Plan name |
Liaison Student Economy PURCHASE NOW |
Liaison Student Choice PURCHASE NOW |
Liaison Student Elite PURCHASE NOW |
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Benefits | |||
Medical Maximum Options (per person per disablement) |
Ages 14 days to 64 $50,000; $100,000; $250,000; $500,000; $1,000,000 |
Ages 14 days to 64 $50,000; $100,000; $250,000; $500,000; $1,000,000 |
Ages 14 days to 64 $50,000; $100,000; $250,000; $500,000; $1,000,000 |
Hospital room and board | Usual, Reasonable and Customary to the medical maximum. | Usual, Reasonable and Customary to the medical maximum. | Usual, Reasonable and Customary to the medical maximum. |
Prescription Drugs | Inside the U.S - $10 copay for generic/$20 copay for brand name (not subject to the deductible) Outside the U.S - $0 copay (deductible applies) |
Inside the U.S - $5 copay for generic/$10 copay for brand name (not subject to the deductible) Outside the U.S - $0 copay (deductible applies) |
Inside the U.S - $10 copay for generic/$20 copay for brand name (not subject to the deductible) Outside the U.S - $0 copay (deductible applies) |
Vaccinations (in the U.S. only as required by school, university or visa program) |
$100 per 364 days of continuous coverage | $150 per 364 days of continuous coverage | $200 per 364 days of continuous coverage |
Physical Therapy | $25 per day to a max of 60 days | $50 per day to a max of 60 days | $75 per day to a max of 60 days |
Spinal Manipulation | $25 per day to a max of 60 days (if prescribed by a physician for pain relief) | $50 per day to a max of 60 days (if prescribed by a physician for pain relief) | $75 per day to a max of 60 days (if prescribed by a physician for pain relief) |
Local Ambulance Benefit | Inside the U.S - $350 per disablement (injury/illness) Outside the U.S - Up to medical maximum |
Inside the U.S - $500 per disablement (injury/illness) Outside the U.S - Up to medical maximum |
Inside the U.S - $750 per disablement (injury/illness) Outside the U.S - Up to medical maximum |
Coma Benefit | $10,000 (separate from the medical maximum) | $25,000 (separate from the medical maximum) | $50,000 (separate from the medical maximum) |
Extension of Benefits to Home Country | $1,000 | $5,000 | $10,000 |
Incidental Trips to Home Country (for minimum purchases of 30 days) |
$1,000 | $5,000 | $10,000 |
Waiver of Pre-existing Conditions | After a waiting period of 364 days of continuous coverage, pre-existing conditions are covered as any other disablement. | After a waiting period of 364 days of continuous coverage, pre-existing conditions are covered as any other disablement. | After a waiting period of 364 days of continuous coverage, pre-existing conditions are covered as any other disablement. |
Acute Onset of a Pre-existing Condition (during the initial 364 days of coverage) |
Medical covered expenses up to $5,000 | Medical covered expenses up to $10,000 | Medical covered expenses up to $25,000 |
Mental Illness including Alcohol & Substance Abuse | Inpatient: $5,000 (45 days max), Outpatient: 80% of URC to $500 | Inpatient: $10,000 (45 days max), Outpatient: 80% of URC to $1,000 | Inpatient: $20,000 (45 days max), Outpatient: $2,000 |
Motor Vehicle Accident | Inside the U.S - 50% up to $100,000 Outside the U.S - Up to medical maximum |
Inside the U.S - 75% up to $100,000 Outside the U.S - Up to medical maximum |
Inside the U.S - 100% up to $100,000 Outside the U.S - Up to medical maximum |
Non-contact Amateur Sports | $2,500 | $5,000 | $10,000 |
Maternity Care For a pregnancy to be covered, conception must occur 180 days after coverage begins. |
$500 Benefits reduced 25% for failure to notify us within the first 90 days of pregnancy |
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Routine Newborn Care | $250 per newborn child | $500 per newborn child | $750 per newborn child |
Dental - Sudden Relief of Pain (for minimum purchases of 30 days) |
$150 | $250 | $350 |
Dental - Accident | $500 | $1,000 | $2,500 |
Emergency Medical Evacuation & Repatriation | $100,000 (separate from the medical maximum) | $500,000 (separate from the medical maximum) | $750,000 (separate from the medical maximum) |
Emergency Medical Reunion | Up to $200 per day/$15,000 maximum | Up to $200 per day/$25,000 maximum | Up to $200 per day/$50,000 maximum |
Return of Child(ren) | $25,000 | $40,000 | $25,000 |
Return of Mortal Remains | $50,000 | $50,000 | $50,000 |
Local Burial or Cremation | $5,000 | $5,000 | $5,000 |
Natural Disaster Evacuation | $5,000 | $10,000 | $10,000 |
Natural Disaster Daily Benefit | $25 per day, 5-day limit | $50 per day, 5-day limit | $75 per day, 5-day limit |
Political Evacuation & Repatriation | $10,000 | $10,000 | $10,000 |
Felonious Assault | $10,000 (separate from the medical maximum) | $15,000 (separate from the medical maximum) | $20,000 (separate from the medical maximum) |
Terrorism | $25,000 | $50,000 | $100,000 |
Accidental Death and Dismemberment (AD&D) |
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Personal liability | $25,000 | $50,000 | $100,000 |
Hazardous Activities | Up to medical maximum | Up to medical maximum | Up to medical maximum |