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Wellesley College ̱бWellesley College
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.

 

 

 

  Wellesley College  

 

 

 

Insurance  Provider

б޺

DBغ

 

 

Life Maximum

 

 

$50,000

Unlimited

 

 

benefits

 

 

$50,000

 

$50,000 per Sickness or Injury

 

 

 

 

InNetwork

 

º̿

ȸ纸

 

 

 

100%

 

100% ȸ翡

 

 

 

 

 

Out-of-Network

 

º̿

ȸ纸

 

80%

100% ȸ翡

 

 

 

 

 

 

 

 

 

 

Prescription Drug

 

δ

 

InNetwork

 

$10 copay per

prescription for Tier 1

/ $20 copay per

prescription for Tier 2

/ up to a 31 day

 

$2,000 maximum Per

Policy Year

 

 

 

 

 

 

 

 

 

ѵ

 

    δ

 

Out-of-Network

 

ప ȵ

 

 

 Premium

(Annual)

 

 

Student:$1,475

Spouse:$2,267

Children:$1,758

 

Student:$480

Spouse:$480

Child:$480

 

 

 

 



 

 

 

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