Northern Kentucky University |
̱бNorthern Kentucky 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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Northern Kentucky University Ͽϴ
Insurance Provider |
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DBغ |
Life Maximum
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$20,000 |
Unlimited |
Major Medical
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$20,000 per Accident or Sickness |
$,50,000 per Sickness or Injury |
In Network
ġ ȸ翡
ִ
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90% |
100% ȸ翡 |
Deductible
δ |
$0
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$0 |
MAJOR MEDICAL SUPPLEMENT
$200
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SICKNESS MEDICAL EXPENSE |
Hospital Miscellaneous Expenses: |
1) the cost of an operating room; 2) laboratory tests;
3) X-ray examinations; 4) anesthesia; 5) drugs or medicines
(excluding take home drugs); 6) therapeutic services;
7) pre-admission testing; etc. $600 Maximum
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Surgery |
$1,000 Maximum
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Physicians
Visits:
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One visit per day when a surgery benefitis not paid, up to $40 Per Visit to an $800 Maximum
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Anesthetist Services: |
treatment prescribed by a legally qualified psychiatrist or clinical psychologist for mental disorders,
nervous disorders, alcoholism or drug addiction will be covered as any other Sickness/$1,000 Maximum
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Ű ȯ κп
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INJURY MEDICAL EXPENSE |
the services of registered graduate nurse, X-ray service, use of operating room, anesthesia, laboratory service, surgical dressings, medications, physiotherapy, plaster casts, use of wheelchair, crutches, or ambulance, an Aggregate Maximumof $2,000 will be paid.
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Dental Injury: |
up to a maximum of
$1,000 per tooth |
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κ
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MAJOR MEDICAL SUPPLEMENT |
When benefits of at least $2,000 have been paid under the Base Plan, and after a $200 deductible per Sickness or Injury,the Company will pay 70% of the Usual and Customary medical expenses which exceed the benefits paid under the Base
Plan and which are incurred during the Benefit Period. A maximum of $20,000 for all benefits under both the Base Plan and this Major Medical Supplement will be allowed. Hospital room and board benefits are limited to the semi-private rate
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Premium
(Annual) |
Student:$948
Spouse:$1,706
Child(ren):$1,314
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Student:$480
Spouse:$480
Child:$480 |
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б
- Deductable( δ): Deductable ݾ δؾ ϴ ٴ ǹմϴ.
1. б : $0~$200 (س ش)
2. ȭ: ̳ ػ å ѵ 100% ˴ϴ.
- Copayment (In Network / δ)
1. б- ü ü 10%~30% Copayment ֱ δ ϰ ü ġ 10%~30% شϴ δؾ մϴ.
2. б ġ Maximum ־ Ҹ
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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. ȯN39 Ǵ DZ
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