Insurance  Provider

학교보험제휴

Basic Accident and Sickness Plan

Lifetime Maximum

$75,000

Unlimited

Benefit

  $75,000

$50,000 per Sickness or Injury

Deductible

Preferred Care:

$25 per accident/sickness

$0

Non-Preferred Care:

$100 per accident/sickness

협력병원이용시/보험회사부담비율

Preferred Care:  

100% of the Negotiated Charge up to $2,500, then 90%.

100%

비협력병원/보험회사부담비율

Non-Preferred Care:

75% of the Negotiated Chargeup to $2,500, then 70%.

100%

Prescription Drug 

(약값고객부담금)

Following a $10 Copay

for each Brand Name Prescription Drug or a $5 Copay for each Generic Prescription Drug. Covered Medical Expenses are payable up to a maximum of $5,000 per Policy Year.

보상한도에 포함

고객부담 없음

Premium

(Annual)

Student: $1,419

Spouse: $3,382

Child(ren): $1,801

Student: 약$480

Spouse: 약$480

Child: 약$480