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2008-2009 Student Health Insurance Plan Pricing
Policy SummaryEnrollmentFind a DoctorClaim InstructionFAQ
iStudentCity Student Health Insurance Plan Summary & Complete Pricing
Three Options for You: Plan A Plan B Plan C
Maximum Benefit
(You can choose based on your school requirement)
$100,000

$250,000

$500,000

Insurance Price
- Student/Scholar
$59/mo

$69/mo

$119/mo

Insurance Price
- Spouse
$149/mo

$159/mo

$239/mo

Insurance Price
- 1 Child Only
$95/mo

$99/mo

$179/mo

Insurance Price
- 2 or More Children
$135/mo

$149/mo

$365/mo

Deductible $100 per policy year per insured person
Coverage 100% of Preferred Allowance for PPO;
80% of Reasonable and Customary Expenses (R&C;) when treated by non-network providers
Prescription Medication

100% of R&C;, up to $3,000
After a $20 copay per prescription

In-patient Benefit Yes
Lab, Diagnostic, X-ray Yes
Pre-admission Testing Yes
Physiotherapy Yes
Accidental Death and Dismemberment Benefits Yes
Medical Evacuation 100% of policy maximum coverage
Repatriation of Remains 100% of policy maximum coverage

Customer Service

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