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$132.6 per month
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Highlights
  • Deductible and copay is waived in Student Health Center
  • Preventive care 100% cover like HPV, Flu and other vaccines
  • In network Pharmacy/SHC expense is directly billed(except appliable copay)
  • Medical bill is charged to company directly in Network except your costs
  • GlobalReach Rx network available in Pharmacy
  • Expenses in excess of $6,000, fully paid by company
  • No waiting period on pre-existing condition
  • Use the Aetna PPO network covering the entire United States
  • Great valued plan against competitive price

Eligibility Guidelines 1. Who is Eligible: Class 1 (Primary Insured Student): International students aged 17–45 holding F1, J1, or M1 visas. Officially registered at an accredited higher education institution and enrolled in a full-time* associate's, bachelor's, master's, or doctoral degree program (Approaching graduation and in their final semester on a part-time program also qualify for Class 1 status*). Class 2 (Spouse): The legal spouse of a Class 1 primary insured student. Class 3 (Children): Eligible dependent children of a Class 1 primary insured student. 2. Who is Not Eligible: Students enrolled in distance learning or home study, graduates in OPT (Optional Practical Training) programs, or U.S. citizens or permanent residents (green card holders). 3. Essential Conditions for Maintaining Insurance Validity (Attendance & Withdrawal) * Attendance Requirements: Insured students must attend at least the first 90 days of classes during the coverage period and/or strictly meet their visa attendance requirements. * Withdrawal within the First 31 Days: If a student withdraws from school within the first 31 days of registration (except in cases of policy replacement waiver refusal or withdrawal due to illness/injury), the insurance will lapse and coverage will be terminated; the insurance company will fully refund the premium, but any claims already paid will be deducted. * Withdrawal/Graduation after 31 Days: If a student graduates or withdraws normally after 31 days of registration, the insurance remains valid for the purchased period, and the premium will not be refunded. For the complete eligibility information, please refer to the original Policy terms and conditions or contact customer service for confirmation.

Lifetime maximum Unlimited
Annual maximum Unlimited
Co-insurance in network 90%
Co-insurance out-of-network 70%
Deductible in student health center $0
Deductible in network $100
Deductible in non-network $500
Out of pocket in network $6,000
Co-pay in ER (waived if admitted) $150
Co-pay in SHC $0
Co-pay specialist visit $25
Co-pay hospitalization $0
Pre-existing condition waiting period No Waiting
Preventative care 100%
Medical evacuation 100%
Repatriation 100%
DIANins · International Student Health Plans
Compare with Blue 80 & 100
The Blue plan comes in three tiers by coinsurance level — Blue 80 (80%), Blue 90 (90%), Blue 100 (100%). All three share identical covered benefits, caps, and exclusions; only the coinsurance rate, deductible, and out-of-pocket maximum (OOPM) differ. U.S. network is Aetna throughout.

Blue 80: The lowest-premium tier. The insurer pays 80% of claims (you pay 20%), with the highest deductible and OOPM. Best for students prioritizing a lower premium.

Blue 90: The middle tier. The insurer pays 90% (you pay 10%), with a mid-level deductible and OOPM. A balance of premium and coverage.

Blue 100: The top tier. After the deductible, the insurer pays 100% of In-Network claims, so your out-of-pocket cost is lowest. With the lowest deductible ($0) and OOPM, it suits students wanting predictable costs.
Covered    Not covered    orange text = has a cap    best in this row
  Blue 8080% Coinsurance Blue 9090% Coinsurance Blue 100100% Coinsurance
Core Benefits
DeductibleIn-Network $500 $100 $0
DeductibleOut-of-Network $750 $500 $200
Maximum per policy year UnlimitedUnlimited UnlimitedUnlimited UnlimitedUnlimited
Out-of-pocket maximumIn-Network $7,000OON $14,000 $6,000OON $12,000 $5,000 OON $10,000
CoinsuranceIn-Network 80%OON 70% 90%OON 70% 100% OON 70%
Pre-existing condition No waitStudent / Dependents 24mo No waitStudent / Dependents 24mo No waitStudent / Dependents 24mo
Vaccine & Physical Exam In-Net 100% In-Net 100% In-Net 100%
Copay — Office visitPhysician / Specialist $25 $25 $25
Copay — ERwaived if admitted $150 $150 $150
Copay — SHC / Urgent CareSHC / Urgent Care $0 / $50 $0 / $50 $0 / $50
Prescription Drugs $10 / $30 / $50Tier 1 / 2 / 3 $10 / $30 / $50Tier 1 / 2 / 3 $10 / $30 / $50Tier 1 / 2 / 3
Other Key Benefits
Hospitalization 80% 90% 100%
ICU / Cardiac
Surgical Benefits 80% 90% 90%
Reconstructive Surgery
Inpatient Rehabilitation 45 days 45 days 45 days
Maternity 80% 90% 100%
Elective Abortion $1,500 $1,500 $1,500
Mental Health 80% 90% 100%
Physical / Therapeutic 12 visits 12 visits 12 visits
Cancer & Oncology 80% 90% 100%
AIDS · HIV · STD 80% 90% 100%
Alcohol / Substance 80% UCR 90% UCR 100% UCR
Chiro / Acupuncture $500 $500 $500
Home Health / Hospice Hospice 45 days / $5,000 Hospice 45 days / $5,000 Hospice 45 days / $5,000
Organ / Transplant
Congenital / Habilitative
Allergy / HIV Screening
Pediatric Dental / Vision
Emergency Dental $250/tooth · $1,000 $250/tooth · $1,000 $250/tooth · $1,000
Palliative Dental $600 $600 $600
Recreational Sports 80% 90% 100%
Evacuation / Repatriation 100% 100% 100%
Excluded in all three tiers
Gender identity/dysphoria · cosmetic/elective surgery · infertility (IVF)/sterilization · vision correction·glasses·LASIK (except pediatric vision) · dental (except accidental/pediatric) · hearing aids · obesity/weight-loss treatment · smoking cessation · sleep studies (sleep apnea) · sexual dysfunction · genetic screening · breast reduction · travel immunizations · competitive/hazardous sports (varsity·club competition, skydiving, scuba beyond 30m, etc.)·motorcycles · war·terrorism · home-country care (beyond schedule) · care by a family member · costs reimbursable by other insurance/government
How to choose a tier — important: All three tiers share identical covered benefits, caps, and exclusions; only the coinsurance rate, deductible, and OOPM differ. A higher payout (80→100) means a higher premium but lower out-of-pocket cost per claim. Out-of-network is 70% for all three tiers.
Out-of-network OOPM is 2× the In-Network figure ($14,000 / $12,000 / $10,000).
Common: all four plans use the U.S. Aetna network, are issued by Spectrum Life, and use Global Reach Rx network pharmacies for prescriptions.
This table summarizes the Schedule of Benefits; final contract terms follow the official policy document.
 
 
 
 
DIANins Int'l Student Insurance Guide
WHAT MAKES INSURANCE REASONABLE?
Best price &
coverage match
DIANai
Hi! I'm DIANai 🙌
Good insurance isn’t the priciest —
it’s the one where
price and benefits stay balanced.
⚖️ Blue 90 sits in the "best-value zone"
Low out-of-pocket and high coverage at once — a well-balanced plan.
🤝 Shared cost (Coinsurance)Care costs split 90 / 10 with the insurer 10%
🛡️ You hold the first layer (Deductible)Just a $100 first slice — minimal risk you retain $100
🌟 High coverage rateThe insurer pays 90% — stronger on big bills 90%
Low out-of-pocket + high coverage = price-competitive, benefit-rich value.
🧮 Same price — $100 vs $500?
Even at the same premium, what you pay first changes everything.
🛡️ With Blue 90, even for a big treatment you pay just $100 first.
💸 Other plans often make you cover $500 first in the same situation.
⚖️ Similar price but 5× less upfront → not really a fair comparison.
🏆 Blue 90 = price-competitive + benefit-rich
💉 Preventive benefits — vaccines, immunizations, check-ups — are covered right away with no deductible. They’re separate from your first $100, so no worries!
🔍 How to compare look-alike plans
Go in order and the truly reasonable plan shows up.
1
Group by the same price
First pick a few plans with similar premiums and compare them on the same line.
2
Whose deductible is lower
At the same premium, the one with the lower upfront deductible wins.
3
Is the copay fair?
School group plans usually run $20–30 for an office visit. Use that as your benchmark — and check the Urgent care copay too.
Benchmark: office visit $20–30
4
Prescriptions — copay or coinsurance?
School group plans typically charge Tier 1/2/3/4 = $10/$40/$60/$100 copay, and ~30% coinsurance out-of-network. Tier 1 is ~90% of claims by count, but Tier 2/3/4 make up 90% of drug cost — so check the Tier 2·3 share.
Key: Tier 2·3 cost
5
Check the exclusions
Finally, make sure a very common benefit isn’t quietly listed as an exclusion.
⚠️ A "partner plan" that costs more?
Be careful with plans that charge more for similar benefits.
A good plan should offer at least slightly better benefits at the same price. If two cost about the same but Blue 90 has a $100 out-of-pocket while another makes you pay $500 first — they aren’t really comparable.

If a premium is higher, the out-of-pocket should be lower to be equal.
Great value and coverage — Blue 90
Compare price and coverage for yourself.
Ask DIANai anything!
DIANins