LewerMark Deductible Plans

The LewerMark Deductible Plans are designed to meet the needs of your International Students.

Benefit LewerMark $100,000 LewerMark $250,000
Maximum Per Accident or Sickness $100,000 $250,000
Annual Maximum $100,000 $250,000
Lifetime Maximum Unlimited Unlimited
Deductible per Accident or Sickness N/A N/A
Copay per Office Visit $15 Copay; No Charge at Student Health Center $15 Copay; No Charge at Student Health Center
Copay per Hospital visit $50 Copay $50 Copay
Coinsurance PPO: 100% after Copay Non-PPO: 80%** after Copay PPO: 100% after Copay Non-PPO: 80%** after Copay
Emergency Room Visit (If not admitted or not an emergency) $50 Additional Copay $50 Additional Copay
Outpatient Prescriptions 100% at Student Health Center; 50% at retail pharmacy 100% at Student Health Center; 50% at retail pharmacy
“Plus” Benefits:Routine PAP & Mammogram N/A Included
Medical Evacuation* Unlimited benefit through Assist America, and $50,000 under terms of Policy Unlimited benefit through Assist America, and $50,000 under terms of Policy
Repatriation* Unlimited benefit through Assist America, and $25,000 under terms of Policy Unlimited benefit through Assist America, and $25,000 under terms of Policy
Intercollegiate Sports Benefit Up to $10,000 per accident Up to $10,000 per accident
Mental Nervous / Substance Abuse Same as any sickness Same as any sickness

*Medical Evacuation and Repatriation Benefits provided by Assist America
THIS SUMMARY IS ONLY AN ILLUSTRATION – THE CONTRACT WILL DETERMINE BENEFITS
Benefits are subject to the terms and conditions of the insurance policy.

LewerMark Student Insurance plans are underwritten by Trustmark Life Insurance Company, a Chicago-based insurance carrier that is rated Excellent (A-) by A.M. Best. Trustmark Life Insurance Company is not affiliated with The Lewer Agency.

Plan Exclusions