Florida Atlantic University – Education Abroad

Policy Number

Medical Policy

# GLM N04983336

Questions?

24/7 Emergency Assistance – Team Assist
Phone:(inside the U.S.)
1-855-327-1411
(call collect from outside the U.S.)
+001 312-935-1703

Benefit or Claim Questions?
Contact CISI
(9AM-5PM EST Mon-Fri)
Phone: 1-203-399-5130
(toll free) 1-800-303-8120 Email: Claimhelp@mycisi.com

Florida Atlantic University – Education Abroad

This plan is provided by Cultural Insurance Services International
and underwritten by Ace American Insurance Company

Important Enrollment Information - Please read before proceeding:

The self-enrollment link below is for students who are participating on one of the following international travel opportunities:

Study abroad programs approved through the Education Abroad Office

Exchange Programs

Direct Enroll Programs

Third-Party Provider Programs

University-Related International Travel approved through Student Affairs & Enrollment Management (SAEM)

Do not enroll via this link if you are participating on an FAU Faculty-led study abroad program. Your insurance registration will be managed by the Education Abroad office.
Contact the Education Abroad office for any questions.

Coverage Dates:

You will determine the coverage dates by the required arrival/start of your program and the date in which your program officially ends. If needed, you are allowed to include an additional 3 days to the start and end of your program to allow for arrival and departure travel.

For personal travel information or coverage, see personal travel section.

Rates:

Program Duration	Cost
1-14 days	$30.15
6-week programs (42 days)	$72.52
Monthly*	$47.21 x # of months abroad
Monthly rate applies to any programs longer than 2 weeks, and not 6 weeks (42 days) Monthly has a 5-day grace period before another month of coverage is charged

Click here to enroll

Schedule of Benefits

Coverages and Services	Maximum Limits
TRAVEL ACCIDENT INDEMNITY INSURANCE
Accidental Death and Dismemberment Per Insured Person	$10,000
ACCIDENT AND SICKNESS INSURANCE
Medical expenses (per Covered Accident or Sickness):
Deductible	zero
Benefit Maximum	$500,000 at 100%
Extension of Benefits	30 days
TRAVEL ASSISTANCE INSURANCE
Emergency Medical Reunion	(incl. hotel/meals, max $150/day) $5,000
Quarantine	$2,000, up to 14 days
EVACUATION AND REPATRIATION INSURANCE
Emergency Medical Evacuation	$100,000
Repatriation of Mortal Remains	$50,000
Security Evacuation (Comprehensive)	$100,000 ($1M Aggregate)
NON-INSURANCE SERVICES
Team Assist Plan (TAP): 24/7 medical, travel, technical assistance

Personal Travel:

Your coverage dates under the FAU policy should not include personal travel before and/or after the program. If you are planning personal travel before and/or after your program, you can enroll in the CISI Florida Individual plan: Click here

In Case of Emergency

Please contact the Team Assist line by phone at +1 312-935-1703 (collect calls accepted) or email medassist-usa@axa-assistance.us. The TeamAssist Emergency Assistance Provider is AXA Assistance.
Non-Emergency questions may be directed to CISI at 203-399-5130 (toll free 800-303-8120).

Need a Doctor?

For help locating a doctor or hospital overseas, you can do either of the following:

1. Contact Team Assist at +1 (312)-935-1703 or email medassist-usa@axa-assistance.us. Team Assist can make appointments for you;
or
2. Log into the myCISI Participant Portal website and go to ‘International Provider Search’ or download our CISI Traveler App (if you have not already done so) and utilize the ‘Locate a Provider’ tool once you are enrolled. Select your Country and City, and a list of providers will populate. Please note that you can seek treatment at any medical facility abroad. There is no in-network nor out-network restrictions. (If you are enrolled, and you have not already created a myCISI log in, directions on how to create a log in after you are enrolled are provided in the ‘myCISI Participant Guide’. Please note: You cannot log in or create an account if you are not enrolled.)

Who Pays for Services?

CISI will make every effort to pay invoices directly to medical providers. Please notify CISI by contacting Team Assist and we will make every effort to arrange to pay the doctor or hospital directly. If you prefer to pay yourself, then we will reimburse you (you may scan/email or fax the claim information to CISI and we will process it while you are still abroad, OR you may file the claim information after your trip). The average claim processing time at CISI is 2 weeks from receipt of claim information.

Schedule of Benefits
Benefits	Limits
Medical Expenses Limits:
Lifetime/Annual Maximum	Unlimited
Per Accident or Sickness	$250,000
Per Occurrence Deductibles:
Emergency Room Deductible (waived if admitted)	$250
Call-A-Doc	$0
Physician/Outpatient/Dr. Visit	$100
Urgent Care	$50
Walk in Clinic	$25
MRI/CAT Scan	$0
Rx Copay	$0
Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max	Up to $500
Coinsurance Percentage (%)	100% Coinsurance
Prescription Drugs (inpatient/outpatient)	Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses
Mental Health	Inpatient up to 30 days/Outpatient 30 visits
Pregnancy (conception must occur while covered under this plan)	Treated as any other illness
Physiotherapy	Covered
Chiropractic Care & Therapeutic Services	Up to $500 max, $50 per visit
Emergency Reunion	$15,000 (hospitalized 3 days)
Home Country (Incidental Trips)	$1,000
Trip Delay (applies mid trip as well) 24-hour time	Up $1,500/daily limit $100
Political Evacuation	$10,000
Dental Injury Only	Up to policy max
Palliative Dental	$1,000max/$200 per tooth
24/7 Assistant Services & In-house Crisis Team	Included
Medical Evacuation	$50,000
Repatriation of Remains	$25,000
Accidental Death & Dismemberment	$15,000 ($1M aggregate limit)

Schedule of Benefits
Benefits	Limits
Medical Expenses Limits:
Lifetime/Annual Maximum	Unlimited
Per Accident or Sickness	$2,000,000
Per Occurrence Deductibles:
Emergency Room (waived if admitted)	$250
Call-A-Doc	$0
Physician/Outpatient/Dr. Visit	$50
Urgent Care	$50
Walk in Clinic	$25
MRI/CAT Scan	$0
Rx Copay	$0
Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max	Up to $500
Coinsurance Percentage (%)	100% Coinsurance
Prescription Drugs (inpatient/outpatient)	Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses
Mental Health	Inpatient up to 30 days/Outpatient 30 visits
Pregnancy (conception must occur while covered under this plan)	Treated as any other illness
Emergency Reunion	$15,000 (hospitalized 3 days)
Physiotherapy	Covered
Chiropractic Care & Therapeutic Services	Up to $500 max, $50 per visit
Home Country (Incidental Trips)	$1,000
Trip Delay (applies mid trip as well) 24-hour time	Up $1,500/daily limit $100
Political Evacuation	$10,000
Dental Injury Only	Up to policy max
Palliative Dental	$1,000max/$200 per tooth
24/7 Assistant Services & In-house Crisis Team	Included
Medical Evacuation	$50,000
Repatriation of Remains	$25,000
Accidental Death & Dismemberment	$15,000 ($1M aggregate limit)
Trip Interruption	$1,000
Personal Liability
Personal Liability Limit	$2,000,000
Liability deductible	$100
Medical Payments to Others	$25,000
Additional Living Expenses	$10,000
Payment of Homeowners Deductible	$1,000
Personal Property	$1,500

Florida Atlantic University – Education Abroad

Florida Atlantic University – Education Abroad

This plan is provided by Cultural Insurance Services International and underwritten by Ace American Insurance Company

Important Enrollment Information - Please read before proceeding:

Coverage Dates:

Rates:

This plan is provided by Cultural Insurance Services International
and underwritten by Ace American Insurance Company