Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ⺸ Խû
 
University of Alabama Birmingham ̱бUniversity of Alabama Birmingham
Ȩ л, ȯ, ýĮ, Ʈ, ⱹϽô ݰ е ϽǼ ִ Դϴ.
Ͻø û ۼ ֽðų ̸ ֽø ˴ϴ.
ǽð Ͻø MSN ȭ ߰ ֽø ܱ ô Ǹ ϽǼ ֽϴ.

  

 

 

University Of Alabama At Birmingham   Ͽϴ

 

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$500,000

Unlimited

 

 

benefits

 

 

$500,000

 

$50,000 per Sickness or Injury

 

 

SPECIALTY CARE: (PCP Referral Required)

• Physician Services

 

 

 

$0 Copayment for Students at

UAB Student Health Services,

$25 Copayment within the VIVA Health network

 

100% ȸ翡

 

 

 

Ob/Gyn Serivces

 

(No PCP Referral Required)(One Ob/Gyn Preventive Visit every Plan Year)

 

$0 Copayment for Students at

UAB Student Health Services,

$25 Copayment within the VIVA Health network

   100% ȸ翡

 

 

Other Services

(lab, x-ray, anesthesia, immunizations,

medicines, supplies, facility charges)

 

90% Coverage; subject to

deductible and out-of-pocket max

   100% ȸ翡

 

Deductible

 

δ

 

 

The family deductible

is $500, not to exceed $250 per any individual.

 

        

                   $0

 

OUT OF POCKET MAXIMUM

 

δ

 

$10,000 per member per plan year

                    $0

 

 

Prescription Drug

 

ప δ

 

 

 

 

$12~$125 δ ߻

$2,000 max per policy year

 

ѵ

 

Premium

(Annual)

 

 

Student:$1,704

Spouse:$3,756

First Child:$2,532

 

 

Student:$480

Spouse:$480

Child:$480

 

 

J-VISA ڴ ǹ Medical Insurance ϼž ϸ IAP-66 FORM United States Information
UNITED STATES INFORMATION AGENCY MEDICAL INSURANCE REQUIREMENTS
FOR J-I EXCHANGE VISITORS
Effective September, 1994, the United States information Agency(USIA) will require each exchange visitor holding a J-1 visa to maintain medical insurance comerage for the full duration of his J-1 program. In addition, J-2 dependents will also have to meet this requirement while they are in the United States.
Under requlations, schools and other sponsors must advise in writing all J-1 visa holders of the insurance requirement before they arrive. The minimun requirements for coverage set forth under these USIA regulations are listed below:
(1) Medical benefits of at least $50,000 per accident or illness(Sickness)
(2) A deductible not to exceed $500 per accident or illness.
(3) Repatriation of remains in the amount of $7,500. Should an exchange visitor die while in the United States, this benefit would provide for the preparation and transportation of the body to his other home country.
(4) Medical evacuation in the amount onf $10,000 in the event an exchange visitor must be returned to his or home country due to a serious medical condition.
Be underwritten by an insurance corporation having one of the folling ratings : A.M best rating of "A-" or above ISI ltd rating of "A-" or above standard & poor's rating of "A" or above weiss research inc. rating of "B+" or above.



 

 

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