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SCHOOL

Customer center

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010-3008-5320

usacom1004@gmail.com

KAKAO ID : life5050


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University of Hawaii, Manoa

 

 

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*Comprehensive medical coverage = at least $100,000 US per accident/illness

 

*Inpatient/Outpatient medical (including mental health)

 coverage at no less than 75% usual/customary charge (UCC)

 

*Repatriation coverage = at least $25,000 US

 

*Medical evacuation coverage to home country = at least $10,000 US

 

*No more than $500 US deductible per accident or illness

 

*Waiting period for pre-existing conditions no longer than 6 months

 

 

 

  

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http://www.hawaii.edu/shs/international/insurance_requirements.php

 


 

 

 

 

 

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http://www.hmsa.com/portal/student/pdfs/plan_brochure.pdf

 

 

 

 

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http://www.hawaii.edu/shs/downloads/F-1_Student_Acknowledgement_and_Provider_Certification_Form.pdf

 

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HMSA: (808) 948-6653; attention: E. Oshimo ѽǾ

 

 

 

 

 

 

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Annual 08/20/2015-08/19/2016

 

 

Fall 2015 (8/20/15 – 12/31/15)

 

 

 UHC ǥԴϴ.

 

Insurance  Provider

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() UnitedHealthcare

 

 

 

 

Aggregate Maximum

 

 

 

 

 

 

 Unlimited

 

 

 

 

 

 Unlimited

 

 

 

Plan year deductible 

 

In Network : $50

 

 

$100

 

 

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In Network : 75%

80%

 

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Out of  Network:60%

70%

Premium

(Annual)

 

кλ: $4,344

 

 

Student :$1,045

 

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Louisiana State University
Carnegie Mellon University