Violet Exclusive Plan

 

Plan name

Age range

Price

 Violet Exclusive Plan  17-24         $876.00
 25-27       $1,113.25
 28-29       $1,361.45
 30-45       $2,226.50

 

Network: UHC PPO (1.2M+ providers) Tier: Standalone (single tier; not part of a multi-deductible family) Minimum coverage: Full academic year, or minimum 6 months if purchased for Spring/Summer only


Eligibility

  • Age 17 to attained age 45 at time of application
  • Non-U.S. citizen
  • Full-time undergraduate or graduate student
  • Must hold valid passport + valid F-1, M-1, or J-1 visa + valid I-20 or DS-2019
    • F-1 visa holders on OPT are not eligible
  • Must reside outside Home Country
  • Must not hold U.S. residency status
  • Plan must be purchased for the full academic year, or a minimum of 6 months if purchased only for Spring/Summer semester coverage

Plan Characteristics

  • Deductible: $1,250 in-network / $1,500 out-of-network
  • $100 hospital admission copay, in addition to standard coinsurance
  • 24/7 ConciergeCare — multilingual support for care, benefits, appointments
  • Worldwide coverage excluding Home Country (M1/M2 visa holders not eligible for worldwide coverage outside the U.S.)
  • UnitedHealthcare Options PPO network — 1.2M+ providers, 6,500+ hospitals, 643 Centers of Excellence
  • No pre-existing condition limitation for students under this plan
  • Prescription medication and contraceptives included

Cost Sharing Overview

Deductible

 In-NetworkOut-of-Network
Deductible$1,250$1,500

In-Network and Out-of-Network deductibles accrue separately. Copayments do not apply toward the deductible.

Copayments

ServiceIn-NetworkOut-of-Network
Student Health Center$0$0
Office Visit$30 per visit$30 per visit
Urgent Care$50 per visit$50 per visit
Hospital Emergency Room$250 (waived if admitted)$250 (waived if admitted)
Hospital$100$100

Cost share amounts are waived when treatment is rendered at the Student Health Center.

Coinsurance

 Rate
In-Network Physician/Facility20% of Allowable Charges (unless otherwise stated)
Out-of-Network Providers40% of UCR (Usual, Customary & Reasonable)

Out-of-Pocket Maximum

 In-NetworkOut-of-Network
Out-of-Pocket Max$6,000 per Insured PersonUnlimited per Insured Person

Only coinsurance applies toward the Out-of-Pocket Maximum.

Area of Coverage

 Detail
Area of CoverageWorldwide, excluding Home Country
Maximum LimitUnlimited
Pre-Existing Condition LimitationStudents: No limitation

Prescription Drug Coverage

ChannelCost
EHIM In-Network Pharmacy / On-Campus Pharmacy — Tier 1$10 copayment per prescription
EHIM In-Network Pharmacy / On-Campus Pharmacy — Tier 2$20 copayment per prescription
EHIM In-Network Pharmacy / On-Campus Pharmacy — Tier 3$40 copayment per prescription
Out-of-NetworkNot covered

Pre-Attendance University Requirements & Wellness

(Cost share does not apply)

ServiceIn-NetworkOut-of-Network
Immunizations (must be obtained at the Student Health Center or an EHIM in-network pharmacy)100% of Allowable ChargesNot covered
TB Testing (Policyholder only; must be performed at an in-network free-standing lab or Student Health Center)100% of Allowable ChargesNot covered

Wellness & Preventive Services

(Cost share does not apply)

ServiceIn-NetworkOut-of-Network
Adult Wellness Visit and Preventive Services100% including the Student Health CenterNot covered
Well Childcare Visits100% including the Student Health CenterNot covered

Hospitalization Benefits

ServiceIn-NetworkOut-of-Network
Pre-admission Testing20% of Allowable Charges40% of UCR
Hospitalization20% of Allowable Charges + $100 copay/admission40% of UCR + $100 copay/admission
ICU / Telemetry / Surgical ICU / Medical ICU / Trauma / Pediatric ICU20% of Allowable Charges40% of UCR
Inpatient Treatment Mental Illness20% of Allowable Charges40% of UCR
Emergency Medical Services in ER (non-emergency use not covered)20% of Allowable Charges + $250 copay (waived if admitted)40% of Allowable Charges + $250 copay (waived if admitted)
Inpatient Physician, Osteopath & Specialist Services20% of Allowable Charges40% of UCR
Inpatient Ancillary Hospital Services20% of Allowable Charges40% of UCR
In-hospital Advanced Diagnostic Services20% of Allowable Charges40% of UCR
Routine X-Ray and Lab Tests20% of Allowable Charges40% of UCR
Inpatient Oncology Treatment20% of Allowable Charges40% of UCR
Inpatient Reconstructive Surgery20% of Allowable Charges40% of UCR
Inpatient Rehabilitation (max 30 days)20% of Allowable Charges40% of UCR
Inpatient Surgical Procedures20% of Allowable Charges40% of UCR
Inpatient Surgeon Fees, Assistant Surgeon Fees, Anesthesiologist20% of Allowable Charges40% of UCR
Emergency Ground Ambulance20% of Allowable Charges20% of Allowable Charges

Outpatient Care Benefits

ServiceIn-NetworkOut-of-Network
Urgent Care Clinic / Facility20% of Allowable Charges + $50 copayment40% of UCR + $50 copayment
Outpatient Ambulatory Surgical Facility & Surgical Care¹20% of Allowable Charges40% of UCR
Routine X-rays and Laboratory Tests¹20% of Allowable Charges40% of UCR
Advanced Diagnostic & Interventional Radiology¹20% of Allowable Charges40% of UCR
Outpatient Therapeutic Services20% of Allowable Charges + $30 copay per visit (max 12 visits)40% of UCR + $30 copay per visit (max 12 visits)
Outpatient Oncology Treatment20% of Allowable Charges40% of UCR
Outpatient Reconstructive Surgery20% of Allowable Charges40% of UCR
Diabetic Medical Supplies20% of Allowable Charges (max $7,500)40% of UCR (max $7,500)
Emergency Dental Treatment20% of Allowable Charges (max $250/tooth, up to $1,000)40% of UCR (max $250/tooth, up to $1,000)
Palliative Dental Treatment20% of Allowable Charges (max $600)40% of UCR (max $600)
Telemedicine Consultations and VisitsNo copay — limited to 10 consults/visitsNo copay — limited to 10 consults/visits
Primary Care Visit20% of Allowable Charges + $30 copay per visit40% of UCR + $30 copay per visit
Specialist Visit20% of Allowable Charges + $30 copay per visit40% of UCR + $30 copay per visit
Outpatient Mental Illness Visit20% of Allowable Charges + $30 copay per visit40% of UCR + $30 copay per visit
Alternative Medicine20% of Allowable Charges + $30 copay per visit (max $500)40% of UCR + $30 copay per visit (max $500)

¹ When not performed in a physician's office or free-standing non-hospital facility, a Site of Service Differential cost applies. Cost share amounts are waived at the Student Health Center.


Other Services

ServiceIn-NetworkOut-of-Network
Recreational Activities / Amateur Sports Benefit20% of Allowable Charges40% of UCR
HIV/AIDS20% of Allowable Charges40% of UCR
Alcohol & Substance Abuse (rehabilitative only)20% of Allowable Charges + $30 copay (outpatient)40% of UCR + $30 copay (outpatient)
Home Health Care20% of Allowable Charges, immediately following hospital discharge of at least 3 days40% of UCR, immediately following hospital discharge of at least 3 days
Hospice or Palliative Care20% of Allowable Charges — Max 45 days (inpatient) / $5,000 (outpatient)40% of UCR — Max 45 days (inpatient) / $5,000 (outpatient)
Durable Medical Equipment20% of Allowable Charges40% of UCR

Maternity Care & Birth Benefits

ServiceIn-NetworkOut-of-Network
Maternity Care (notify within 30 days of pregnancy confirmation)20% of Allowable Charges40% of UCR
Elective Medical Abortions20% of Allowable Charges (max $1,500)40% of UCR (max $1,500)
Worldwide Coverage (outside U.S., excludes Home Country and M1 visa holders)20% of UCR

Accidental Death & Dismemberment

BenefitAmount
Accidental DeathSum amount $30,000
Dismemberment — loss of both hands, feet, or total sightSum amount $30,000
Dismemberment — loss of one hand, one foot, or one eyeSum amount $15,000

Evacuation & Repatriation

BenefitAmount
Emergency Medical Evacuation and Medical RepatriationCombined Maximum Benefit $100,000
Repatriation of Mortal RemainsMaximum Benefit $25,000

Certain benefits require pre-authorization. Refer to full Policy Terms and Conditions.


Cancellation & Refund Policy

  1. Waiver denied — must notify WellAway in writing within 15 days of denial, with proof. No refund if claims were filed during the policy period.
  2. School-approved leave of absence — must notify WellAway within 15 days, with proof of leave and return date. Refund is pro-rata minus a $50 early termination fee. No refund if claims were filed.

No refund applies for cancellations outside these two scenarios. A Force Majeure event does not automatically entitle a refund or extend the Policy Period.


Pre-Authorization Requirement

Certain procedures require Pre-Authorization by the Plan Administrator. Failure to pre-authorize results in a 30% penalty on the entire episode of care. If a service would not have been approved under Pre-Authorization, related claims are denied outright.


Notable Provisions

  • Deductible ($1,250/$1,500)
  • $100 hospital admission copay
  • Out-of-pocket maximum ($6,000) 
  • No pre-existing condition limitation applies to students under this plan
  • Minimum coverage period (full academic year, or 6 months for Spring/Summer-only purchase) 


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