usauhc@gmail.com
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usauhc
| Plan Type | USC Elite PLUS | USC Elite 250 | USC Elite 450 | USC Elite 800 | ||||
| PPO Network |  |
Aetna | |
Aetna | |
Aetna | |
Aetna |
| Lifetime/Annual maximum | |
Unlimited | |
Unlimited | |
Unlimited | |
Unlimited |
| Co-insurance in network | |
100% | |
80% | |
80% | |
80% |
| Co-insurance out-of-network | |
60% | |
60% | |
60% | |
50% |
| Student Health Center | |
100% covered | |
100% covered | |
100% covered | |
100% covered |
| Deductible in network | |
$0 | |
$250 | |
$450 | |
$800 |
| Deductible out-of-network | |
$0 | |
$500 | |
$500 | |
$1,200 |
| Co-pay specialist/ Office | |
$25 per visit | |
$30 per visit | |
$20 per visit | |
$20 per visit |
| Co-pay Urgent Care | |
$50 per visit | |
$65 per visit | |
$50 per visit | |
$50 per visit |
| Co-pay in ER (waived if admitted) | |
$200 | |
$200 | |
$200 | |
$200 |
| Out-of-pocket maximum (PPO) | |
$5,000 | |
$5,500 |
| $5,000 |
| $8,500 |
| Preventive care (PPO) EHIM | |
100% | |
100% | |
100% | |
100% |
| Medical evacuation (100% covered) | |
$120,000 | |
$120,000 |
| $120,000 |
| $120,000 |
| Medical repatriation/Repatriation | |
$50,000/ $25,000 | |
$50,000/ $25,000 | |
$50,000/ $25,000 | |
$50,000/ $25,000 |
ACA Plans 보험료| Period | USC Elite Plus 1 Year Rates |
USC Elite 250 1 Year Rates |
USC Elite 450 1 Year Rates |
USC Elite 800 1 Year Rates |
||||
| 17세~24세 보험료 | |
$2,280 | |
$1,778 | |
$1,500 | |
$1,007 |
| 25세~27세 보험료 | |
$2,580 | |
$2,281 | |
$2,003 | |
$1,489 |
| 28세~29세 보험료 | |
$4,620 | |
$3,551 | |
$3,022 | |
$1,498 |
|
USC Elite Plus 브로셔 다운로드 |
USC Elite 250 브로셔 다운로드 |
USC Elite 450 브로셔 다운로드 |
USC Elite 800 브로셔 다운로드 |
|||||
World Elite Plus 플랜 가입시 아래 Tier 1 이용하시면 100% 보상 됩니다 .
World Elite 250, 450 플랜 가입시 아래 Tier 1 이용하시면 80% 보상이 아닌 90% 보상 됩니다.
Tier 1, USC Designated Preferred Care Providers – 90% Coverage
Keck Medicine of USC Children’s Hospital Los Angeles USC Verdugo Hills Hospital Good Samaritan Hospital USC/Norris Comprehensive Center and Hospital Las Encinas (Behavioral Health) BHC Alhambra (Behavioral Health) Glendale Adventist (Behavioral Health) The Haven @ College (Behavioral Health)
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