Insurance  Provider

학교제휴보험

Life Maximum

$100,000

Unlimited

Major Benefit

$100,000

$50,000 per Sickness or Injury

Copayment

보험회사에서 보상하는비율

In Network:

80% of Preferred Allowance

100%

Out of Network:

60% of Usual and

Customary Charges

100%

Prescription Drug

약값 부담금

$15 copay for each generic prescription drug and

a $30 copay for each brand name prescription drug at a participating WellDyneRx

Pharmacy. Expenses are payable up to a maximum of $500 per Policy year

총 한도에서100%보상

고객 부담금없음

Premium

(Annual)

Student:$994

Spouse:$2,435

 Child:$1,461

Student:약$480

Spouse:약$480

Child:약$480