UNK 䱸
All students will be enrolled in the UNK Health Insurance Plan unless a waiver application
has been submitted to and approved by International Student Services before the end of
the first week of the semester. Late waivers will not be accepted
$50,000 Major Medical $ 10,000 Medical Evacuation $7,500 Repatriation of Remains $ 500 of Deductible Limits
Attach a photocopy of the insurance policy or card stating the coverage and amounts in
U.S. dollars
along with English translation of the policy. I do hereby agree to maintain health care insurance, as required by regulations.
I understand that: I must maintain coverage throughout every semester (including summers) for which
I am enrolled at the University Of Nebraska at Kearney; I will make every effort to submit to my insurance company claims for payment.
I understand that I am responsible for all Health Care charges not allowed by my
Insurance Policy.
б Ÿ Ҽ ִٴ
International students are required to have health insurance and will be billed for the cost of the UNK insurance plan. If you are an international student and you already have insurance coverage that meets federal guidelines you may apply for a waiver from the International Education office. You must bring an English translation of your policy and documentation to prove current coverage when applying for the waiver. You must apply for the waiver as early as possible before the semester begins and submit the waiver to the Finance Office before the end of the second week of classes for that semester. Please contact the International Education office at 865-8246 for information about waivers. Charges from UNK Health Care are your responsibility to pay. If you wish to submit those charges to your insurance carrier, you may send the invoice given to you by the nurse with your insurer's claim form. UNK Health Care does not submit insurance claim forms. UNK Health Care may NOT be a PPO Provider with your insurance company. Kearney Clinic, Good Samaritan Hospital and other local clinics will request your insurance information when you receive their services. Depending on the type of insurance you carry, their billing office can submit your insurance claim if you provide them with the requested information. If you are insured under a parent's or guardian's policy, please request an extra insurance card from your insurer to bring to college with you.
University of Nebraska at Kearney DBغ
|
Insurance Provider |
б |
DBغ |
Life Maximum
|
$100,000 |
Unlimited |
benefits
|
$100,000 |
$50,000 per Sickness or Injury |
+ġ
(ȸ纸) |
80% ~ 100% |
100% ȸ翡 |
MAJOR MEDICAL
(Ƿ ġ)
ȸ纸
|
80% |
100% ȸ翡 |
δ
|
$500 |
δݾ |
Prescription Drug
పδ |
Ѿప 80%
Benefit is payable up to maximum $500, after $10 copay per prescription;
30 day supply per prescription |
Ѻѵ
δݾ |
Premium
(Annual) |
Student:$550(2011)
|
Student:$385
(22)
|
|