CC-P

Collegiate Care Preferred

Limited Coverage,  Rated B++ (Good)By: Trawick,  UW: GBGGBG Insurance Limited
AM Best Rating
B++ (Good)
Carrier/Underwriter
GBG Insurance Limited
Administrator
Trawick International
extendable-cancelable
Extendable
basic-coverage
Basic Coverage Plan
coverage-days
Coverage from 5 days to 364 days
ppo
urgent-care
Urgent Care
COVID-19 Excluded
BUY

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

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

Out-Patient

Dr. / Physician Visit

80% of the first $10,000, then 100% upto the policy maximum.

Surgical Treatment

80% of the first $10,000, then 100% upto the policy maximum.

Prescription Drugs / Medicines

Deductible is waived in network.
Co-payment Generic : $10 with 30-60 days supply
Co-payment Brand Name Preferred :$20 with 30-60 days supply
Co-payment Brand Name Non Preferred : $40 with 30-60 days supply

Lab & X-rays

80% of the first $10,000, then 100% upto the policy maximum.

Physical Therapy

$500 maximum per Policy

In-Patient

Hospital Room

80% of the first $10,000, then 100% upto the policy maximum.

Surgical Treatment

80% of the first $10,000, then 100% upto the policy maximum.

Hospital Intensive Care Unit

80% of the first $10,000, then 100% upto the policy maximum.

Drug/Alcohol Abuse

50% up to $1,000

Emergency Services

Ambulance Expenses

$350

Dental

Accidental emergency

$250 per tooth to a maximum of $500

Travel

Emergency Medical Evacuation / Repatriation

Evacuation: $25,000
Repatriation: $50,000

Emergency Reunion

Preferred:$5,000
Premier:$10,000

Life

AD&D

The plan pays upto $15,000

Other

Hazardous Sports Coverage

$10,000 per Policy

Pre-Existing Conditions

Will be covered after the insured person has continuously insured for 12 months under the same insurance

Maternity

Covered to policy max after 12 month waiting period.

General Physical full Checkup

Not Covered

Terrorism Coverage

Not Covered

Brochure

Support

24-Hrs Emergency Assistance

Yes. Contact Number and details can be found on the ID card.

Plan Administrator Company

Trawick International

Carrier / Underwriter

GBG Insurance Limited

AM Best Rating

B++ (Good)

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

No Co pay

Co-Insurance

After the Deductible, insurance company will pay 80% of the first $10,000, then 100% upto the policy maximum

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

Percentage based coverage

Deductible Type

Per Injury or Sickness

Renewability

Yes, can be extended on monthly basis.

Cancellation

Refund available if cancelled before start date. After effective date NO REFUND.

PPO Network

Coventry Health care, Global Benefits Group Network

Coverage Length

Minimum period of coverage is 1 Month and Maximum is 12 months.

Available Deductibles

Preferred: $50 if first treated by the Student Health Center
$100 if not first treated by the Student Health Center
Premier: $0 if first treated by the Student Health Center
$100 if not first treated by the Student Health Center

Available Coverage

Preferred:Student or Scholar: $250,000
Premier:Student or Scholar:$500,000
Spouse/Domestic Partner: $75,000
Dependent Child: $75,000

Provider Directory

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

Plan Brochure

Collegiate Care 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.