Insurance  Provider

학교제휴보험

Life Maximum

$250,000

Unlimited

benefits

$250,000

$50,000 per Sickness or Injury

Deductible 

고객부담금

$50 per Accident or Sickness up to a maximum of $300 per Policy Year 

$0

Preferred Care:

협력병원이용시 보험회사보상비율

80%

100% 보험 회사에서 보상

Non-Preferred Care:

비협력병원이용시보험회사보상비율

50%

100% 보험 회사에서 보상

Out-of-Pocket Maximum

년간 고객 부담금

$3,000 per Policy Year

$0

Prescription Drug

약값 부담금

Preferred Care

약국이용시:

100% of the Negotiated Charge, following a $25 copay for each

Brand Name Prescription Drug or a $10 copay

고객 부담금 없음

Non-Preferred Care

약국이용시:

100% of the Reasonable Charge, following a $25 deductible

for each Brand Name Prescription or a $10 deductible

Premium

(Annual)

Student:$1,331

Spouse:$3,092

 Children:$1,769

Student:약$480

     Spouse:약$480

     Child:약$480