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Pennsylvania State University ̱бPennsylvania 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.

 

 

 

     Pennsylvania State University  б .

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$250,000

Unlimited

 

 

Major Benefit

 

 

$250,000

 

$50,000 per Sickness or Injury

Copayment

 

ȸ翡 ϴº

 

 

Preferred Providers: 80%

 

100%

 

 

Out-of-Network:50%

 

 

 

 

Deductible

 

δ

 

 

 

$150

 

 

No deductible

 

Prescription Drugs

 

Ⱓδ

 

100% of the first $200, then 80% to a $500 maximum per Injury or Sickness. Benefit includes prescriptions for Birth Control

 

 

$0

 

Premium

(Annual)

 

 

Student:$1,430

Spouse:$5,211

Child:$2,301

 

 

Student:$480

Spouse:$480

Child:$480

 



 

 

 

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