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This is the upshot

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You are automatically eligible to participate in the plan, based on the terms of your employer’s collective bargaining agreement with the in-line link style.

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Plan Provision
Annual deductible*
Maximum annual out-of-pocket expense
Preventive care (including diabetes education and nutritional counseling)
In-Network
Single:
Construction: $0
Non-Construction: $250

Family:
Construction: $0
Non-Construction: $500

Single: $3,000
Family: $9,000
100% coverage
Out-of-Network
Single: $200
Family: $500
Single: $3,000
Family: $9,000
80% coverage after deductible and $20 copayment per visit
* Footnote Style. Edit or remove this text inline or in the module Content settings.
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Contacts

The Arthur Ashe Student Health & Wellness Center at UCLA

555-555-5555
Website

Student Health and Counseling Services (SHCS)