Stony Brook University |
̱бStony Brook University |
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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. |
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ָб Ϻķ۽ ǥԴϴ
Insurance Provider
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б |
DBغ |
Lifetime Maximum
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$100,000 |
Unlimited |
Benefit
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$100,000 |
$50,000 per Sickness
or Injury |
Deductible
δ |
Preferred Care:
$350 per Covered Person, per Policy Year
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$0 |
Non-Preferred Care:
$500 per Covered Person, per Policy Year.
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º̿/ȸδ
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Preferred Care:
80%
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100% |
º/ȸδ |
Non-Preferred Care:
50%
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OUT OF POCKET
MAXIMUMS
Ⱓ δ |
Preferred Care:
$3,000 per Covered Person
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$0 |
Non-Preferred Care:
$6,000 per Covered Person
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Prescription Drugs Expense
ప δ
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Preferred Care:
100% of Negotiated
Rate following a
$20 Copay for each
30-day
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$0 |
Non-Preferred Care: 100% of Reasonable Charge, (which may be less than the billed
charge) following a
$30 Copay for each
30-day
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Premium
(Annual)
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Student: $1,134
Spouse: $3,464
Children: $1,739
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Student: $480
Spouse: $480
Child: $480 |
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ʴ
1. (谡 ִ ȯ̳ ü ġ ˻縦 ) 2. ӽ, õ 3. ܼ ǰ ˻縦 ϴ (÷ ˻ ǰ ) 4 . (б н Immunization )
5. Ű ȯ/ൿ
6. HIV()
7. (ΰἮ)
8. ȯN39 Ǵ DZ |
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