UF Tourer Plan for

Opt & Academic Training

 

  • Low Monthly Rates
    No Coinsurance
    Reduced Deductible for Treatment received at Student Health Center
    Unlimited Medical Evacuation

Rates (per month)

$43
Benefits Coverage
Annual Medical Maximum $300,000
Maximum per Covered Accident or Sickness $150,000
Deductible $100 per Covered Accident or Sickness (Reduced to $50 per event if services are first rendered at Student Health Center
Coinsurance 100% of Usual and Customary Charges
Pre-Existing Condition Limitation 6 months
Maximum for Prescription Drugs $2,500; $25 Copay; Not subject to Deductible
Maximum for CAT Scan, PET Scan or MRI $250
Maximum for Inpatient Hospital/Emergency Room 75% of Usual and Customary Charges
Maximum for Hospital Room & Board $1,500 per day up to 30 days
Maximum for Intensive Care Additional $525 per day up to 8 days
Maximum for Doctor Non-Surgical $50 per visit, 1 visit per day up to 30 visits
Maximum for Pregnancy (Conception must occur while policy is in force) $5,000 for natural delivery; $7,500 for C-Section delivery
Maximum for Surgical Treatment $25,000
Maximum for Outpatient Surgery $25,000
Maximum for Dental Treatment $500
Maximum for Physiotherapy $35 per visit, 1 visit per day up to 12 visits
Maximum for Assistant Surgeon 25% of Surgical Benefit
Maximum for Anesthesia 25% of Surgical Benefit
Maximum for Hospital Miscellaneous Services $500 per day up to 30 days
AD&D $1,000
Emergency Evacuation/Repatriation of Remains 100% of Covered Expenses
Emergency Reunion $1,000