$57.3 per month
Highlights
| Lifetime maximum | Unlimited |
| Annual maximum | Unlimited |
| Maximum per sickness/injury | $500,000 |
| Co-insurance in network | 80% |
| Co-insurance out-of-network | 60% |
| Deductible in student health center | $0 |
| Deductible in network | $500 |
| Deductible in non-network | $750 |
| Out of pocket in network | $7,000 |
| Co-pay in ER (waived if admitted) | $250(waived if admitted) |
| Co-pay in SHC | $15 |
| Co-pay specialist visit | $30 |
| Co-pay hospitalization | $250 |
| Pre-existing condition waiting period | 6 months |
| Preventative care | 100% upto $250 |
| Medical evacuation | 100% |
| Repatriation | 100% |