International Student, Exchange Visitor & OPT Insurance

自付额后，保险支付100%至最高保额；或
自付额后，保险支付80%至最高保额。
PPO 网络外: 自付额后，保险支付通常,合理及惯常的费用至最高保额。

通过 United Healthcare PPO 网络或

Within PPO network:
Elite: After copayments, plan pays 80% up to $10,000, then 100% up to the policy maximum.
Select: After copayments, plan pays 80% up to $25,000, then 100% up to the policy maximum.
Budget: After copayments, plan pays 80% up to $45,000, then 100% up to the policy maximum.
Smart: After copayments, plan pays 80% up to $100,000, then 100% up to the policy maximum.

Through United Healthcare PPO Network