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Old Dominion University ̱бOld Dominion 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.

 

 

 

 

 

  Old Dominion University   Ͽϴ.

 

 

 

 

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$200,000

Unlimited

 

benefits

 

 

$200,000

 

 

$50,000 per Sickness or Injury

 

 

Deductible

 

δ

 

 

 $75 per accident or sickness per Policy Year

 

$0

 

Preferred :

 

º̿

 

80% of the Negotiated Charge up to $3,500, and 100% of the Negotiated Charge thereafter

100% ȸ翡

 

Non-Preferred:

 

º̿

 

50% of the Reasonable Charge up to $3,500, and 100% of the Reasonable Charge thereafter.

 

 

 

 

Prescription Drug

 

δ

 

Preferred Care:

 

80% of the Negotiated Charge following a $25 Copay for each Prescription Drug Covered Medical Expenses

 

δ

 

Non-Preferred:

 

50% of the Reasonable Charge following a $25 Deductible for each Prescription, Covered Medical Expenses

 

Premium

(Annual)

 

Student:$816

Spouse: $2,532

Child:$912

 

 

 Student:$480

Spouse:$480

Child:$480

 

 


 

 

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