| Maple | Maple | Cedar J1 | Cedar J1 | J1 Premier | |
|---|---|---|---|---|---|
| Price/30 days |
$46.20
$500 ded.
|
$46.20
$500 ded.
|
$55.20
$100 ded.
|
$55.20
$100 ded.
|
$64.80
$100 ded.
|
| PPO Network | UnitedHealthcare | Aetna | UnitedHealthcare | Aetna | UnitedHealthcare |
| Maximum Benefit | $100,000 PIS | $100,000 PIS | $100,000 PIS | $100,000 PIS | - |
| Deductible at SHC | $500 PIS | $500 PIS | $100 PIS | $100 PIS | - |
| Co-Insurance | 80% | 80% | 100% | 100% | - |
| Physician Visits | $0 copay | $0 Copay | $0 copay | $0 copay | - |
| Urgent Care | $0 copay | $0 Copay | $0 copay | $0 copay | - |
| Emergency Room Visits | $250 copay | $250 Copay | $250 copay | $250 copay | - |
| Prescription Drugs | 80% | 80% | 100% | 100% | - |
| Preventive Care | Not Covered | Not Covered | Not Covered | Not Covered | - |
| Pre-existing Condition | Waiting Period 12 Months | Waiting Period 12 Months | Waiting Period 12 Months | Waiting Period 12 Months | - |
| Out-of-Pocket Maximum | Unlimited | Unlimited | Unlimited | Unlimited | - |
| Maternity | Not covered | Not Covered | Not Covered | Not Covered | - |
| Mental Health | Not covered | Not Covered | Not Covered | Not Covered | - |
| Intramural, Club & Recreational Sports | ✘ | ✘ | ✘ | ✘ | - |
| Pediatric Dental/Vision | ✘ | ✘ | ✘ | ✘ | - |
| Medical Evacuation & Repatriation | ✓ ($50,000 Max) | ✓ ($50,000 Max) | ✓ ($50,000 Max） | ✓ ($50,000 Max） | - |
| Return of Mortal Remains | ✓ ($25,000 Max) | ✓ ($25,000 Max) | ✓ ($25,000 Max) | ✓ ($25,000 Max) | - |
| Worldwide Coverage | ✓ (Except Home Country) | ✓ (Except Home Country) | ✓ (except Home Country) | ✓ (except Home Country) | - |