Trail Blazer Elite

The Trail Blazer is ISP’s comprehensive health plan for international students, starting at $96 per month for students age 24 and under. The Trail Blazer Plan exceeds US State Department insurance requirements for J1/J2 and F1 visa holders, as well as most universities’ requirements. The Trail Blazer also may be used to opt out of a mandatory school insurance program, where permitted by the university.

Please note that The Trail Blazer is not available in all states or to all schools.Plan design may vary on a state by state basis.

If you are a university official or advisor, and wish to offer the Trail Blazer on a voluntary or mandatory basis, please contact us. To learn more about offering a plan to your students, please see our advisors page.

  • Rates Starting at $96 per month
    $600,000 Medical Maximum Per Accident or Sickness
    Unlimited Lifetime Maximum
    $100 Deductible per Policy Period

Rates (per month)

$96

Benefits

Coverage

Annual/Lifetime Maximum

Unlimited

Maximum per Covered Accident or Sickness

$600,000

Treatment Period

First Charges must occur within 30 days after the date of the Covered Accident or Sickness

Deductible

$100 per Policy Period

In Network Coinsurance

Single:  90% of Preferred Allowance up to $20,000; 100% of Preferred Provider Charges thereafter

 
Family:  90% of Preferred Allowance up to $40,000; 100% of Preferred Provider Charges thereafter

Out of Network Coinsurance

70% of Usual and Customary

Maximum Out of Pocket (In Network Only)

$2,000 Single/ $4,000 Family                             

Max out of Pocket Excludes Copays/Deductibles and Non-Covered Charges

Copays:

In-Network

Copay per Visit 

Out of Network

Deductible per Visit 

Dr's Office Visit

$25

(Waived at Student Health Center)

$50

Emergency Room

$100

$200

Hospital room and Board

$100

$200

MRI/CAT Scans

$100

$200

Prescription Drugs

$20 Generic

$15 Oral Contraceptives

$50 All Other 

(per prescription)                    

$20 Generic

$15 Oral Contraceptives

$50 All Other 

(per prescription)                    

Benefit Period

From the date of the Covered Accident or Sickness to the Policy Termination Date

Extension of Benefits

3 Months if Hospitalized for a Covered Accident or Sickness at time of Coverage Expiration Date.

Pre-Existing Condition Limitation

6 months (Prior creditable coverage under an ISP Policy)*

Pregnancy

Covered as any other condition.  Conception must occur while covered under the policy

Maximum for Dental Treatment (made necessary by Injury to Sound, Natural teeth only)

$2,500 Injury Only

Max. for Physiotherapy (Outpatient)

30 Visits

Max. for Psychotherapy (Inpatient)

30 Days

Max. for Psychotherapy (Outpatient)

30 Visits

Max. for Braces & Appliances

$5,000

Emergency Evacuation/Repatriation of Remains

100% of Actual Cost

Accidental Death and Dismemberment Principal Sum

$10,000

Emergency Reunion

$2,500

*This Coverage contains a Pre-Existing condition limitation.  Out of Country Medical Maximum benefit of $50,000 may be applicable 

 This is a brief summary of the ISP plan contained within and is not a contract of insurance. The terms and conditions of coverage are set forth in the Plan issued to the Participating Organization. If any conflict should arise between this summary and the respective Plan, the terms of the Plan will govern in all cases.Trailblazer Detail Brochure