Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ̱б ̱б M ~ R
 
Rhode Island College ̱бRhode Island College
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.

 

 

 

 

   Rhode Island College ǥԴϴ

 

 

 

 

 

Insurance  Provider

 

б

DBغ

 

 

Lifetime Maximum

 

 

$50,000

Unlimited

 

 

Benefit

 

 

$50,000 

 

$50,000 per Sickness or Injury

 

 º̿/

 

ȸδ

 

 

IN-NETWORK: 80%

 

100%

 

º/

 

ȸδ

 

OUT-OF NETWORK:80%

 

  DEDUCTIBLES /

CO-PAYMENTS

 

δ

 

Physicians Office Visit:

$15 co-pay per visit until the overall

$50 deductible maximum has been met.

Emergency Room Visit: $50 co-pay per visit.

STD Testing: $20 co-pay.

All Other Lab Work:

$15 co-pay

 

                   $0

 

Prescription Drug

 

(పδ)

 

 

 

After a Co-pay of $15 for generic or $35 for

a brand name drug (per 30-day supply of a prescription or refill),

the cost of prescription drugs is payable in full up to a maximum

of $1,000 for the Policy Year

 

ѵ

δ

 

 

Premium

(Annual)

 

 

Student: $1,288

 

 

Student: $480

Spouse: $480

Child: $480

 

 

 

 

 

 

 

 

 

 

 

  

 

 


 

 

 

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