Trail Blazer Basic (2017-2018)

The Trail Blazer is ISP’s comprehensive health plan for international students, starting at $65 per month for students age 24 and under. The Trail Blazer Plan exceeds US State Department insurance requirements for J1/J2 and F1 visa holders, as well as most universities’ requirements. The Trail Blazer also may be used to opt out of a mandatory school insurance program, where permitted by the university.

Please note that The Trail Blazer is not available in all states or to all schools.Plan design may vary on a state by state basis.

If you are a university official or advisor, and wish to offer the Trail Blazer on a voluntary or mandatory basis, please contact us. To learn more about offering a plan to your students, please see our advisors page.

  • Rates Starting at $65 per month
  • $500,000 Medical Maximum Per Accident or Sickness
  • Unlimited Lifetime Maximum
  • $350 Deductible per Policy Period

Rates (per month)

$65
 

In                                                            Network

Out of Network
Annual/Lifetime Maximum Unlimited
Medical Maximum per Covered Accident or Sickness $500,000
First Treatment First Charge must occur within 30 days after the date of the Covered Accident or Sickness
Deductible   $350 per Policy Period 
Coinsurance Single:  80% of PPO Allowance for the first $25,000; 100% of Covered Expenses thereafter                                                        60% of Usual and Customary
  Family:  80% of PPO Allowance for the first $50,000; 100% of Covered Expenses thereafter                                                        60% of Usual and Customary
Maximum Out of Pocket $5,000 Single/ $10,000 Family N/A
  Max out of Pocket Excludes Copays/Deductibles/ Non Covered Charges  
Copays:    
Dr's Office Visit  $25 (Waived at SHC) $50
Emergency Room $150 $250
Hospital Room and Board** $150 $250
MRI/ CAT Scan** $100 $250
Prescription Drugs $25 Generic $50 All Other
Benefit Period Benefits Terminate when your policy ends
Extension of Benefits 3 Months if Hospitalized for a Covered Accident or Sickness at time of Coverage Expiration Date
Pre-Existing Condition Limitation 6 months (Prior Creditable coverage under an ISP Policy)*
Pregnancy Covered if Conception Occurs after coverage is in force
Maximum for Dental Treatment $2,500 (Injury Only)
Max. for Chiropractic Care $5,000
Max. for Physiotherapy (Outpatient) 30 Visits
Max. for Psychotherapy (Inpatient) 30 Days
Max. for Psychotherapy (Outpatient) 30 Visits
Max. for Braces & Appliances $5,000
Max. for Routine Newborn Hospital Nursery Care $3,000 $1,500
Emergency Evacuation 100% of Actual Cost
Repatriation of Remains 100% of Actual Cost
Accidental Death & Dismemberment $10,000
Emergency Reunion $2,500
Family Reunion $2,500
* This coverage contains a Pre-existing condition limitation.  Maximum benefit of $50,000 may be applicable.  The Pre-existing Conditions definitions are defined within the policy forms and may vary based on the state of issuance.
**Prior Notification Required  

Trailblazer Brochure