H1B Plans for You

Plan

PSI OPT Plan

$628
$400 deductible
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$52
$400 deductible
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  • $150,000 Maximum Benefit
  • OPT and H1B are eligible (also, students waiting for EAD are eligible)
  • Coinsurance - 80% In-Network,60% Out-Network
  • Mental health - Max $50 per visit
  • Prescriptions - 80% of Charges, up to $2,000
  • Urgent Care - $30 copay
  • Physician/Specialist - $30 copay
  • Medical Emergency - $350 copay
  • Medical Evacuation & Repatriation - $50,000 max
  • Return of Mortal Remains - $25,000 max
  • Worldwide Coverage, excluding Home Country
Plan

PSI H1B Plan

$934
$250 deductible
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$77
$250 deductible
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  • $500,000 Maximum Benefit
  • OPT and H1B are eligible (also, students waiting for EAD are eligible)
  • Coinsurance - 80% In-Network,60% Out-Network
  • Mental health - Max $50 per visit
  • Prescriptions - 80% of Charges, up to $2,000
  • Urgent Care - $30 copay
  • Physician/Specialist - $30 copay
  • Medical Emergency - $350 copay
  • Medical Evacuation & Repatriation - $100,000 max
  • Return of Mortal Remains - $50,000 max
  • Worldwide Coverage, excluding Home Country

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