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California State University San Bernardino ̱бCalifornia State University San Bernardino
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.

 

 

 

 

 

 

 

  California State University San Bernardino  

 

 

 


Insurance  Provider



б޺



        DBغ

 

 

Life Maximum

 

 

$250,000

Unlimited

 

 

benefits

 

 

$250,000

 

$50,000 per Sickness or Injury

 

Deductible

 

δ

 

$100 deductible

per Policy Year

$0

 

 

 

InNetwork

 

º̿

ȸ纸

 

 

100%

 

100% ȸ翡

 

Out-of-Network

 

º̿

ȸ纸

 

75%

100% ȸ翡

 

 

 

Out-of-Pocket Maximum

 

   Ⱓ δ

 

$2,500

                      $0

 

Prescription Drug

 

δ

$10 copay for generic drugs/$20 copay for brand name drugs;

 

up to a $3,000 maximum per policy year

 

ѵ

 

    δ

 

 Premium

(Annual)

 

 

Student:$972

Spouse:$1,904

Child:$1,428

 

Student:$480

Spouse:$480

Child:$480

 

 

 

 

 

 

 

 



 

 

 

 

  

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   4 . (б н Immunization

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