Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ⺸ Խû
 
Stony Brook University ̱бStony Brook University
Ȩ л, ȯ, ýĮ, Ʈ, ⱹϽô ݰ е ϽǼ ִ Դϴ.
Ͻø û ۼ ֽðų ̸ ֽø ˴ϴ.
ǽð Ͻø MSN ȭ ߰ ֽø ܱ ô Ǹ ϽǼ ֽϴ.

  

 

   ָб Ϻķ۽ ǥԴϴ

 

 

 

Insurance  Provider

 

б

DBغ

 

 

 

Lifetime Maximum

 

 

 

$100,000

 

Unlimited

 

 

 

 

Benefit

 

 

 

 

$100,000

 

 

$50,000 per Sickness

  or Injury

 

 

Deductible

 

δ

 

Preferred Care:

 

$350 per Covered Person, per Policy Year

 

$0

 

Non-Preferred Care:

 

$500 per Covered Person, per Policy Year.

 

 

º̿/ȸδ

 

 

 

Preferred Care:

 

80%

 

 

100%

º/ȸδ

 

Non-Preferred Care:

 

50%

 

OUT OF POCKET

MAXIMUMS

 

δ

 

Preferred Care:

$3,000 per Covered Person

 

                   $0

 

Non-Preferred Care:

$6,000 per Covered Person

 

 

Prescription Drugs Expense

 

δ

 

 

 

Preferred Care:

100% of Negotiated

Rate following a

$20 Copay for each

30-day

 

$0

 

Non-Preferred Care: 100% of Reasonable Charge, (which may be less than the billed

charge) following a

$30 Copay for each

30-day

 

 

 

Premium

(Annual)

 

 

 

Student: $1,134

Spouse: $3,464

Children: $1,739

 

 

Student: $480

Spouse: $480

Child: $480



 

 

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   2. ӽ, õ
   3. ܼ ǰ ˻縦 ϴ (÷ ˻ ǰ
   4 . (б н Immunization

5. Ű ȯ/ൿ

6. HIV()

7. 񴢱(ΰἮ)

8. 񴢱 ȯN39 Ǵ DZ