CC-P

Collegiate Care Preferred

Limited Coverage
AM Best Rating
A (Excellent)
Carrier/Underwriter
Trawick International
Administrator
GBG Insurance Limited
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Renewable
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Basic Coverage Plan
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Coverage from 5 days to 364 days
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Urgent Care
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

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

AM Best Rating

A (Excellent)

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 renewed 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

Collegiate Care Insurance - Budget Plan FAQs

Q: Who is eligible to buy Collegiate Care plans?

You are eligible for this coverage in the USA, if you have a current passport or visa and are temporarily residing outside your home country/country of permanent residence while actively engaged in education or research activities. You are "actively engaged" in education, teaching or research activities if you are one of the following: F1/J1 valid Visa holder;

For purposes of this insurance, if the Eligible Person's home country or country of permanent residence (passport country) is different from the Eligible Person's country of permanent residence (location in which the Eligible Person permanently resides), the Eligible Person will not be covered in either location. Permanent residents (green card holders) and US Citizens are not eligible for coverage under this Policy.

Home study, correspondence, internet classes and television courses do not fulfill the eligibility requirements.

Q: Do I have to be a full-time student to purchase your Collegiate Care Insurance?

Yes, to be eligible for Student Secure you must be Undergraduate - registered for and attending classes on full-time basis; Graduate Student; Scholar or researcher who is invited by an educational organization; Student involved in education, educational activities, or research related activities.
Students must actively attend classes for at least the first 31 calendar days after the date for which coverage is purchased.

Q : What are the differences between Collegiate Care Standard, Preferred and Premier plans?

Below are the main differences between the 3 plans:

Standard

Preferred

Premier

Policy maximum Per Injury or Sickness

100,000

$250,000

$500,000

Deductible

$50 if first treated by the Student Health Center.
$100 if not first treated by the Student Health Center.

$50 if first treated by the Student Health Center.
$100 if not first treated by the Student Health Center.

$0 if first treated by the Student Health Center.
$100 if not first treated by the Student Health Center.

Coverage

80% to Plan Maximum

80% of the first $10,000, then 100% to Plan Maximum

80% of the first $10,000, then 100% to Plan Maximum

Pregnancy

Not Covered

Covered

Covered

Emergency Reunion

$5,000

$5,000

$10,000

Q: Are a student's dependents eligible for coverage?

Your spouse and dependent children are also eligible for coverage if accompanying you and
enrolled on your policy.

Q: How will my proof of insurance be sent to me?

If you apply online, the application process generally takes about 10 minutes. If you submit an application by e-mail, fax or mail, it will be processed by the second business day that the completed application and correct premium are received.

Q: When I apply online, when do I get my fulfillment?

Your fulfillment is your policy information. When you apply online for your policy, your fulfillment will be available in your Web browser immediately following the successful purchase of the plan. A copy of the fulfillment will also be sent to the e-mail address you provided on the application. Your fulfillment will include: a summary of benefits, name(s) of policy member(s), ID cards, receipt, and the description of coverage.

Q: I need coverage to begin as soon as possible. Is it possible for my Collegiate Care policy to go into effect the day I enroll?

No, however, your policy can go into effect as soon as one day after you enroll online.

Q: Can I renew my coverage?
Yes, you can renew the coverage up to 1 year. You must actively attend classes for at least the first 31 calendar days after the date for which coverage is purchased and be enrolled in class at each renewal. Only monthly renewal is possible

Q: Can I cancel my coverage?
Refund is available if cancelled before start date. After effective date NO REFUND AVAILABLE.

Q: Does Collegiate Care Insurance cover Pre-Existing Conditions?

After 12 months of continuous coverage, Collegiate Care will provide benefits for pre-existing condition. If you receive treatment or service for a Pre-Existing Condition: a) No benefits will be paid for such condition until the day after a 12 consecutive month period has passed from your effective date; and b) The plan will pay only for Covered Expenses incurred after such 12 consecutive month period.

The Pre-existing Condition Waiting Period will be reduced by the aggregate period of credible coverage if the Credible Coverage was continuous to a date not more than 63 days before the Effective Date of coverage. Payment will be in accord with the provisions of this plan. If you have a lapse in coverage for more than 63 days, the Pre-existing Condition Waiting Period will have to be satisfied again

Q: After graduation, I plan to remain in the U.S. for practical training. Am I still eligible for coverage under Collegiate Care plans?

No. Once you graduate and are no longer attending school, you are no longer eligible for Collegiate Care plans. You should instead enroll in an insurance Plan for Visitors to the U.S.

Q: After I submitted my Enrollment online, I realized I entered the wrong personal information. What should I do?

Send any corrections to us in writing by email to: support@visitorscoverage.com, or by fax or mail and we will confirm the changes. When sending correspondence, please include a daytime phone number and reference your Transaction Number.
Contact Information: Email: support@visitorscoverage.com
Fax: +1 (408) 496-1090
Mail: Maxn Insurance Services, 2350, Mission College Blvd., Suite 1140, Santa Clara, CA 95054, USA
Note: Information provided here is general in nature and may change from time to time. Your best course of action would be to refer you policy papers/guidelines and contact the Provider for update information.

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.