SNShealthplan.com
Google-Translate-English to Korea Google-Translate-English to China Google-Translate-English to Taiwan Google-Translate-English to India Google-Translate-English to Japanese Contact Us
IMG Quick Links
Students & Scholars Insurance Client Resources Find a School My IMG
Student & Scholars Insurance
Designed for individuals or groups of two or more students or scholars
Schedule of Benefits
All amounts shown are in U.S. dollars. Click the orange headers for further information.

SHA Standard - Individual Rates (Monthly Premium)
Non-U.S. Citizens Student Spouse Dep. Child
Under 19 $69 $405 $86
19-23 $92 $405 $86
24-30 $106 $448 $86
31-40 $190 $596 $86
41-50 $311 $616 $86
51-64 $415 $596 $86


SHA Platinum - Individual Rates (Monthly Premium)
Non-U.S. Citizens Student Spouse Dep. Child
Under 19 $111 $594 $126
19-23 $146 $594 $126
24-30 $169 $656 $126
31-40 $303 $873 $126
41-50 $496 $902 $126
51-64 $662 $873 $126


SUMMARY OF BENEFITS
Maximum Limit
Standard Platinum
Student: $500,000 period of
coverage
Dependent: $100,000 period of
coverage
Student: $1,000,000 period of
coverage
Dependent: $100,000 period of
coverage
Per Illness/Injury Maximum
Standard Platinum
Student: $300,000
Dependent: $100,000
Student: $500,000
Dependent: $100,000
Deductible
Standard Platinum
$100 per Illness/Injury

Student Health Center: $5
Outside of the U.S./Canada: $25 per Illness/Injury
Within the U.S./Canada PPO Provider: $25 per Illness/Injury
Within the U.S./Canada NON PPO Provider: $50 per Illness/Injury
Student Health Center: $5
Coinsurance
Standard Platinum
Outside the U.S. & Canada: No coinsurance

In PPO Network or Student Health Center within U.S. & Canada: No coinsurance

Out of PPO Network if within U.S. & Canada: 80% of eligible expenses up to $5,000; then 100% thereafter
MEDICAL BENEFITS
Hospital Room and Board Average semi-private room
Intensive Care URC
Maternity
Standard Platinum
Subject to Special Maternity Pre-certification requirements
If Incurred Outside the U.S. & Canada: 100% eligible medical expenses to maximum limit.
If Incurred in U.S./Canada PPO Provider: 80% eligible medical expenses to maximum limit.
If Incurred in U.S./Canada NON PPO Provider: 60% eligible medical expenses to maximum limit.
Subject to Special Maternity Pre-certification requirements, same as any other illness.
Routine Nursery Care $750 maximum per period of coverage
Emergency Room
Standard Platinum
Injury: URC
Illness resulting in hospitalization: Up to maximum limit
Illness without In-Patient Admission: URC Subject to additional $250 deductible
Mental & Nervous Disorders
Standard Platinum
Out-patient: $50 per day; $500 lifetime maximum
In-patient: URC to $10,000 lifetime maximum
Student Health Center Treatment $0
Prescription Drugs
Standard Platinum
In-patient: URC
Out-patient: 50% of actual charges
Physical Therapy URC - limit once per day
Local Ambulance
Standard Platinum
Per Injury: Up to $350
Per Illness only if admitted In-patient: Up to $350
Per Injury: Up to $750
Per Illness only if admitted In-patient: Up to $750
Dental
Standard Platinum
Injury due to covered Accident: $500
Sudden & Unexpected Pain to natural teeth: $350
Eligible Medical Expenses URC
EVACUATION BENEFITS
Emergency Medical Evacuation $500,000 lifetime maximum
Emergency Reunion $50,000 lifetime maximum
Return of Mortal Remains $50,000 maximum
Political Evacuation $10,000 lifetime maximum
ADDITIONAL BENEFITS
Intercollegiate/Interscholastic/ Intramural or Club Sports $5,000 maximum per injury/illness
Incidental Trip Coverage Up to a cumulative two weeks
Pre-existing Conditions Charges excluded after 12 months of continuous
coverage (6 months for Platinum)
Terrorism Coverage $50,000 lifetime maximum
AD&D
Standard Platinum
Student: $25,000 Principal sum
Spouse: $10,000 Principal sum
Dependent Child: $5,000 Principal sum
Accident Dismemberment percentage of principal sum
Treatment Period 60 Day minimum


* This Web page contains only a consolidated and summary description of all current benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. These plans are amended, modified or replaced from time to time, and IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.
Students & Scholars Insurance
Patriot Exchange Program
-No Coinsurance
Overview
Benefits-Standard
Optional Riders
Additional Services


Patriot Travel Medical Insurance
-No Deductible
Overview
Benefits
Exclusions
Optional Riders


Student Health Advantage
Overview
Benefits
Exclusions
Additional coverage information


Contact Us
United-States-of-America English@snshealthplan.com
South-Korea Korean@snshealthplan.com
China Chinese@snshealthplan.com
Taiwan Taiwanese@snshealthplan.com
India Indian@snshealthplan.com
Japan Japanese@snshealthplan.com
IMG - International Medical Group Email: snshealthplan@gmail.com, chinese@snshealthplan.com,
korean@snshealthplan.com, indian@snshealthplan.com,
japanese@snshealthplan.com, taiwanese@snshealthplan.com
© Copyright 2012 SNShealthplan.com