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home ̱б ̱б M ~ R
 
Northern Kentucky University ̱бNorthern Kentucky 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.

 

   Northern Kentucky University      Ͽϴ

 

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$20,000

Unlimited

 

 

Major Medical

 

 

 

 

$20,000 per Accident or Sickness 

$,50,000 per Sickness or Injury

 

 

In Network

 

 ġ񿡼 ȸ翡

ִ

 

90%

100% ȸ翡

Deductible

 

δ

 

  $0

 

$0

 

 MAJOR MEDICAL SUPPLEMENT      

 

 $200

 

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

 

ѵ

Surgery

 

$1,000 Maximum

 

ѵ

Physicians

 Visits:

 

 

One visit per day when a surgery benefitis not paid, up to $40 Per Visit to an $800 Maximum

 

δ

    

ѵ

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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ѵ

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.

 

ѵ

Dental Injury:

up to a maximum of

$1,000  per tooth

 

ѵ

 

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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

 

δ

 

ѵ

Premium

(Annual)

 

Student:$948

Spouse:$1,706

Child(ren):$1,314

 

Student:$480

Spouse:$480

Child:$480

 



 

 

 

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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