic or recurring complications or consequences related to thereto or arising thereffrom.

Policy maximum:


Maximum amount of money that the insurance company will pay for covered expenses. Policy maximum can be either per policy period, per year, life time or per injury/sickness depending upon the insurance policy you purchase.

Premium:


Amount you pay to purchase medical insurance plan. Premium may be paid monthly, quarterly, semi-annually, annually or for entire duration of the coverage depending upon the insurance policy you purchase.

Repatriation of remains:


If a covered illness/injury results in a death, expenses for repatriation of bodily remains or ashes to the country of residence.

Return of minor children:


If an insured person is hospitalized due to a covered illness/injury and is traveling alone with child(ren) of age 19 or under that otherwise would be left unattended, the cost of one way economy fare to their home country, usually up to some reasonable maximum amount.

Trip interruption:


If, during a covered trip, there is a death of an immediate family member(spouse, child, parent or sibling) or the substantial destruction of the insured's principal residence, many plans would pay the insured to the area of principal residence. Many plans usually pay for one way air or ground transporation ticket of the same class as the unused travel ticket, less the value of the unused return ticket.

UC&R (or Usual, Customary & Reasonable):


UC&R (or Usual, Customary & Reasonable) Charges represent the average or most common amount charged by providers for a particular service, treatment, or supply in the same geographic area. Typically information on rates for procedures is compiled into a data bank and updated periodically. So when a claim is submitted for a plan with UC&R benefits, the insurance company before making the claim payment reviews the UC&R rate and double checks that hospitals and doctors are not billing excessively for the particular service or procedure. Most well respected plans from Blue Cross, Aetna, Lloyds, Unicare etc. follow the UC&R schedule.