General Coverage - StudentsInsured

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