2008-2009
EASTERN WASHINGTON UNIVERSITY
STUDENT HEALTH INSURANCE PLAN
This optional insurance plan is exclusively contracted and provided for the students of Eastern Washington University. On campus, please contact Health, Wellness & Prevention Services, 509-359-4279 or visit University Recreation Center 201 for more detailed information.
| Offered by: |
Aetna Life Insurance Company
|
| Coverage Acceptance |
Guaranteed |
| Policy Period |
9/17/08 to 9/17/09 |
| Eligibility |
Minimum 6 credit hours Fall, Winter & Spring – Minimum 3 credits in Summer |
| MEDICAL |
| Maximum Benefit/Period |
$75,000 per condition |
| Deductible/Period |
$150 per benefit year |
| ADDITIONAL CO-PAYS |
| Emergency Room |
$100 - waived if admitted |
| Doctor Visits |
$20 CoPay within Network |
| Prescription Maximum |
$2,000 per benefit year |
| Co-Pays-Generic |
$10 |
| Brand Name |
$10 |
| Non-Formulary |
$10 |
| COINSURANCE - COMPANY PAYS |
| In-Network |
80% |
| Out of Network |
50% |
| Maximum Out of Pocket |
$3,150 per benefit year |
| Hospital In Patient |
80% in Network |
| Professional Services |
80% in Network |
| Preventive Care |
Covered expenses include an annual Pap screening for women ages 18 & older and one
baseline mammogram for women between ages of 35 & 40. Women 40 & older have
coverage for an annual mammogram per policy year, subject to Co-Pays. |
| PREMIUMS |
|
2008-09
Rates |
Annual
9-17-08 to
9-16-09 |
Fall
9-17-08 to
1-6-09 |
Winter
1-7-09 to
4-1-09 |
Spring
4-2-09 to
6-23-09 |
Spring/Summer
4-2-09 to
9-6-09 |
Summer
6-24-09 to
9-16-09 |
| Student |
$1,324 |
$406 |
$308 |
$302 |
$610 |
$308 |
| Spouse |
$3,234 |
$993 |
$754 |
$733 |
$1,487 |
$754 |
| Child |
$2,023 |
$621 |
$471 |
$460 |
$931 |
$471 |
| Children (2+) |
$2,023 |
$621 |
$471 |
$460 |
$931 |
$471 |
|
| Age Rated? |
Rates Same for All ages |
