University of California, Davis
OPT, Summer/Winter Camps, Study Abroad Students
Age
PSI OPT Plan
- $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
PSI H1B Plan
- $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
The plan comparison and benefit information provided on this webpage is for general reference only and does NOT guarantee coverage or payment. For complete and detailed information
regarding your coverage, plan benefits, exclusions, and claims procedures please download the official Policy Brochure and/or Terms & Conditions. The provisions outlined in the Policy Brochure
and/or Terms & Conditions will prevail.
PSI gathered this information as a resource for students, and this does not intend to imply a relationship between your school and our website, or company. Our plans simply offer an
alternative to the university's student health insurance plan.