myBenefits at a Glance
The highlights below are provided as general information. Coverage for eligible costs is based on the contract detail. Select the benefit for additional coverage details.
Reimbursed at 80% to a maximum of $250 per occurrence.
Reimbursed at 80%, to a maximum of $3,000 per benefit year.
Based on the NASA Formulary with a generic rider.
Dispensing fee limit of $7.
Reimbursed at 100%, to a maximum of $60 for glasses or contact lenses every 24 months. Limit of $40 every 24 months for eye exam.
The services of paramedical practitioners are reimbursed at 80%, to a maximum of $20 per visit and an overall plan maximum of $300 per practitioner, per benefit year. Practitioners must be registered and licensed in their field of practice.
Medical Equipment & Supplies:
Reimbursed at 80%. A physician's prescription is required. Pre-authorization is suggested.
Exams covered at 100% (Select Dentists) or 70% (Alternate Dentists) once per benefit year. Overall plan maximum of $750 per benefit year.
Reimbursed at 80% to a maximum of $1,000 per accident (services must be performed within 12 months of accident; authorization required).
$2 million of coverage for emergencies and illnesses while travelling.
Accidental Death & Dismemberment:
$5,000 loss of life benefit.
$5,000 maximum (limited to students under age 65).
$10,000 lifetime maximum.
After 15 days of confinement due to illness or injury.
NOTE: In the event of any discrepancy between the information herein and our contract with the insurer, the terms of the contract will apply.