$117.4 per month
Highlights
| Lifetime maximum | Unlimited |
| Annual maximum | Unlimited |
| Co-insurance in network | 100% |
| Co-insurance out-of-network | 80% |
| Deductible in student health center | $0 |
| Deductible in network | $0 |
| Deductible in non-network | $50 |
| Out of pocket in network | $1,000 |
| Co-pay in ER (waived if admitted) | $150 |
| Co-pay in SHC | $0 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | No Waiting |
| Preventative care | 100% |
| Medical evacuation | 100% |
| Repatriation | 100% |