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Montana State University ̱бMontana 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.

 

 

 

  Montana State University ޺ Ͽϴ.

 

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$200,000

Unlimited

 

 

benefits

 

 

$200,000

 

 

$50,000 per Sickness or Injury

 

 

 

Deductible

 

δ

 

 

$300

 

$0

 

PPO Network Provider:

 

º̿

ȸ纸

 

 

70%

100% ȸ翡

 

Non-PPO Network Provider:

 

º̿

ȸ纸

 

 

52.5%

100% ȸ翡

 

 

 

Out of Pocket Maximum

 

Ⱓ δ

 

 

$5,000  per Plan Year

δ

 

 

 

 

Prescription Drug

 

ప δ

౹̿:

 

70%

 

 

 

δ

Premium

(Annual)

 

Student:$1,598

Spouse:$2,960

Child::$2,594

 

Student:$480

Spouse:$480

Child:$480

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

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