Insurance  Provider

학교제휴보험

Life Maximum

$100,000

Unlimited

benefits

$100,000

$100,000 per Sickness or Injury

Deductible

고객부담금

$350

$0

Preferred :

협력병원이용시

80% of the Negotiated Charge

100% 보험 회사에서 보상

Non-Preferred:

비협력병원이용시

60% of the Reasonable Charge

Prescription Drug

약값 부담금

약국이용시:

100% of the Negotiated Rate, following a $65 copay for each Non-Preferred Brand Name Prescription Drug, a

$40 copay for each Preferred Brand Name Prescription Drug or a $15 copay for each Generic Prescription Drug.

Maximum of $500 per Policy.

고객 부담금 없음

Premium

(Annual)

Student:$921

Spouse:$2,360

Child:$1,199

Student:약$480

Spouse:약$480

Child:약$480