University of Pennsylvania |
̱бUniversity of Pennsylvania |
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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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US government regulations require J-1 visa holders and their dependents to have adequate health
insurance at all times that meet the following criteria:
* Medical benefits of at least $50,000 per accident or illness * Repatriation of remains in the amount of $7,500 in the event of death * Medical evacuation to your home country in the amount of $10,000 * A deductible of no more than $500 per accident or illness * Co-payment of medical expenses of no more that 25%
The University's student and employee health insurance plans meet these requirements. Failure to secure or maintain adequate health insurance will result in termination of your program
Insurance waiver
ݵ insurance waiver ϼž б Ͻ ʰ ˴ϴ
waiver Ͻ ø ˴ϴ. ظ ˴ϴ
Բ insurance waiver κ ֽϴ
insurance waiver ߸ϼż Unniversity of Pennsylvania ʴ ʰ
ݵ waiver п ϼž ذ ʽϴ
insurance waiver û Ͻñ ٶϴ
Unniversity of Pennsylvania ǥԴϴ.
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Insurance Provider
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б |
DBغ |
Life Maximum
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$2,000,000 |
Unlimited |
º̿/
(ȸδ)
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IN-network: 100% |
100% |
º/
(ȸδ)
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Out-of-network: 70%
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100% |
Deductible
(δ) |
In-network $250
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$0 |
Out-of-network $1,500
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Co-pays (in-network)
δ |
Emergency Room: $75
(deductible waived)
Office visits: $25 after deductible satisfied
Mental health visits: $25 (deductible waived)
Lab/x-ray: $35 after deductible satisfied
In-patient Hospital Room and Board $100 after deductible satisfied
Surgical expenses (inpatient and outpatient) $150 after deductible satisfied
High Cost Procedures $50 after deductible satisfied
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$0 |
Prescription coverage ప |
30-day supply of medication: $15 generic/$30 brand
90-day supply of medication (mail-order)): $30 generic/$60 brand
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100% |
Annual Out-of-Pocket Maximum
Ⱓ δ
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Annual maximum out-of-pocket expense of $1,500 in-network/$4,000 out-of-network
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$0 |
Premium
(Annual)
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Student:$2,560
Spouse:$3,234
Child $3.234
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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. Ǵ ȯ ΰǰ Ƿ
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