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BYU-Hawaii Student Medical Benefit


Coverage for services provided in the Student Health Center

Co-payment per Service
(You Pay)

You pay after
co-payment
The plan pays after co-payment

$10
($15 for
after-hours)
$0
100%

Coverage for physician services outside the SHC and hospital outpatient care*

Co-payment per Service
(You Pay)
You pay after
co-payment
The plan pays after co-payment
$25


20%

for contract providers

50%
for non-contract providers

80%**
for contract providers

50%
for non-contract
providers

Coverage for hospital inpatient care
 

Co-payment per Service
(You Pay)

You pay after
co-payment
The plan pays after co-payment
$200
(Plus $50 for
newborn child)


20%

for contract providers

50%
for non-contract providers


80%

for contract providers

50%
for non-contract providers

*Obtain written referral from the Student Health Center before service.

**Maximum benefit is $30,000 per academic year. For coverage of medical expense above the maximum benefit, refer to BYU-Hawaii's Large Claims Coverage Plan.