California College of the Arts Student Health Insurance Plan 2017/2018

Insurance Carrier Policy Year

Aetna Student Health

2017/18

AM Best / Rating

A

Provider Network

Aetna PPO

Annual Maximum

Unlimited

Out of Pocket Max

$6,000 individual $12,000 family

Deductible Coinsurance Office Visit Copay

$100 individual 90% PPO 50% NPPO $20 copay then100%, deductible waived PPO $20 copay them 50% NPPO $150 copay then 90% PPO

ER Copay Preventative Care

Prescription Drugs

100% PPO 50% NPPO Generic $10 Brand Name $30 100% after copay PPO 50% after copay NPPO

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