Insurance  Provider

학교제휴보험

Life Maximum

$250,000

Unlimited

benefits

$250,000

$50,000 per Sickness or Injury

Deductible

고객부담금

Student Health Center(SHC)

Students:

$100 with an SHC Referral per Policy Year

$250 without an SHC Referral per Policy Year

$0

Spouse: $100 per Policy Year

Child: $100 per Policy Year

Preferred :

협력병원이용시

80% of the Negotiated Charge

100% 보험 회사에서 보상

Non-Preferred:

비협력병원이용시

50% of the Reasonable Charge

Prescription Drug

약값 부담금

약국이용시:

Following a $20 copay for each Brand Name Prescription Drug or a $10 copay for each Generic Prescription Drug;

maximum of $1,500 per

Policy Year

고객 부담금 없음

Premium

(Annual)

Student:$1,125

Student +Spouse: $6,432

Student +Child(ren): $3,114

Student+Spouse+Child(ren):$8,421

Student:약$480

Spouse:약$480

Child:약$480