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University of Texas at Austin ̱бUniversity of Texas at Austin
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.

    

Insurance Waivers 


Students may request an insurance waiver if they are covered by an alternative insurance policy that meets the basic requirements of the UT Health Insurance Plan.

 

Students covered by a private medical insurance plan with benefits comparable to or better than those outlined below, may be eligible
for a waiver from UT Austins international student health insurance plan, which includes major medical, and medical evacuation
and repatriation insurance benefits. An alternate medical insurance plan must meet or exceed the following minimum requirements:
- Medical benefits of at least $50,000 per accident or illness - Evacuation benefits of at least $10,000
- Deductible does not exceed $500 per accident or illness - Repatriation of remains benefit in the amount of $7,500

 

 

 

insurance waiver :

 

б ٸ ϰ ִٸ б 䱸ϴ

Ͻø б Ǹϴ

 

insurance waiver form

 

http://world.utexas.edu/forms/isss/PVT_Waiver.pdf

 

http://world.utexas.edu/forms/isss/XCH_Waiver.pdf


 

 

 

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Life Maximum

 

Ⱓ ѵ

$100,000

Unlimited

 

Benefit

 

$100,000

$50,000 Per Injury and Sickness

Deductible

 

κδ

$300 per policy year

In Network

 

޺

80%

100%

 

Out of  Network

 

 

60%

100%

 

Prescription Drugs

 

 

       $5~$15 copay

 

    $1,000 maximum

    per policy year

 

ѵ 100%

 

 

 

(1)

 

 

л : $1,119

 

:     $3,203

 

ڳ1:   $1,730

 

 

л : $385

(21)

http://www.utexas.edu/



 

 

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