Purchase your policy
Eligible Participants must enroll for the full duration of their program. They can enroll for a period of up to 12 months at one time. Enrollments by term/semester are permitted only if subsequent study periods are unknown. The earliest the coverage can begin is two days from enrollment. Rates are based on full months and are not prorated. Eligible participants may purchase coverage for additional days directly before and/or after the actual dates of their program. If coverage is desired for a subsequent term, it should be purchased with an effective date which directly follows the end date of the current policy to ensure there are no gaps in coverage. If coverage for another term is not purchased prior to the expiration of the current policy term, Eligible Participants will not be able to retroactively enroll (i.e. backdate the effective date) under any circumstances. Certain policy conditions (such as the waiting period for pre-existing conditions) will automatically reset in the event that coverage periods are not consecutive.
Monthly Rate: $42. Rates are based on full months and premium is paid in full at the time of enrollment.
|Coverages and Services||Maximum Limits|
|Accidental Death & DismembermentPer Insured||$10,000 ($1,000,000 Aggregate limit Per Accident)|
|Medical Expense (per Accident or Sickness):|
|Basic Medical||$200,000 @100%|
|Accidental Dental||100% of Covered Expenses, up to policy limits|
|Dental Palliative||$500 max/$250 per tooth|
|Pre-existing Conditions Coverage Limit||Up to $5,000|
|Mental and Nervous||Inpatient $5,000 limit
Outpatient $2,500 limit
|Prescription Drugs (Inpatient/Outpatient)||100%|
|Physiotherapy||If recommended by a Physician and administered by a licensed physiotherapist|
|Specified Therapies and Spinal Manipulation, including acupuncture and physiotherapy:|
|Outpatient Limit||Max of $50/visit; maximum of 10 visits; $500 overall maximum|
|Emergency Medical Evacuation||$250,000|
|Repatriation/Return of Mortal Remains||$100,000|
|Security Evacuation Comprehensive||$100,000 ($1M aggregate limit)|
|Emergency Medical Reunion||$2,000 ($400/day,5-day max) Hospitalized after 3 days|
|24/7 Team Assist Package & CISI Crisis Team||Included|
Please contact the Team Assist line by phone at 1-877-714-8179 (IN THE US) or +001 603-952-2660 (OUTSIDE OF THE US - COLLECT CALLS ACCEPTED) or email MAIL@ONCALLINTERNATIONAL.COM The Team Assist Emergency Assistance Provider is On Call International. Non-Emergency questions may be directed to CISI at 203-399-5130 (TOLL FREE 800-303-8120).