Oakland University United Healthcare Student Insurance Plan
Enrollment Forms
Any health insurance policy chosen/purchased by an OU
International J-1 Student or Scholar must include the following:
1. English translation with U.S. dollar amounts (Policies in another language
or currency will be returned for official translation.)
2. Worldwide scope of benefits
3. Start & End Dates of coverage
4. In-Patient & Out-Patient coverage for both sickness & accident
5. Deductible: No more than $500 per individual & per accident or illness
and/or
Co-Paid Insurance that may require the insured person to pay up to 20% of
covered benefits per accident or illness
6. Maximum Benefit: No less than $50,000 per accident or illness
7. Pre-existing Conditions coverage after a waiting period of no longer than
one (1) calendar year
8. Emergency Transport: No less than $10,000 for Medical Evacuation to home
country upon serious accident or illness of insured
9. Emergency Transport: No less than $7,500 for Repatriation of mortal remains
to home country upon death of insured
* NOTE for Emergency Transport 8 & 9: If Medical Evacuation &
Repatriation (ME&R) are not included in the chosen policy, an additional Scholastic Emergency Services Policy may be purchased annually for $75
through United Healthcare.