Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ⺸ Խû
 
San Diego State University ̱бSan Diego State 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.



  

 

    San Diego State University  б .

 

Insurance  Provider

 

б޺

 

DBغ

 

 

Life Maximum

 

$100,000

Unlimited

 

Major Benefit

 

$100,000

 

 

$50,000 per Sickness or Injury

 

Copayment

 

ȸ翡 ġ񿡼

ϴº

 

 

In Network: 90%

 

 

100%

 

 

Out of Network: 70%

 

 

100%

 

Deductible

 

δ

$150

No deductible

 

Out-of-Pocket Maximum

 

   Ⱓ

   δؾϴ±ݾ

 

When a Covered Person has incurred $5,000 of out-of-pocket Eligible Expenses for PPO providers or $10,000 of out-of-pocket Eligible Expenses for non-PPO providers, per plan year, the Company payment will increase to 100% of Eligible Expenses. Copayments are not applied to the Out-of-Pocket Maximum

 

 

 

 

ѵ δ

100%

 

 

Prescription Drug

 

ప δ

 

  

 

    90%  

 

 

 

ѵ δ

100%

 

 

Premium

(Annual)

 

 

 

Student:$781

Spouse:$1,481

 Child:$1,112

 

 

 

Student:$480

Spouse:$480

Child:$480

 

 



 

 

 

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