UT TYLER – J1 INSURANCE PLANS

Plan Name
MInimum No. of Months Avialable for Purchase
Meets J1 Visa Requirements
Deductible
Maximum / Sickness or Injury
In-Network Coinsurance
Deductible
Office CoPay
Preventative Care
Prescription Drug Coverage
Pregnancy/Maternity
Network
Pre-Existing Waiting Period
Claim Submitted By Provider
Claim Submitted By Student
Sample Policy

Starting at
$67/mo.
Trail Blazer Basic
3 Months
$350 per Policy Period
$500,000
Insurance Pays 80%
After Deductible
$350/ Per Year
$25 Copay
$25 Generic / $50 Brand
Covered 80% After Deductible
(Conception must occur after plan effective date; See Policy for Detials)
12 Months

Starting at
$106.50/mo.
ISP Plus
6 Months
(Plan will not appear without at least 6 month)
$100 per Person; per Policy Year
No Maximum
Insurance Pays 80%
After Deductible
$100/ Per Policy Year
Covered 80% After Deductible
Covered: 100% of Preferred Allowance
$15 Generic / 25% Tier 2 / 40% Tier 3
Plan Pays 80%
(Conception must occur after plan effective date; See Policy for Detials)
No Wait

Starting at
$116/mo.
Student Health Advantage
1 Month
$100 per illness or injury
$500,000
Insurance Pays 100%
After Deductible
$25/ Per Sickness or Injury
Covered 100% After Deductible
Covered 50% After Deductible
Plan Pays 80%
(Conception must occur after plan effective date; See Policy for Detials)
6 Months