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Ball State University ̱бBall State 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.

 

 

 

 

 

   Ball State University   ǥԴϴ

 

 

 

Insurance  Provider

 

UHC

DBغ

 

 

Lifetime Maximum

 

 

$75,000

Unlimited

 

 

Benefit

 

 

$75,000 

 

$75,000 per Sickness or Injury

Deductible

 

δ

  $250 per policy year

$0

 

 

º̿/ȸδ

 

 

In Network      :  80%

100%

 

 

º/ȸδ

 

 

Out of  Network :  50%

100%

 

 

Prescription Drug

 

(పδ)

 

50% of actual charge

ѵ

δ

Premium

(Annual)

 Student: $1,333

Spouse : $3,126

Children:$3,126

 

Student  :$480

Spouse  :$480

Children :$480 

 

 

 

 

 

 

 

 



 

 

 

   б޺

 

1.   δ: Deductible δؾ ϴ ٴ ǹմϴ.

  Student : $250 per policy

 

 

2. κп In Network: 80% Out of Network: 60%

In-Network   ߻Ͽ ġ4 Դٸ  

$40,000x80%( In- Network ) -Deductible $250=$31,750 ȸ翡 κ δ ϼž մϴ.

 

 3. ġ ѵ  Maximum ߻Ͽ Ҹ

 

4. co-pay(δ) ߻

       ( )

 

 

 

 

  ʴ


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