Northwestern University |
̱бNorthwestern University |
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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. |
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insurance waiver?
̹ б ٸ ִ κ б쯕 ˷ մϴ
߸ б 迡 ʽϴ. ̰ б쯕 䱸 ϴ Ŀ Ȯ Է ϼž մϴ
2010 Ի б ݵ Ͽ߸ մϴ ùα ߱
Ի̶ ϽǼ ֽϴ
Ʒǥ 뽺 ǥԴϴ.
Insurance Provider
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б |
DBغ
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Major Benefit
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$500,000 |
$75,000 per Sickness or Injury |
Life Maximum
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$500,000 |
Unlimited |
Copayment
ȸ |
In Network (º): 80%
Out of Network (º): 70%
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100% |
Deductible
δ
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$250 |
No deductible |
Dental Injury
Expenses |
Covered Medical Expenses are payable at 80% of the Actual Charge up to $200 per tooth for the treatment of an Injury to sound, natural teeth
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ʴ¼ظ Ѻκп ()
(ö .ö ġƱ. ) |
Out-of-Pocket Maximum
Ⱓδ
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$1,000 |
$0 |
Prescription Drug
ప /δ |
In Network: Covered Medical Expenses are payable at 100% of the Negotiated Charge after a $10 Copay for Generic Prescription Drugs, and 100% after a $25 Copay for Brand Name Prescription Drugs.
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100 % |
Out of Network: 50% of the Reasonable Charge after a $10 Deductible for Generic Prescription Drugs, and 50% after a $25 Deductible for Brand Name Prescription Drugs
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100% |
Premium
(Annual) |
Student:$2,584
Spouse:$4,720
Child(ren):$2,952
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Student:$480
Spouse:$480
Child(ren):$480 |
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ʴ
1. (谡 ִ ȯ̳ ü ġ ˻縦 ) 2. ӽ, õ 3. ܼ ǰ ˻縦 ϴ (÷ ˻ ǰ ) 4. (б н Immunization )
5. Ű ȯ/ൿ
6. HIV()
7. (ΰἮ)
8. Ǵ ȯ ΰǰ Ƿ
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