DATE:	4/25/2007							DATE:	4/25/2007							DATE:	4/25/2007
RE:	OHSU Portland Student Health Service Area							RE:	OHSU Distance Students 50+ miles from Portland							RE:	OHSU Extension/Continuation ONLY
	2007-2008 Academic Year								2007-2008 Academic Year								2007-2008 Academic Year
ODS - MONTHLY RATES LOCAL (SHC) STUDENTS								ODS - MONTHLY RATES DISTANCE STUDENTS								ODS - MONTHLY RATES EXENSION/CONTINUATION
MEDICAL ONLY		Student	Spouse	Child(ren)	Family			MEDICAL ONLY		Student	Spouse	Child(ren)	Family			MEDICAL ONLY		Student	Spouse	Child(ren)	Family
		ONLY	ONLY	ONLY	ONLY					ONLY	ONLY	ONLY	ONLY					ONLY	ONLY	ONLY	ONLY
		$208.15	$239.38	$135.30	$395.49					$250.97	$288.62	$163.13	$476.84					$450.00	$517.50	$292.50	$855.00
DENTAL ONLY		Student	Spouse	Child(ren)	Family
		ONLY	ONLY	ONLY	ONLY			MEDICAL ONLY ELECTED								MEDICAL ONLY
		$21.95	$22.58	$18.96	$41.43				Student	Spouse	Child(ren)	Family
									ONLY	ONLY	ONLY	ONLY					Student	Spouse	Child(ren)	Family
VISION ONLY		Student	Spouse	Child(ren)	Family			2 MONTHS	$501.94	$577.24	$326.26	$953.68					ONLY	ONLY	ONLY	ONLY
		ONLY	ONLY	ONLY	ONLY			3 MONTHS	$752.91	$865.86	$489.39	$1,430.52				3 MONTHS	$1,350.00	$1,552.50	$877.50	$2,565.00
		$7.82	$8.97	$5.07	$14.82			4 MONTHS	$1,003.88	$1,154.48	$652.52	$1,907.36				6 MONTHS	$2,700.00	$3,105.00	$1,755.00	$5,130.00
								5 MONTHS	$1,254.85	$1,443.10	$815.65	$2,384.20				9 MONTHS	$4,050.00	$4,657.50	$2,632.50	$7,695.00
MEDICAL, DENTAL & VISION ELECTED																12 MONTHS	$5,400.00	$6,210.00	$3,510.00	$10,260.00
	Student	Spouse	Child(ren)	Family
	ONLY	ONLY	ONLY	ONLY
2 MONTHS	$475.84	$541.86	$318.66	$903.48
3 MONTHS	$713.76	$812.79	$477.99	$1,355.22
4 MONTHS	$951.68	$1,083.72	$637.32	$1,806.96
5 MONTHS	$1,189.60	$1,354.65	$796.65	$2,258.70
MEDICAL ONLY
	Student	Spouse	Child(ren)	Family
	ONLY	ONLY	ONLY	ONLY
2 MONTHS	$416.30	$478.76	$270.60	$790.98
3 MONTHS	$624.45	$718.14	$405.90	$1,186.47
4 MONTHS	$832.60	$957.52	$541.20	$1,581.96
5 MONTHS	$1,040.75	$1,196.90	$676.50	$1,977.45
DENTAL ONLY
	Student	Spouse	Child(ren)	Family
	ONLY	ONLY	ONLY	ONLY
2 MONTHS	$43.90	$45.16	$37.92	$82.86
3 MONTHS	$65.85	$67.74	$56.88	$124.29
4 MONTHS	$87.80	$90.32	$75.84	$165.72
5 MONTHS	$109.75	$112.90	$94.80	$207.15
VISION ONLY
	Student	Spouse	Child(ren)	Family
	ONLY	ONLY	ONLY	ONLY
2 MONTHS	$15.64	$17.94	$10.14	$29.64
3 MONTHS	$23.46	$26.91	$15.21	$44.46
4 MONTHS	$31.28	$35.88	$20.28	$59.28
5 MONTHS	$39.10	$44.85	$25.35	$74.10