International Health Insurance

The University of Illinois system has selected a policy for all its campuses with AJG (Arthur J. Gallagher Student Health and Special Risk and Services). The policy is designed for students, faculty, and staff who are going abroad for study, research, or other official UIC business.

International Health Insurance is MANDATORY for students applying to go abroad through the UIC Student Exchange Program. AJG is the default policy unless proof can be provided that the student has coverage under a policy with equal or better benefits.

 

AJG Benefits & Coverage

Schedule of Benefits

Covered Medical Expenses for Accident or Sickness

Medical Expense Benefits

Total Maximum per Covered Accident or Sickness $500,000
Maximum for Pre-existing Conditions $10,000
Deductible $0 per Covered Accident or Sickness
Co-insurance Rate 100% of the Usual and Customary Charges
Incurral Period: 30 days after the date of Covered Accident or Sickness
Maximum Benefit Period The earlier of the date the Covered Person’s Trip ends, or 52

weeks from the date of Covered Accident or Sickness

Maximum Period of Coverage 365 days
Dental Treatment:

1.            Injury Only

2.            Alleviation of Pain

 

Treated as any other Injury

$250 per tooth, $500 max

Emergency Medical Treatment of Pregnancy Treated as any other medical condition
Room & Board Charges Average rate of a semi-private room
ICU Room & Board Charges Two (2) times the average rate of a semi-private room
Chiropractic Care $50 per visit, $500 max
Mental and Nervous Disorders:

1.            Inpatient

2.            Outpatient

 

$20,000 (30 day maximum)

$10,000 (10 day maximum)

Newborn Nursery Care $500
Prescription Drugs:

1.            Inpatient Co-insurance

2.            Outpatient Co-insurance

 

100% of Covered Expenses 100% of Covered Expenses

Therapeutic Termination of Pregnancy $500
Emergency Medical Benefit Up to $10,000
Emergency Medical Evacuation Benefit $250,000
Repatriation of Remains Benefit $100,000
Emergency Reunion Benefit

1.            Benefit Maximum

2.            Daily Benefit Maximum

3.            Maximum Number of Days

 

$5,000

$250

10 days

Home Country Extension Benefit

1.            Benefit Maximum

2.            Deductible

3.            Maximum Benefit Period

 

$5,000

$0

30 days

Personal Property and

Financial Instrument Reimbursement Benefit

Deductible per Trip $50
Personal Property

1.            Benefit Maximum per Trip

2.            Benefit Maximum per Item or Set of Items

 

$250

$100

Financial Instrument

1.            Benefit Maximum per Trip

2.            Benefit Maximum for Cash

 

$250

$100

Security Evacuation Expense Benefit

Benefit Maximum $100,000
Aggregate Limit per Occurrence $1,000,000

Accident Death & Dismemberment Benefits

Principle Sum:

1.            Class 1

2.            Spouse of Class 1

3.            Children of Class 1

 

$20,000

$20,000

$20,000

RATES

Up to 14 days

Month

Summer II

Semester

Academic Year

Annual

$14.56 $26.47 $59.56 $119.12 $264.72 $317.67
Coverage includes Medical Expenses for Accident or Sickness, Medical Evacuation, Repatriation, as well as Security Evacuation.

*Prices are subject to change

 

 

ENROLLMENT & PAYMENT INSTRUCTIONS

For students who are studying abroad through the Office of International Affairs, please visit AGJ website by clicking Here. Under the My Account section of this site, you can create a new account and purchase the AJG Insurance. Please refer to the rates listed above to determine the price of the insurance. Once you have purchased the AJG insurance, please email the Exchange Programs Coordinator proof of your purchase.

REMINDER: If you are traveling abroad on a University of Illinois Chicago trip, you are required to enroll in the AJG International Travel Insurance Plan or provide proof of coverage under a policy with equal or better benefits.

Under the International Travel Insurance section of this site, you can download the plan brochure, and find answers on how to process claims, including a link to the claim form. You can also contact our Customer Service department for answers to any questions you may have regarding the coverage available to you.

 

USING AJG

For general questions, please contact AJG at:

 

General Business Telephone Numbers:
Phone: 617-770-9889
Toll Free: 800-457-5599
Fax: 617-479-0860

Email: info@gallagherstudent.com

 

In the event of a medical emergency call ACE’s Travel Assistance Services immediately

24-Hour Access

1-855-327-1414 TOLL-FREE

 

1-855-327-1414 TOLL-FREE

1-630-694-9764 DIRECT DIAL

Email:  medassist-usa@axa-assistance.us

 

Call when:

  • You require a referral to a hospital or doctor
  • You are hospitalized
  • You need to be evacuated or repatriated
  • You need to guarantee payment for medical expenses
  • You experience local communication problems
  • Your safety is threatened by the sudden occurrence of a political or military event

 

When you call ACE’s Travel Assistance Services, please be prepared with the following information:

  1. Name of caller, phone number, fax number, relationship to Covered Person
  2. Covered Person’s name, age, sex, and policy number
  3. A description of the Covered Person’s condition
  4. Name, location, and telephone number of hospital
  5. Name and telephone numbers for the treating doctor; where and when the doctor can be reached
  6. Health insurance information, worker’s compensation or automobile insurance information if the Covered Person had an accident.

 

PETITION FOR EXEMPTION FROM AJG COVERAGE

For students applying to go abroad through the Office of International Affairs, international health insurance is mandatory.  AJG is the default policy unless proof can be provided that the student has coverage under a policy with equal or better benefits. Students wanting to petition the AJG coverage must provide a copy of their insurance policy with a list of benefits.

Under the International Travel Insurance section of this site, you can download the plan brochure, which includes information about coverage and policy benefits.

If a student wishes to petition the AJG insurance, he/she must provide a copy of their insurance policy, coverage and benefits of equal or greater benefits, to the UIC Exchange Programs Coordinator. The petition must be reviewed and approved by the OIA Office in order to successfully petition AJG coverage.

 

WEBPAGE:  https://www.gallagherstudent.com/students/UIC