CC-EL

Collegiate Care Elite

Limited Coverage,  Rated A (Excellent)By: Trawick,  UW: AXIS CapitalAXIS Capital
AM Best Rating
A (Excellent)
Carrier/Underwriter
AXIS Capital
Administrator
Trawick International
COVID-19 Included
extendable-cancelable
Extendable
ppo
urgent-care
Urgent Care
Coverage from 91 days to 364 days
BUY

Collegiate Care Elite plan is designed to provide basic Medical, Evacuation and Repatriation coverage, for International Students, Scholars and their Families studying or teaching in the USA.

Please review Collegiate Care Elite Brochure or policy document for complete and accurate coverage information.

Dr. / Physician Visit
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Urgent Care
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Surgical Treatment
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Prescription Drugs / Medicines
Deductible is waived in network.
Tier 1 : $10 co-pay with 31 days supply
Tier 2 :$20 co-pay with 31 days supply
Tier 3 : $40 with 31 days supply
Lab & X-rays
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Physical Therapy
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Hospital Room
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Surgical Treatment
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Hospital Intensive Care Unit
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Drug/Alcohol Abuse
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Ambulance Expenses
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Emergency Room(ER)
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Accidental emergency
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Up to $250 per tooth, $1,000 maximum benefit
Emergency Medical Evacuation / Repatriation
100% of actual costs
Return of Remains
100% of actual costs
AD&D
the plan pays upto $30,000
Mental Illness
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Pre-Existing Conditions
Will be covered after the insured person has continuously insured for 6 months under the same insurance
Maternity
In-Network: 80% of the Preferred Allowance
Out-of-Network: 70% of URC
Conception must occur during the policy period
General Physical full Checkup
80% of the Preferred Allowance within the PPO network
24-Hrs Emergency Assistance
Yes. Contact Number and details can be found on the ID card.

Plan Administrator Company

Trawick International

Carrier / Underwriter

AXIS Capital

AM Best Rating

A (Excellent)

Eligibility

You are eligible for this coverage in USA, if you are temporarily residing outside your home country/country of permanent residence while actively engaged in education, teaching or research activities and if you are one of the following: F1/J1 valid Visa holder. Spouse and dependent children are also eligible for coverage. Permanent residents (green card holders) and US Citizens are not eligible for coverage under this plan.

Deductible Content

Deductible Per Incident
What is Deductible?

Deductible is the amount that you are responsible for, before insurance company starts paying for any covered expenses. Deductible for this type of plan is applicable once per incident.


For example: If you visit a doctor for a medical problem, and after consultation, the doctor prescribes Medicines, X-rays, and Lab tests, then since all these services are part of one incident, your deductible will be applicable for these services only once.

If you visit a doctor again after a few days for a new problem, the deductible will be applicable again for that new incident.

What deductible to choose with this Plan?

Since deductible is per incident for these type of plans. It is a good idea to select a lower deductible such as “0“.

Note : For Age 70 and above, lower deductible like Zero “0“ is not available.

Plan Type

Comprehensive Coverage plan

Coverage in U.S.A.

Covered

Coverage outside U.S.A.

Not Covered

Co-Pay

Office Visit Deductible: $25 per Occurrence, Not including the Student Health Center
Urgent Care Center Deductible: $50 per Occurrence
Emergency Room Deductible: $150 per Occurrence

Co-Insurance

After the Deductible, the insurance company will pay 80% of the Preferred Allowance

Plan Effective Date

The Effective Date of this Policy is the later of the following:
1. The Date the Company receives a completed Application and correct premium for the Policy Period, or
2. The Effective Date requested on the Application, or
3. The day after applying online, or
4. The day after postmark when mailed.

Plan End Date

Your coverage ends on the earliest of the following:
1. The date you cease to be eligible for coverage; or
2. The end of your term of coverage; or
3. The date requested on your application; or
4. The last day for which premium has been paid.

Coverage Type

Unlimted medical coverage

Deductible Type

Per Injury or Sickness

Renewability

Yes, can be extended on monthly basis.

Cancellation

Upon effective date - this plan is fully earned and non-refundable. There are no partial refunds.

PPO Network

UnitedHealth Care

Coverage Length

Minimum period of coverage is 1 Month and the Maximum is 364 days.

Available Deductibles

Within PPO Network: $100 or $500
Outside the PPO Network: $200 or $750

Available Coverage

Unlimited Medical Coverage

Provider Directory

By Provider, Toll Free: 888-301-9289 ,Direct: 251-661-0924

Plan Brochure

Collegiate Care Elite Insurance Brochure brochure

US States Restrictions

No Restriction

Country Restrictions

No Restriction

Disclaimer

Plan features listed here are high level, provided for your convenience and information purpose only. Please review the Evidence of Coverage and Plan Contract (Policy) for a detailed description of Coverage Benefits, Limitations and Exclusions. Must read the Policy Brochure and Plan Details for complete and accurate details. Only the Terms and Conditions of Coverage Benefits listed in the policy are binding.