Ȩ Ұ ̱б ⺸谡Խû ܱ⺸谡Խû û
 
 
 
 
 



home ⺸ Խû
 
University of Utah ̱бUniversity of Utah
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.

 

    

 

 

 

 

 

 

Insurance  Provider

 

 б޺

DBغ

 

 

Life Maximum

 

 

$50,000

Unlimited

 

 

benefits

 

 

$50,000

 

$50,000 per Sickness or Injury

 

 

Deductible

δ

 

Student:  $250

 

$0

Family:   $500

 

UNIVERSITY PROVIDER NETWORK

 

б۽̿

 

Paid at 80% of Allowable Charge, after deductible

100% ȸ翡

 

Preferred :

 

º̿

 

 

Paid at 65% of Allowable Charge after deductible

100% ȸ翡

 

Non-Preferred:

 

º̿

 

 

Paid at 50% of Allowable Charge after deductible

 

 

 

 

Out-of-Pocket Maximum

 

Ⱓδ

 

 

$6,000

.

        

                 $0

Premium

(Annual)

 

Student:$1,432

Spouse:$3,780

Child:$1,464

 

Student:$480

Spouse:$480

Child:$480



 

 

 

ʴ


   1. ( ִ 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