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Brigham Young University - utah ̱бBrigham Young University - utah
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.

 

 

  Brigham Young University - utah   DBغ ǥԴϴ

 

 

 

Insurance  Provider

 

б

DBغ

 

 

Lifetime Maximum

 

 

$30,000

Unlimited

 

 

Benefit

 

 

  $30,000 

 

$50,000 per Sickness or Injury

 

SHC

Student Health Center

кǼ

 

Physician Services:

$10 per visit

$0

 

 

º̿/ȸδ

 

 

Contracted

Provider  :    80%

100%

 

 

º/ȸδ

 

 

Non-contracted

Provider  :  50%

100%

Copayments

δ

 

 

 

 

Physician Services and Other Outpatient Care:

$25 per service

 

Hospital Emergency Room:

$50 per visit

 

Hospital Admission:

$200 per hospital admission

 

                 $0

 

 

Prescription Drug

 

(పδ)

 

 

70% ~ 80% for formulary drugs

δ 100%

Premium

(Annual)

 

Student: $1,380

 

 

Student: $480

 



 

 

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6. HIV()

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