Insurance Provider
|
USC Trojan Çб³º¸Çè
Student Cost for OFF-Campus Plan |
LIG¼ÕÇØº¸Çè |
Life Maximum
ÃѺ¸»óÇѵµ |
$750,000 |
Unlimited |
benefit |
$750,000 |
$50,000 |
Copayment
º¸Çèȸ»ç¿¡¼
ÃÑÄ¡·áºñ ºÎ´ãºñÀ² |
In Network(Á¦È޽ü³):80%
|
Á¦È޽ü³ ºñ Á¦ÈÞ ½Ã¼³ °ü°è¾øÀÌ 100% º¸Àå |
Out of Network(ºñÁ¦È޽ü³):50%
|
Deductible
°³Àκδã±Ý |
In Network:$350
|
°í°´ ºÎ´ã±Ý ¾øÀ½ |
Out of Net Work:$700
|
Evacuation
Çdzºñ¿ë
|
$100,000
|
100,000 |
Repatriation
¼Ûȯºñ¿ë
|
$15,000 |
$20,000 |
Network
Provider
Á¦ÈÞ ¾÷ü
|
Blue Shied |
United Health Care |
Acupuncture
ÇѹæÄ¡·á
|
³â°£ $500 Çѵµ¿¡¼ º¸Àå |
º¸ÀåµÊ |
Chiropractic
Ãß³ª¿ä¹ý
|
º¸Àå¾ÈµÊ |
º¸ÀåµÊ |
Maternity
¿©¼º Áúȯ
|
ÀӽŠÃâ»ê ºñ¿ë º¸Àå
(20~50% °í°´ ºÎ´ã±Ý ¹ß»ý)
|
¿©¼ºÁúȯÀ» º¸Àå µÇÁö¸¸
ÀӽŠÃâ»ê ºñ¿ëÀº º¸Àå ¾ÈµÊ |
Dental
Ä¡°ú
|
»óÇØ »ç°í½Ã¿¡¸¸ º¸Àå
(ºÎ´ã±Ý ÀÖÀ½)
|
»óÇØ¿Í Áúº´¿¡ »ó°ü ¾øÀÌ ¸ðµÎ º¸Àå
( °³ÀÎ ºÎ´ã±Ý ¾øÀ½) |
Allergy Testing
¾Ë·¹¸£±â ¹ÝÀÀ °Ë»ç
|
º¸ÀåµÊ
ÇѵµÁ¦ÇÑÀÖÀ½
|
Ä¡·á¸¦ ¸ñÀûÀ¸·Î ÇÏ´Â °Ë»ç´Â º¸ÀåµÊ |
Emergency Service
ÀÀ±Þ ¼ºñ½º
|
º¸ÀåµÊ |
º¸ÀåµÊ |
Vision Service
|
º¸Àå¾ÈµÊ |
º¸ÀåµÊ
(´Ü¼ø ½Ã·Â °Ë»ç ¹× ¾È°æ/ÄÜÅÃÆ® ·»Áî ºñ¿ë º¸Àå ¾ÈµÊ) |
Prescription Drugs
ó¹æÀü
|
º¸ÀåµÊ
|
º¸ÀåµÊ |
Premium
(Annual) |
Student:$1,655
Spouse:$3,192
Child:$1,932 |
Student:$492
Spouse: $492
Child:$492 |