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George Washington University

 

 

 

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Waiver Criteria for International Students in F-1 or J-1 Immigration Status

 

The George Washington University  

 

Student Health Service The George Washington University

 

April 14, 2015 S:\GW\SHS\Student Health Insurance 

 

Upon arrival on campus, and after registration, you will have the right to request that

(1) you not be covered by the GW Student Health Insurance Plan and

(2) the charge for health insurance on your University bill be removed. 

You may request this by completing an exemption or waiver application and by providing

documents that prove you have health insurance coverage under a different plan that satisfies

the minimum requirements listed below.  Your insurance plan: 

 

¡¤ Must be provided by a company licensed to do business in the United States, with a U.S.

  claims payment office and a U.S. telephone number. 

 

¡¤ Must be currently active and you must promise to maintain it during the entire period you are

 

  registered for the current academic school term. 

 

¡¤ Must provide an annual minimum of at least $100,000 in coverage for each accident or

  illness you may suffer each policy year. 

 

¡¤ Must include coverage for prescriptions (medications prescribed by a physician). 

 

¡¤ Must cover pre-existing conditions (illnesses or medical conditions that began before the

  effective date of the insurance coverage) with no waiting period

 (or the plan must have been in effect long enough that any waiting period has already passed).

 

 

 

¡¤ Must cover in-patient and out-patient medical and mental health care in the Washington, D.C.

 

 area, including Alcohol, Drug Abuse and Detoxification Treatment.

 

 Please note that emergency-only coverage does not satisfy this requirement. 

 

¡¤ Must cover expenses related to self-inflicted injuries and suicide. 

 

¡¤ Must have a maximum deductible of $500. 

 

¡¤ Must provide at least $10,000 for medical evacuation.  Medical evacuation is transportation to

 

  your home country so that you can receive medical care there. 

 

¡¤ Must provide at least $7,500 for repatriation of remains. Repatriation provides transportation

 

  to your home country in the event of your death. 

 

Please note that travel insurance is not eligible for an exemption or waiver. 

 

You must be registered for classes in order to waive out of the Aetna Student Health Insurance.

The waiver deadline is September 30, 2015. 

 



 

 

  

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http://studenthealth.gwu.edu/student-health-insurance 

 

 

 

https://studenthealth.gwu.edu/sites/studenthealth.gwu.edu/files/downloads/Aetna%202015-2016%20Brochure.pdf

 

 

 

 

 

 

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https://students.aetnastudenthealth.com/welcome.aspx?GroupID=474952&JScript=1 

 

 

 

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Annual

 

 

2015³â 8¿ù12ÀÏ - 2016³â8¿ù11ÀÏ

 

 

 

 

 

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Annual Waiver Deadline for Students: September 30, 2015 

 

Spring Semester : 01/31/2016

 

 

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Insurance  Provider

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Aetna

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UnitedHealthcare

 

 

Aggregate Maximum

 

 

 

Unlimited

 

Unlimited

 

 

 

Plan year deductible 

 

$300

 

 

$100

 

 

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In Network : 80%

80%

 

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Out of  Network: 60%

70%

 

Premium

(Annual)

 

 

Student :  $2,651

 

 

Student : $1,045

 

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ÀÌÀü±Û School of the Art Institute of Chicago