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University of Colorado- Denver ¹Ì±¹´ëÇб³º¸ÇèUniversity of Colorado- Denver
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   University of Colorado- Denver Á¦ÈÞ º¸Çè°ú LIG¼ÕÇØº¸ÇèÀ» ºñ±³ÇØ ³õÀº Ç¥ÀÔ´Ï´Ù

 

 

 

 

Insurance  Provider

 

Çб³º¸ÇèÁ¦ÈÞ

LIG¼ÕÇØº¸Çè

 

 

Benefit

 

 

$200,000

Unlimited

 

 

Lifetime Maximum

 

 

$200,000 

 

$50,000 per Sickness or Injury

 

 

HEALTH CENTER

 

 

 

100%

 

100%

 

 

PPO

 

Çù·Âº´¿øÀÌ¿ë½Ã/º¸Çèȸ»çºÎ´ãºñÀ²

 

 

100% of PA

 

after Copayment

100%

 

OUT OF NETWORK

 

ºñÇù·Âº´¿ø/º¸Çèȸ»çºÎ´ãºñÀ²

 

 

60%

100%

 

Out-of Pocket Maximum

 

³â°£ °í°´ºÎ´ã±Ý

$2,500

$0

 

 

Prescription Drug

 

(¾à°ª°í°´ºÎ´ã±Ý)

 

 

HEALTH CENTER:

 

$20 Copay

 

º¸»óÇѵµ¿¡ Æ÷ÇÔ

°í°´ºÎ´ã ¾øÀ½

 

PPO:

$15 Copay generic, $30 Copay brand name Express Scripts

 

 

OUT OF  NETWORK:

$15 Copay generic, $30 Copay brand name plus the difference between retail and the discounted amount

 

 

 

Premium

(Annual)

 

 

Student: $1,392

Spouse: $4,937

Child(ren): $2,081

 

Student: $492

Spouse: $492

Child: $492

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