MSU OPT Trail Blazer

 

  • Unlimited Lifetime Maximum
    No Copayment for treatment received at Student Health Center
    Medical Evacuation benefit 100% of Cost

Rates (per month)

$99
BenefitsCoverage
Annual/Lifetime Maximum Unlimited
Maximum per Covered Accident or Sickness $500,000
Deductible $25 Waived at Student Health Center
Coinsurance 80% of Covered Expenses for the first $5,000; 100% of Covered Expenses thereafter
Pre-Existing Condition Limitation 6 months (Credit provided for prior continuous coverage)
Copays:  
Emergency Room $70
Prescription Drugs $25 Generic $50 All Other
Maximum for Dental Treatment $250 per tooth (Injury Only)
AD&D $25,000
Emergency Evacuation/Repatriation of Remains 100% of Actual Cost
Emergency Reunion $2,500
Family Reunion $2,000