School Term   Silver Plan 2015-202822-3     Silver Plan 2014-202822-3  
  24 & Under 25 - 29 30 and above 24 & Under 25 - 29 30 and above
  ANNUAL 2015-2016: 08/12/2015 to 08/11/2016 $461 $715 $1,980 - - -
No Lifetime Limits On Benefits No Lifetime Limits On Benefits
$500,000 per Injury or Sickness $500,000 per Injury or Sickness
Coinsurance: 80% In-Network, 70% Out-Network Coinsurance: 80% In-Network, 70% Out-Network
Diagnostic Services and Laboratory Tests Diagnostic Services and Laboratory Tests
Mental Illness & Substance Use Disorder Treatment Mental Illness & Substance Use Disorder Treatment
Prescription Drugs: 70% up $1,000 max per year Prescription Drugs: 70% up $1,000 max per year
Urgent Care Facilities - $50 copay Urgent Care Facilities - $50 copay
Pre-Existing Conditions - Six months waiting period Pre-Existing Conditions - Six months waiting period
Evacuation & Repatriation - Pays 100% for services provided Evacuation & Repatriation - Pays 100% for services provided
Review SILVER PLAN Policy Brochure Review SILVER PLAN Policy Brochure
All Charges shown include Insurance Premium, Association, and Credit Card Fees. The programs offered here are underwritten by Student Resources (SPC) Ltd., A UnitedHealth Group Company.



Disclaimer:

"PSI gathered this information as a resource for students, and this does not intend to imply a relationship between your school and our website or company. We advise you to double-check directly with your school to ensure that these Student Plans meet your school's insurance requirements."