Plans that meet the requirements of

Montgomery College Rockville

Platinum

$85 per month

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  • Annual maximum Unlimited
  • Per injury/sickness maximum $500,000
  • Annual deductible in-network $250
  • Annual deductible out-of-network - $400
  • Copay Student Health Center - $15
  • Copay primary care physician - $30
  • Coinsurance in-network - 80%
  • Immunization & preventive care - $200
  • Medical evacuation - Unlimited
  • Repatriation of remains - Unlimited
  • Provider network - Aetna PPO

Gold

$49 per month

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  • Annual maximum Unlimited
  • Per injury/sickness maximum $300,000
  • Annual deductible in-network $500
  • Annual deductible out-of-network - $750
  • Copay Student Health Center - $25
  • Copay primary care physician - $40
  • Copay specialist/urgent care - $50
  • Coinsurance in-network - 80%
  • Medical evacuation - $120,000
  • Repatriation of remains - $60,000
  • Provider network - Aetna PPO

Silver

$31 per month

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  • Annual maximum $400,000
  • Per injury/sickness maximum $150,000
  • Deductible per event Student Health Center $45
  • Deductible per event elsewhere - $100
  • Copay emergency room - $350
  • Emergency room - 80%
  • Coinsurance - 100% up to daily benefit limits
  • Pre-existing conditions - Covered after 6 months
  • Medical evacuation - $60,000
  • Repatriation of remains - $50,000
  • Provider network - Aetna PPO

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Page: school
Id: 1777
Montgomery College Rockville
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