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University of Rochester ̱бUniversity of Rochester
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.

 

  

 

  University of Rochester Ͽϴ

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$1,000,000

Unlimited

 

 

benefits

 

 

$1,000,000

 

$50,000 per Sickness or Injury

Deductible

δ

 

 

$200   

 

 

$0

 

Preferred Care:

 

º̿

 

100%

100% ȸ翡

 

Non-Preferred:

 

º̿

 

80%~100% of the Reasonable Charge up to $20 per day for a semi-private room

 

 

Prescription Drug

 

ప δ

 

౹̿:

 

100% Following a $50 Copay for each Non-Preferred Brand Name Prescription Drug, or a $25 Copay for each Preferred Brand Name Prescription Drug, or a $10 Copay for each Generic Prescription Drug.

 

 

Prescription Drug Benefits, following a $250 deductible, are payable as follows:

 

ѵ

 

 

Premium

(Annual)

 

 

Student:$1,560

Spouse:$1,560

 

 

Student:$480

Spouse:$480

Child:$480

 



 

 

 

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