Insurance  Provider

학교제휴보험

Life Maximum

$250,000

Unlimited

benefits

$250,000

$50,000 per Sickness or Injury

In‐Network

협력병원이용시

보험회사보상비율

100% of Preferred

Rate, after a co-pay

(고객부담금)

100% 보험 회사에서 보상

Out-of-Network

비협력병원이용시

보험회사보상비율

80% of R&C Charge,

after a Deductible

(고객부담금)

100% 보험 회사에서 보상

Prescription Drug

약값 부담금

Generic Drug - $10 co-pay per 30-day supply

Brand Name Drug - $25 co-pay per 30-day supply

$1,200 per Policy Year maximum benefit

총 보상 한도내에서 보상

고객 부담금 없음

Premium

(Annual)

Student:$1,270

Spouse:$4,736

Child:$1,342

Student:약$480

Spouse:약$480

Child:약$480