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Deductible A
Deductible
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Coinsurance
Coinsu rance
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O ut-of-Poc ket
Maximum
Featured Plans
A" Plans
Saver 80S_Y
Our lowest premium plan that
provides coverage for hospital
confinements, surgery, and the
more costb' outpatient tests
Cooav Selects-U
A comprehensive plan wth a S3S
copay for doctor office visits
HSA looe
Helps you take control of your
heath care expenses wth a tax-
favored savings account and
quality medical coverage
Saver 80S_Y
Our lowest premium plan that
provides coverage for hospital
confinements, surgery, and the
more costs' outpatient tests
Saver 80S_u
Our lowest premium plan that
provides coverage for hospital
confinements, surgery, and the
more costs' outpatient tests
Plan 80S_Y
A high deductible plan that
reduces premium in exchange for
80/20 coinsurance
Saver
Our lowest premium plan that
provides coverage for hospital
confinements, surgery, and the
more costly outpatient tests
Cooav Selece
A comprehensive plan wth a S3S
copay for doctor office visits
SIO,ooo
510,000
510,000
510,000
510,000
510,000
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Estimated
Monthly
Premium
$219.28
$393.00
$219.28
$280.53
$330.82
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