MIT Medical - MIT Affiliate Medical Plan rates


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	MIT Affiliate Medical Plan rates

	Overview \| MIT Affiliate Medical Plan \| MIT Affiliate Extended Insurance Plan \| International Scholars \| Affiliate Waiver Form (pdf) \| Referrals\| Rates

MIT Affiliate Medical Plan	Academic year Sept. 1, 2008- Aug. 31, 2009	Monthly payment amounts
affiliate	$996	$83
affiliate and partner	$1,992	$166
affiliate and dependent(s)	$1,500	$125
family (affiliate, partner and dependents)	$2,496	$208

MIT Affiliate Extended Insurance Plan	Academic year Sept. 1, 2008- Aug. 31, 2009	Monthly payment amounts
affiliate	$1,570	$131
affiliate and partner	$2,388	$199
affiliate and dependent(s)	$1,680	$140
family (affiliate, partner, and dependents)	$2,496	$208

Combined cost to enroll in both plans	Academic year Sept. 1, 2008- Aug. 31, 2009	Monthly payment amounts
affiliate only	$2,566	$214
affiliate and partner	$3,384	$365
affiliate and dependent(s)	$2,184	$265
family	$3,996	$416

Family members must enroll in the Affiliate Medical Plan in order to enroll in the Extended Insurance. They may not enroll in the Extended Insurance Plan only.





	MIT Affiliate Health Plan Affiliate Health Plan Overview (pdf) MIT Affiliate Insurance Plan - Summary Plan Description (pdf) - file is over 2000KB

	Enrollment Questions Health Plans Office E23-308 617-253-4371 Phone/Walk-in Hours: M-F 8:30 a.m.-5 p.m.

	Coverage Questions Billing Office 617-258-5336 M-F 8:30 a.m.-5 p.m.

	Related Links Clinical Services Affiliate Waiver Form (pdf)