Plan Coverage

 Health Insurance for Students

Plan Coverage Table

Coverage Item	UMS
Insurance with no deductible - Overall coverage for insurance period	$100,000
Maximum continuous insurance period	up to 1 years
Types of hospitals for hospitalization	public
Visit to doctor who does not have an arrangement with the company	-
Laboratory tests, x-rays, etc. with no ceiling	only at laboratories listed by the provider
Medicine according to doctor's prescription with no deductible	up to $200 / year
Emergency dental treatment	up to $200
Personal accident, according to the table in the policy	up to $10,000
Assistance for flight to country of origin due to medical problem, subject to approval of the insurance company	up to $10,000
Transport of mortal remains to home country	up to $5,000
Pregnancy and Dilivery	not included
Physiotherapy	not included
Pre existing Medical Condition	not included

Table of Premiums - Price/Day in US$

Age of Insured	UMS
up to 39years	1.50
Age 40-59	2.10
Age 60-65	3.00

•The prices are not final and are subject to change.
•The prices in the table do not represent prices of medical services through Clalit Health Services.
•The medical services and prices are subject to change according to place of residence and the medical provider.

To receive the final updated information on the premium and the medical services provided, please contact our office.