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The J-1 Visa Plan is accessible alone to those who are non-U.S. citizens on a J-1 Visa. J-1 Visa participants are additionally acceptable to baddest the Aetna HMO Plan.



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The J-1 Visa Medical Plan is a acquiescent PPO Plan. Although you can advance any hospital, ability or physician of your choice, if you advance a provider in Aetna’s Open Best PPO network, you could be able to booty advantage of Aetna’s adjourned rates, which ability lower your abroad expenses.



This plan is an indemnity, additionally accepted as a fee-for-service, allows you to:

This plan additionally requires precertification of inpatient hospital admissions. No preexisting action exclusion applies.



The Patient Protection and Affordable Affliction Act (PPACA) was alive into law by President Obama on March 23, 2010. Princeton University believes the alive bloom affliction plan is “grandfathered bloom plan” beneath the PPACA. 

Deductible

The bulk you pay anniversary year afore the plan begins accoutrement accurate medical expenses.

Individual: $500

Family: $1,000

Coinsurance (Out-of-Pocket Expense)The allotment of medical costs aggregate by you and the plan afterwards you accommodated your deductible

Coinsurance Limit (Maximum Out-of-Pocket Expense)

Total bulk you pay abroad in one agenda year afore the plan pays 100% of your acceptable medical expenses, including your deductible and coinsurance

Individual: $2,500

Family: $5,000

Non-Notification/Non-Compliance PenaltyThe bulk your charge pay if you do not alarm Medical Management at (800) 535-6689 afore analysis and assertive types of surgery, or abort to chase circumstantial analysis procedures.

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$200 per action and/or admission

Lifetime MaximumMedical/Surgical/Mental Health

Unlimited

Physician Casework Performed in an Appointment SettingOffice visits for accepted care; analysis and analysis of an affliction or abrasion (includes maternity).

Preventive Physicals

Routine developed concrete exams

1 assay per  year for associates 18 years of age or older

Preventive Care

Well babyish visits; best seven exams in aboriginal 12 months of life

20% afterwards deductible1

Scheduled immunizations

20% afterwards deductible1

Inpatient Hospital ServicesMedical/surgical care, including maternity

20% afterwards deductible1

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Emergency Allowance CareServices administered for altitude affair the analogue of an emergency.  You charge alarm (800) 535-6689 aural two business canicule of emergency allowance visit.

Surgery (Inpatient/Outpatient)Anesthesia and use of an operating allowance or accompanying ability in a hospital or accustomed institution

Outpatient Mental Bloom and Substance AbuseOutpatient treatment, crisis intervention, detoxification

Inpatient Mental Bloom and Substance Abuse

Outpatient Concrete RehabilitationShort-term physical, anatomic or accent therapies

Maximum of 30 visits per analysis per agenda year.

20% afterwards deductible1

Hospice CareRoom and lath in a accountant ability or in your home; casework of medical personnel; added casework and supplies

Inpatient: Limited to 180 canicule per lifetime

Outpatient: Unlimited maximum

 Inpatient:20% afterwards deductible1

Outpatient:20% afterwards deductible1

Chiropractic Services

20 visits per agenda year limit

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Nutritional Counseling

Limited to 12 visits per agenda year with barometer and/or calligraphy by your physician

Coinsurance, deductible or copayment will apply

Hearing Exam

1 assay per agenda year; coinsurance, deductible or copayment will apply

Hearing AidsCovered at 100% up to a best agreement of $1,500 every 3 years

Covered at 100% up to $1,500

Routine Eye Exam

Not covered

Prescription Glasses or Acquaintance Lenses

Not covered

Supplemental Allowances for J-1 Visa participants enrolled beneath the J-1 Visa Plan or the Aetna HMO

Medical aborticide to the member’s home country

Repatriation accouterment for carriage of asleep to home country

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Maximum of $50,000

Maximum of $25,000

1 You pay 20% afterwards you accommodated the appropriate deductible and any amounts over reasonable and customary; the plan will pay 80% of reasonable and accepted afterwards you accommodated the appropriate deductible.

J-1 Visa Bloom Affliction Plan (Aetna) Affiliate Information

You should accept your Aetna ID agenda in about 30 days. Aetna provides a “family” ID card. Rather than anniversary Aetna affiliate accepting an ID card, the ancestors will accept two cards with all associates advice listed on them.

The Aetna ID agenda should be acclimated to admission medical care.

If a doctor’s appointment and/or hospital needs to verify coverage, they can alarm the Allowances Team at 258–3302, or you can accommodate them with the afterward information: 

Group number

811281

Member ID #

Will be arrangement generated

Phone number

(800) 535-6689

You can calculation on abutment from abreast and acknowledging HR agents back you accept a allowances catechism or problem. Just alarm or e-mail us. We’re actuality to help!

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While the University intends to abide anniversary of the account plans, the University affluence the appropriate to abolish or alter any plan, at any time, and for any reason.

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