Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ̱б ̱б ü
 
University of Pennsylvania ̱бUniversity of Pennsylvania
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.

 

US government regulations require J-1 visa holders and their dependents to have adequate health

 

insurance at all times that meet the following criteria:

* Medical benefits of at least $50,000 per accident or illness
* Repatriation of remains in the amount of $7,500 in the event of death
* Medical evacuation to your home country in the amount of $10,000
* A deductible of no more than $500 per accident or illness
* Co-payment of medical expenses of no more that 25%

The University's student and employee health insurance plans meet these requirements. Failure to secure or maintain adequate health insurance will result in termination of your program

 

 

 

Insurance waiver

 

 

ݵ insurance waiver ϼž б Ͻ ʰ ˴ϴ

 

waiver Ͻ ø  ˴ϴ. ظ ˴ϴ

 

Բ insurance waiver   κ ֽϴ

 

insurance waiver ߸ϼż Unniversity of  Pennsylvania  ʴ ʰ

 

ݵ waiver п ϼž ذ ߻ ʽϴ

 

insurance waiver û Ͻñ ٶϴ

 

 

 

Unniversity of  Pennsylvania ǥԴϴ.

 

 

 

Insurance  Provider

 

б޺

DBغ

 

 

Life Maximum

 

 

$2,000,000

Unlimited

 

º̿/

 

 

(ȸδ)

 

IN-network: 100%

100%

 

 

º/

 

(ȸδ)

 

 

 

Out-of-network: 70%

 

100%

Deductible

 

(δ)

 

In-network $250

 

$0

 

Out-of-network $1,500

 

Co-pays (in-network)

 

 δ

 

Emergency Room: $75

 (deductible waived)

 

Office visits: $25 after deductible satisfied

 

Mental health visits: $25 (deductible waived)

Lab/x-ray: $35 after deductible satisfied

In-patient Hospital Room and Board $100 after deductible satisfied

Surgical expenses (inpatient and outpatient) $150 after deductible satisfied

High Cost Procedures $50 after deductible satisfied

 

$0

Prescription coverage

 

30-day supply of medication: $15 generic/$30 brand

90-day supply of medication (mail-order)): $30 generic/$60 brand

 

100%

 

Annual Out-of-Pocket Maximum


 δ

 

 

Annual maximum out-of-pocket expense of $1,500 in-network/$4,000 out-of-network

 

$0

 

Premium

(Annual)

 

 

Student:$2,560

Spouse:$3,234

Child $3.234

 

Student:$480

Spouse:$480

Child:$480

 



 

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   1. (谡 ִ ȯ̳ ü ġ ˻縦 ߻
   2. ӽ, õ
   3. ܼ ǰ ˻縦 ϴ (÷ ˻ ǰ
   4. (б н Immunization

 5. Ű ȯ/ൿ

 6. HIV()

 7. 񴢱(ΰἮ)

 8. Ǵ ׹ ȯ ΰǰ ޿ Ƿ