Insurance  Provider

학교제휴보험

Life Maximum

$50,000

Unlimited

benefits

$50,000

$50,000 per Sickness or Injury

Deductible

고객부담금

$25 Copay/Deductible per condition per Policy Year

$0

Preferred :

협력병원이용시

80% ~100% of the Negotiated Charge

100% 보험 회사에서 보상

Non-Preferred:

비협력병원이용시

50% of the Reasonable Charge

Prescription Drug

약값 부담금

약국이용시:

100% of the Negotiated Charge following a $25 Copay for each Brand Name Prescription Drug

or a $15 Copay for each Generic Prescription Drug

maximum of $500 per Policy Year.

고객 부담금 없음

Premium

(Annual)

Student:$1,026

Spouse:$1,516

Child:$1,493

Student:약$480

Spouse:약$480

Child:약$480