| View |
View |
Bronze B15E
|
E
|
Yes
|
$10,600 Individual/
$21,200 Family
|
ded/coins |
$0 |
0.0
|
$10,600 Individual/
$21,200 Family
|
ded/coins
|
| View |
View |
Bronze B15E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Bronze B15E-AI2
|
E
|
Yes
|
$10,600 Individual/
$21,200 Family
|
ded/coins |
$0 |
0.0
|
$10,600 Individual/
$21,200 Family
|
ded/coins
|
| View |
View |
Bronze B16E
|
E
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50 Copay
Spec: $100 Copay |
$0 |
0.5
|
$10,000 Individual/
$20,000 Family
|
25/ [50/100 sub to ded]
|
| View |
View |
Bronze B16E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Bronze B16E-AI2
|
E
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50 Copay
Spec: $100 Copay |
$0 |
0.5
|
$10,000 Individual/
$20,000 Family
|
25/ [50/100 sub to ded]
|
| View |
View |
Bronze B16S
|
S
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50 Copay
Spec: $100 Copay |
$0 |
0.5
|
$10,000 Individual/
$20,000 Family
|
25/ [50/100 sub to ded]
|
| View |
View |
Bronze B16S-AI1
|
S
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Bronze B16S-AI2
|
S
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50 Copay
Spec: $100 Copay |
$0 |
0.5
|
$10,000 Individual/
$20,000 Family
|
25/ [50/100 sub to ded]
|
| View |
View |
Bronze B17E
|
E
|
Yes
|
$10,600 Individual/
$21,200 Family
|
ded/coins |
$0 |
0.0
|
$10,600 Individual/
$21,200 Family
|
ded/coins
|
| View |
View |
Bronze B17E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Bronze B17E-AI2
|
E
|
Yes
|
$10,600 Individual/
$21,200 Family
|
ded/coins |
$0 |
0.0
|
$10,600 Individual/
$21,200 Family
|
ded/coins
|
| View |
View |
Bronze B19E
|
E
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $60 Copay
Spec: $130 Copay |
$0 |
0.5
|
$10,600 Individual/
$21,200 Family
|
$35/$195/$250
|
| View |
View |
Bronze B19E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Bronze B19E-AI2
|
E
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $60 Copay
Spec: $130 Copay |
$0 |
0.5
|
$10,600 Individual/
$21,200 Family
|
$35/$195/$250
|
| View |
View |
Gold G08E
|
E
|
Yes
|
$2,000 Individual/
$4,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,200 Individual/
$16,400 Family
|
$15/$30/$60
|
| View |
View |
Gold G08E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Gold G08E-AI2
|
E
|
Yes
|
$2,000 Individual/
$4,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,200 Individual/
$16,400 Family
|
$15/$30/$60
|
| View |
View |
Gold G08S
|
S
|
Yes
|
$2,000 Individual/
$4,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,200 Individual/
$16,400 Family
|
$15/$30/$60
|
| View |
View |
Gold G08S-AI1
|
S
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Gold G08S-AI2
|
S
|
Yes
|
$2,000 Individual/
$4,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,200 Individual/
$16,400 Family
|
$15/$30/$60
|
| View |
View |
Silver S26E
|
E
|
Yes
|
$6,000 Individual/
$12,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$8,900 Individual/
$17,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26E-A
|
E
|
Yes
|
$3,000 Individual/
$6,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$7,400 Individual/
$14,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Silver S26E-AI2
|
E
|
Yes
|
$6,000 Individual/
$12,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$8,900 Individual/
$17,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26E-B
|
E
|
Yes
|
$700 Individual/
$1,400 Family
|
PCP: $20 Copay
Spec: $40 Copay |
$0 |
0.3
|
$3,300 Individual/
$6,600 Family
|
10/20[60 sub to ded]
|
| View |
View |
Silver S26E-C
|
E
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $0 Copay
Spec: $10 Copay |
$0 |
0.25
|
$2,200 Individual/
$4,400 Family
|
$0/$15/$50
|
| View |
View |
Silver S26S
|
S
|
Yes
|
$6,000 Individual/
$12,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$8,900 Individual/
$17,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26S-A
|
S
|
Yes
|
$3,000 Individual/
$6,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$7,400 Individual/
$14,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26S-AI1
|
S
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Silver S26S-AI2
|
S
|
Yes
|
$6,000 Individual/
$12,000 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$8,900 Individual/
$17,800 Family
|
20/40[80 sub to ded]
|
| View |
View |
Silver S26S-B
|
S
|
Yes
|
$700 Individual/
$1,400 Family
|
PCP: $20 Copay
Spec: $40 Copay |
$0 |
0.3
|
$3,300 Individual/
$6,600 Family
|
10/20[60 sub to ded]
|
| View |
View |
Silver S26S-C
|
S
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $0 Copay
Spec: $10 Copay |
$0 |
0.25
|
$2,200 Individual/
$4,400 Family
|
$0/$15/$50
|
| View |
View |
Silver S27E
|
E
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,900 Individual/
$13,800 Family
|
ded/coins
|
| View |
View |
Silver S27E-A
|
E
|
Yes
|
$4,600 Individual/
$9,200 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$5,600 Individual/
$11,200 Family
|
ded/coins
|
| View |
View |
Silver S27E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Silver S27E-AI2
|
E
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,900 Individual/
$13,800 Family
|
ded/coins
|
| View |
View |
Silver S27E-B
|
E
|
Yes
|
$1,000 Individual/
$2,000 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$2,000 Individual/
$4,000 Family
|
ded/coins
|
| View |
View |
Silver S27E-C
|
E
|
Yes
|
$300 Individual/
$600 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$750 Individual/
$1,500 Family
|
ded/coins
|
| View |
View |
Silver S29E
|
E
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,900 Individual/
$13,800 Family
|
ded/coins
|
| View |
View |
Silver S29E-A
|
E
|
Yes
|
$4,600 Individual/
$9,200 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$5,600 Individual/
$11,200 Family
|
ded/coins
|
| View |
View |
Silver S29E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Silver S29E-AI2
|
E
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,900 Individual/
$13,800 Family
|
ded/coins
|
| View |
View |
Silver S29E-B
|
E
|
Yes
|
$1,000 Individual/
$2,000 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$2,000 Individual/
$4,000 Family
|
ded/coins
|
| View |
View |
Silver S29E-C
|
E
|
Yes
|
$300 Individual/
$600 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$750 Individual/
$1,500 Family
|
ded/coins
|
| View |
View |
Silver S34E
|
E
|
Yes
|
$8,100 Individual/
$16,200 Family
|
PCP: $45 Copay
Spec: $90 Copay |
$0 |
0.0
|
$8,100 Individual/
$16,200 Family
|
$10/[ded/coins]
|
| View |
View |
Silver S34E-A
|
E
|
Yes
|
$6,700 Individual/
$13,400 Family
|
PCP: $40 Copay
Spec: $85 Copay |
$0 |
0.0
|
$6,700 Individual/
$13,400 Family
|
$10/[ded/coins]
|
| View |
View |
Silver S34E-AI1
|
E
|
Yes
|
$0 Individual/
$0 Family
|
$0 |
$0 |
0.0
|
$0 Individual/
$0 Family
|
$0
|
| View |
View |
Silver S34E-AI2
|
E
|
Yes
|
$8,100 Individual/
$16,200 Family
|
PCP: $45 Copay
Spec: $90 Copay |
$0 |
0.0
|
$8,100 Individual/
$16,200 Family
|
$10/[ded/coins]
|
| View |
View |
Silver S34E-B
|
E
|
Yes
|
$2,650 Individual/
$5,300 Family
|
PCP: $5 Copay
Spec: $25 Copay |
$0 |
0.0
|
$2,650 Individual/
$5,300 Family
|
$0/[ded/coins]
|
| View |
View |
Silver S34E-C
|
E
|
Yes
|
$900 Individual/
$1,800 Family
|
PCP: $5 Copay
Spec: $25 Copay |
$0 |
0.0
|
$900 Individual/
$1,800 Family
|
$0/[ded/coins]
|