Syracuse University International Students

Policy Number

17 STI010042600

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World Class Coverage Plan Designed For Syracuse University International Students enrolled in EducationUSA Academy

This plan is provided by Cultural Insurance Services International and underwritten by Arch Insurance

Coverage Summary for Policy #

17 STI010042600

Coverages and Services Maximum Limits
Section I
Accidental Death & Dismemberment $10,000 (aggregate limit $1,000,000)
Medical Expense (per Accident or Sickness) $150,000
Deductible $100, Reduced to $0 if treatment is first sought at the Student Health Center
Dental Emergency of Pain Relief Up to $500
Accidental Dental Up to policy max
Mental and Nervous (Per Lifetime):
Outpatient $2,000
Inpatient $10,000
Physiotherapy: If recommended by a physician and administered by a licensed physiotherapist
Specified Therapies and Spinal Manipulation:
Outpatient Limit Maximum of $50/visit; maximum 10 visits; $500 overall maximum
Sports Related Injuries Up to $5,000
Emergency Medical Reunion Up to $2,000 (up to $200 per day)
Emergency Medical Evacuation $100,000
Repatriation/Return of Mortal Remains $100,000
24/7 Team Assist Package & CISI In-house Crisis Team Included

Please contact the Team Assist line by phone at +1 609-986-1234 (collect calls accepted) or email medservices@assistamerica.com. The Team Assist Emergency Assistance Provider is Assist America.
Non-Emergency questions may be directed to CISI at 203-399-5130 (toll free 800-303-8120).