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    WAIVER
  CRITERIA APPLICABLE TO ALL STUDENTS  
        
  (Except F-1 and
  J-1 Visa Holders)  
    
  University
  waiver criteria include:  
    
  1)  The insurance company must be headquartered
  and operating in the U.S.,  
  with a U.S.
  claims address and customer service telephone number. (LS  
  Freshman Abroad
  students, see below*.)   
    
  2)  The insurance coverage must remain in
  effect from: 
  Fall 08/21/17 – 08/20/18 
  Spring  1¿ù9ÀÏ ~ 8¿ù20ÀϱîÁö 
    
  3)  The plan
  must provide inpatient hospitalization benefits in the New York  
  City area including mental health benefits.  
    
  4)  The plan
  must provide outpatient benefits in the New York City area  
  (including office visits, outpatient mental health
  benefits and laboratory and  
  radiology procedures). Coverage limited to emergency
  care does not  
  satisfy the requirement.  
    
  5)  The
  maximum benefit payable under the insurance plan must be unlimited.    
  *  For
  students in the LS Freshman Abroad program, their insurance  
  company or government-issued health plan must be
  headquartered in their  
  home country.  
        Additional Waiver Criteria Applicable to F-1 and J-1 Visa Holders- No waiting period for pre-existing conditions.
 - Policy deductible not to exceed $1,500 per policy year.
 - Medical Evacuation coverage of at least $50,000 USD
 - Repatriation of remains coverage of at least $25,000 USD
 
 International students with F-1 or J-1 visa status, please see International Students in F-1 or J-1 Status below for additional waiver instructions.     
   
    
  º¸Çè¸éÁ¦ »çÀÌÆ®   
  www.nyu.edu/health/insurance  
   
   http://www.nyu.edu/content/dam/nyu/studentHealthServices/documents/PDFs/student-health-insurance/International/STUDENT-INSURANCE-ACKNOWLEDGMENT-2017-18.pdf 
    
    
   
   
    
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