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Kennesaw State University ̱бKennesaw 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.

 

 

 

 

 

 

 

   Kennesaw State University ǥԴϴ

 

 

 

 

 

 

Insurance  Provider

 

б

DBغ

 

 

Lifetime Maximum

 

 

$500,000

 

Unlimited

 

 

Benefit

 

 

Student:  $100,000 

 

$50,000 per Sickness or Injury

Dependent: $50,000

 

Deductible

 

δ

IN-NETWORK:  

 

$0

$0

 

OUT-OF-NETWORK:

 

$250

 

 

 

 

 

 

º̿/ȸδ

 

 

 

 

 

 

In Network: 90%

 

 

 

100%

 

 

 

 

 

 

º/ȸδ

 

 

 

 

 

Out of Network:70%

 

 

 

100%

 

Out-of-Pocket Maximum

 

Ⱓδ

 

IN NETWORK:

 

Student :$10,000

 

Family:$30,000

 

$0

 

OUT OF NETWORK:

 

Student :$15,000

 

Family: $45,000

 

 

Prescription Drug

 

(పδ)

 

 

౹̿:

 

100% after $15 generic copayment / $30 brand name copay per

30-day supply per month..

 

$1,000 maximum per

Policy Year,

 

ѵ

δ

 

 

 

Premium

(Annual)

 

 

 

Student: $1,050

Spouse: $3,266

Child: $1,646

 

 Student: $480

Spouse: $480

Child: $480



 

 

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