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Midwestern State University ̱бMidwestern 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.

Student Insurance

Up to $50,000 Lifetime Maximum Benefit Paid as specified below for each Covered Injury or Sickness
Deductible $100 Per Covered Person (Per Policy Year)


IMPORTANT VINSON HEALTH CENTER INFORMATION (VHC) (Student Only): The plan deductible will be waived and Covered Expenses will be paid at 100% at the VHC. Benefits provided at the VHC are: One annual PAP Smear will be covered up to $30 maximum benefit. Annual Well Woman Exam will be covered up to $150 maximum when referred by the VHC.
Benefits will be paid at 80% of the Preferred Provider Allowance for services rendered by Preferred Providers in the Beech Street, Inc. Network unless otherwise specified below. Services obtained by Out-of-Network providers (any provider outside the Beech Street, Inc. Network) will be paid at 60% of Usual & Customary Charges unless otherwise specified below. Benefits will be paid up to the maximum amount shown below regardless of the provider selected not to exceed the Medical Expense Lifetime Maximum Benefit of $50,000. Unless otherwise specified, the maximum amounts apply on a per covered Injury or Sickness basis. Covered Expenses are:

Annual 08-23-2008 to 08-23-2009
Fall Semester 08-23-2008 to 01-10-2009
Spring 01-10-2009 to 05-23-2009
Spring/Summer Semester 01-10-2009 to 08-23-2009
Summer Semester 05-23-2009 to 08-23-2009
http://students.mwsu.edu/international/insurancewaiverform2007.htm

* б 㺸
https://www.academichealthplans.com/mwsu/2008-2009/brochure.php
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$200,000
Lifetime Maximum Benefit
ѵ ѵ $100,000
/ $50,000 ѵ
( )
$100 Deductible
(/ )
Deductible
δ

$0 Deductible
When purchasing a prescription at the Trott's Call Field Drug Store, you will pay a $10 copay for generic prescriptions and a $20 copay for brand name prescriptions after the $50 prescription deductible has been satisfied. The deductible is not subject to the $100 plan deductible.
Participating Pharmacies Only Expenses are payable at a 50% copayment at a participating WellDyneRx pharmacy.
Benefits will not exceed the $300 maximum per policy
Oupatient Prescription Drug Benefit

copay
( δ)
ȸ翡 100%
(ó)
In Network
80% /

Out of Network
660% º/

Out-of-Network/
Out of Network
100%
Annual: 08/23/08 to 08/23/09
Student : $620
Spouse: $2,065
Child: $850
л $480
$480
ڳ $480