DIANins ESL Plus
- In network Pharmacy/SHC expense is directly billed(except appliable copay)
- Telehealth service via Teladoc
- Medical bill is charged to company directly in Network except your costs
- Worldwide coverage including vacation travel in other country(not home country)
- Serviced by one of the biggest provider, UHC
- Great valued plan against competitive price
You must be a non-US citizen between the ages of 17 and the attained age of 45 at the time of application. You must be a full-time student enrolled in an accredited English as a Second Language program. Students must actively attend classes. Home study, correspondence, and online courses do not fulfill the eligibility requirements that the student actively attend class. You must hold a valid passport and a valid F-1 visa. An F-1 visa holder on OPT is not eligible for this Policy. Policyholder must at all times during the Policy Period, meet all requirements of the applicable US visa that has been obtained to enter the United States. An Insured Person with an F-1 Student Status, Form I-20 will be provided to you by your school which you and your school official must sign. We may request a copy of the I-20 or DS2019 and your current visa.
| Annual maximum | $500,000 |
| Co-insurance in network | 90% |
| Co-insurance out-of-network | 70% |
| Deductible in network | $100 |
| Deductible in non-network | $100 |
| Out of pocket in network | Unlimited |
| Co-pay in ER (waived if admitted) | $250 |
| Co-pay in SHC | $5 |
| Co-pay primary care | $50 |
| Co-pay specialist visit | $50 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | Up to $25,000 for emergency care and stabilization only |
| Medical evacuation | 90% up to $50,000 |
| Repatriation | 90% up to $50,000 |