General IPS OOM GBG Basic Secondary Primary Studying Abroad Insurance Schengen Visitor Provisional Residence Netherlan ds Minimum age 16 years 16 years 16 years 15 years 0 years 0 years 12 years 12 years 10 years 10 years 5 years Maximum age 55 55 55 29 years Minimum period One day One day One day One day Maximum period 7 years 7 years 7 years 5 years Always One time, by a max. of 30 days (provided you will not be insured longer than 5 years). Possibility to extend Always 1) Winter and underwat er sports Optional coverages Always 1) Winter and underwater sports 1) Winter and underwat er sports Global Student Liberty Global Students Access Global Students Advantage Global Explorer No limit 69 years 40 years 40 years 40 years 40 years 50 years One day (minimum premium: €25,00) 6 months 3 months if you are aged 80 or above Not possible (Possible to take out a new insurance) One day (minimum premium: €25,00) 1 month 1 month 1 month 1 month 1 month 12 months 1 year 1 year 1 year 1 year 1 year Not possible (Possible to take out a new insurance) Not possible (Possible to take out new insurance) Not possible (Possible to take out new insurance) Not possible (Possible to take out new insurance) Not possible (Possible to take out new insurance) Not possible (Possible to take out new insurance) 1) Liability 1) OOM Dental cover None None 1) Property/Personal Liability 1) Property/Personal Liability None Annual maximum: Per injury/Illness: $150,000.00 Annual maximum: Per injury/Illness: $250,000.00 Annual maximum: $1,000,000.00 Does not apply Overall: $500,000.00 Overall: $7500,000.00 Overall: $100 per injury/illness At Student Health Centre: $45 per injury/illness Overall: $90 per injury/illness At Student Health Centre: $40 per injury/illness $0 $250 if an out-ofNetwork provider in the U.S. is used Outside US: $0/$250 1) Health insurance (standard/extended cover) 2) OOM Dental cover Global Students Freedom 2) Liability 3) Package insurance Coverage Maximum insured amount Does not apply Does not apply Does not apply Does not apply €500,000.0 0 € 500,000.00 0 - 69 years: €75,00 Excess No No No Optional excess: €150,00 Monthly premium decreases by 15% 70 - 79 years: €150,00 € 250,00 Emergency room (waived if admitted): $250.00 80 years an above: €300,00 Pre-existing conditions Pre-existing pregnancy Emergency room (waived if admitted): $250.00 Emergency room (waived after admitted): $250 Option A: $1,000,000 Option B: Unlimited Emergency room (waived if admitted): $350 US In-Network $0/$250 US Out-of-network: $500 Urgent Care Facility per Injury/ Illness: $50 Not covered Not covered Not covered Not covered Not covered Not covered Covered after 180 days Covered after 180 days Covered after 180 days Waived for all policies of 120 days or more Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Dental care Regular Extend ed Outside U.S. 100% Max. $300.00 per tooth Inside U.S. 100% Max. $300.00 per tooth U.S. out-ofnetwork 80% Max. $300.00 per tooth Emergency dental care Not covered €400.00 €400.00 €350.001 €350.0 01 Not covered €350.00 $500.002 $500.002 $2,000.002 Dental care due to an accident Not covered €1,100.00 €1,100.0 0 €500.00 €500.0 0 €350.00 €350.00 See emergency dental care See emergency dental care See emergency dental care $5,000.00 (normal delivery) $7,500.00 (csection)4 $5,000.00 (normal delivery) $7,500.00 (csection)4 $5,000.00 (normal delivery) $7,500.00 (csection)4 See pregnancy See pregnancy See pregnancy See pregnancy Not covered See pregnancy See pregnancy See pregnancy See pregnancy Not covered Not covered Not covered Routine physical examinations Preventive medical attention Routine physical examinations Preventive medical attention Not covered Pregnancy 3 Emergencies Nonemergencies Preventive care Cost price €2,000.0 0 Not covered Cost price €2,000.00 Not covered Cost price €2,000.0 0 Not covered Cost price Cost price Cost price Not covered Not covered Not covered Not covered Vaccinations (Cost price) Contraceptives (€125,00) Not covered Vaccination s (Cost price) €4.000,00 See emergency dental care 80%4 80%4 $500.00 100% 604 The information in this overview is for informational purposes only, is general in nature, and may omit detail that could be significant to your particular circumstances. The information provided should not be relied upon or construed as a legal opinion or legal advice. The information is provided in good faith and derived from sources believed to be accurate and current at the date of publication. While all care has been taken to ensure the information is correct at the time of publishing, the policy terms and conditions to which the information refers are subject to change from time to time. StudentsInsured is not liable for any loss arising from reliance on this information, including reliance on information that is no longer current. We recommend that you seek appropriate professional advice, either from the consultants of StudentsInsured, or elsewhere, before making any insurance purchase decisions. Without the extra Dental cover you will only have coverage for special circumstances. The extra Dental cover provides coverage for: medically required dentistry; treatments such as root canal, crowns and bridges; the first and second preventive examination of the year; and fillings and anesthesia. 2 Limited to accidental injury of sound natural teeth sustained while covered under the policy. 3 Provided it was not existing before the start date of the insurance. 4 Normal delivery including prenatal care, postnatal care and complications of pregnancy 1
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