University of Alabama University of Alabama

 

University of Alabama

 

 

 

Please verify MINIMUM STANDARDS by checking the appropriate box relative to the coverage provided.  All of the following criteria MUST be met for the plan to be approved:

 

 

 

This policy covers the person named above for medical expenses incurred outside the                                         

students home country equal to or greater than $250,000 for each

 

illness/accident.Standard co-insurance of 20%

 

A deductible no greater than $250 per policy year for in

 

network providers or $500 per policy year for out of network providers.         

            

Coverage for repatriation of remains is equal to or greater than $10,000.

 

Medical evacuation coverage is equal to or greater than $10,000.

 

If there is a PPO requirement associated with Plan benefits.  Is there availability of hospitals and physicians in the greater Tuscaloosa area?

 

The policy meets J visa requirements as set forth by the Department of State. (For J visa status

 

 

 

 

 

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https://www.uhcsr.com/uhcsrBrochures/Public/ClientBrochures/2011_328_1and4_Brochure_v5.pdf

 

 

 

 

 

 

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250,000

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$250~$500

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100%

50%

100%

 

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$1,348 (2011)

 

 

 

            $4,081

 

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  $1.779

 

 

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