Student Medical Benefit Rates
Dependent Medical Benefit Rates
| Plan Type | Semester |
| Dependent of single student | $150 |
| Dependent of married student | $500 |
Coverage for services provided in the 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 Health Center 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 Health Center before receiving outside care
The maximum benefit is $30,000 per academic year. For coverage of medical expenses above the maximum benefit, refer to BYU-Hawaii's Large Claims Coverage Plan.
Rates are subject to change without notice. Maternity insurance is included for married, full-time students who are enrolled in the plan. Contact the Student Health Center for information about the special contract process for prenatal care and deliveries. Benefits for all services outside the Student Health Center are based on a lesser of billed charges, contracted rates, or the maximum allowable charges for the services received as determined by DMBA.