Rhode Island School of Design 보장 내용

SCHEDULE OF MEDICAL EXPENSE BENEFITS

BASIC MEDICAL EXPENSE BENEFIT: Basic Medical Expense Benefits will be paid up to the maximum benefit for each service as scheduled

below up to a maximum benefit of $5,000 per Covered Accident or Sickness. The combined Maximum Benefit for the Basic Maximum Benefit

and the Major Medical Expense Benefit is $50,000 per Covered Accident or Sickness.

MAJOR MEDICAL EXPENSE BENEFIT: After the Company has paid $5,000 per covered Accident and Sickness under the Basic Medical Expense

Benefit , the Company will pay 80% of the Preferred Allowance for Network Providers or 80% of Usual, Reasonable and Customary Charge for

Non-Network Providers for additional Covered Expenses incurred up to $25,000 per Accident and Sickness (unless otherwise specified). After the

Company has paid $25,000, the Company will pay 100% of the Preferred Allowance for Network Providers or 80% of Usual, Reasonable and

Customary Charge for Non-Network Providers additional Covered Expenses up to $50,000 per Accident and Sickness (unless otherwise specified).

The total benefit payable under Major Medical coverage for any one covered Accident or Sickness is $50,000 minus all amounts paid under the

Basic Medical Expense Schedule of Benefits. In addition to the exclusions, benefits under the Major Medical benefit are not payable for Outpatient

Physical Therapy, Mental or Nervous Disorder or Alcohol and Drug Abuse, except as otherwise indicated.

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