Insurance  Provider

학교제휴보험

Life Maximum

$50,000

Unlimited

Major Benefit

$50,000

$50,000 per Sickness or Injury

Copayment

보험회사에서 보상하는비율

In Network: 80%

100%

Out of Network: 60%

Deductible

고객부담금

$250 per policy year

No deductible

Prescription Drugs

약값고객부담금

At Student Health Center

100% to $1,000 per Policy Year, co-pay $15 per

prescription

총 한도에서 보상

고객 부담금 없음

outside Student Health Center

Medco Drug Card to $2,000 per Policy Year,

co-pay Generic - $15, Brand - $25, Single Source - $35

Premium

(Annual)

Student:$1,335

Spouse:$4,678

Children:$1,833

Student:약$480

Spouse:약$480

Child:약$480