View |
View |
Bronze B07E
|
E
|
Yes
|
$5,950 Individual/
$11,900 Family
|
ded/coins |
$0 |
0.5
|
$7,100 Individual/
$14,200 Family
|
ded/coins
|
View |
View |
Bronze B07L
|
L
|
Yes
|
$5,950 Individual/
$11,900 Family
|
ded/coins |
$0 |
0.5
|
$7,100 Individual/
$14,200 Family
|
ded/coins
|
View |
View |
Bronze B07S
|
S
|
Yes
|
$5,950 Individual/
$11,900 Family
|
ded/coins |
$0 |
0.5
|
$7,100 Individual/
$14,200 Family
|
ded/coins
|
View |
View |
Bronze B08S
|
S
|
Yes
|
$8,700 Individual/
$17,400 Family
|
ded/coins |
$0 |
0.0
|
$8,700 Individual/
$17,400 Family
|
ded/coins
|
View |
View |
Bronze B10E
|
E
|
Yes
|
$7,100 Individual/
$14,200 Family
|
ded/coins |
$0 |
0.5
|
$8,600 Individual/
$17,200 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Bronze B10L
|
L
|
Yes
|
$7,100 Individual/
$14,200 Family
|
ded/coins |
$0 |
0.5
|
$8,600 Individual/
$17,200 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Bronze B10S
|
S
|
Yes
|
$7,100 Individual/
$14,200 Family
|
ded/coins |
$0 |
0.5
|
$8,600 Individual/
$17,200 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Bronze B11E
|
E
|
Yes
|
$6,900 Individual/
$13,800 Family
|
Sanitas PCP: $25
All Others: ded/coins |
$0 |
0.5
|
$9,100 Individual/
$18,200 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Bronze B15E
|
E
|
Yes
|
$9,450 Individual/
$18,900 Family
|
ded/coins |
$0 |
0.0
|
$9,450 Individual/
$18,900 Family
|
ded/coins
|
View |
View |
Bronze B15L
|
L
|
Yes
|
$9,450 Individual/
$18,900 Family
|
ded/coins |
$0 |
0.0
|
$9,450 Individual/
$18,900 Family
|
ded/coins
|
View |
View |
Bronze B15S
|
S
|
Yes
|
$9,450 Individual/
$18,900 Family
|
ded/coins |
$0 |
0.0
|
$9,450 Individual/
$18,900 Family
|
ded/coins
|
View |
View |
Bronze B16E
|
E
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50
Spec: $100 |
$0 |
0.5
|
$9,400 Individual/
$18,800 Family
|
25/ [50/100 sub to ded]
|
View |
View |
Bronze B16L
|
L
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50
Spec: $100 |
$0 |
0.5
|
$9,400 Individual/
$18,800 Family
|
25/ [50/100 sub to ded]
|
View |
View |
Bronze B16S
|
S
|
Yes
|
$7,500 Individual/
$15,000 Family
|
PCP: $50
Spec: $100 |
$0 |
0.5
|
$9,400 Individual/
$18,800 Family
|
25/ [50/100 sub to ded]
|
View |
View |
Gold G06E
|
E
|
Yes
|
$3,000 Individual/
$6,000 Family
|
PCP: $35
Spec: $50 |
$0 |
0.2
|
$6,600 Individual/
$13,200 Family
|
$8/$35/$60
|
View |
View |
Gold G06L
|
L
|
Yes
|
$3,000 Individual/
$6,000 Family
|
PCP: $35
Spec: $50 |
$0 |
0.2
|
$6,600 Individual/
$13,200 Family
|
$8/$35/$60
|
View |
View |
Gold G06S
|
S
|
Yes
|
$3,000 Individual/
$6,000 Family
|
PCP: $35
Spec: $50 |
$0 |
0.2
|
$6,600 Individual/
$13,200 Family
|
$8/$35/$60
|
View |
View |
Gold G07E
|
E
|
Yes
|
$1,550 Individual/
$3,100 Family
|
Sanitas PCP: $10 Copay
Other PCP: ded/coins
Spec: ded/coins |
$0 |
0.3
|
$6,200 Individual/
$12,400 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Gold G07S
|
S
|
Yes
|
$1,000 Individual/
$2,000 Family
|
Sanitas PCP: $10 Copay
Other PCP: ded/coins
Spec: ded/coins |
$0 |
0.3
|
$4,800 Individual/
$9,600 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Gold G08E
|
E
|
Yes
|
$1,500 Individual/
$3,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,700 Individual/
$17,400 Family
|
$15/$30/$60
|
View |
View |
Gold G08L
|
L
|
Yes
|
$1,500 Individual/
$3,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,700 Individual/
$17,400 Family
|
$15/$30/$60
|
View |
View |
Gold G08S
|
S
|
Yes
|
$1,500 Individual/
$3,000 Family
|
PCP: $30 Copay
Spec: $60 Copay |
$0 |
0.25
|
$8,700 Individual/
$17,400 Family
|
$15/$30/$60
|
View |
View |
Silver S04E
|
E
|
Yes
|
$3,300 Individual/
$6,600 Family
|
ded/coins |
$0 |
0.5
|
$6,450 Individual/
$12,900 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S04L
|
L
|
Yes
|
$3,300 Individual/
$6,600 Family
|
ded/coins |
$0 |
0.5
|
$6,450 Individual/
$12,900 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S04S
|
S
|
Yes
|
$3,300 Individual/
$6,600 Family
|
ded/coins |
$0 |
0.5
|
$6,450 Individual/
$12,900 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S20E
|
E
|
Yes
|
$3,200 Individual/
$6,400 Family
|
ded/coins |
$0 |
0.5
|
$7,300 Individual/
$14,600 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S20L
|
L
|
Yes
|
$3,200 Individual/
$6,400 Family
|
ded/coins |
$0 |
0.5
|
$7,300 Individual/
$14,600 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S20S
|
S
|
Yes
|
$3,200 Individual/
$6,400 Family
|
ded/coins |
$0 |
0.5
|
$7,300 Individual/
$14,600 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S22E
|
E
|
Yes
|
$4,050 Individual/
$8,100 Family
|
Sanitas PCP: $25
All Others: ded/coins |
$0 |
0.5
|
$7,650 Individual/
$15,300 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S22S
|
S
|
Yes
|
$3,900 Individual/
$7,800 Family
|
Sanitas PCP: $25
All Others: ded/coins |
$0 |
0.5
|
$7,450 Individual/
$14,900 Family
|
ded/coins
$20/$50/$100 PRx
|
View |
View |
Silver S24E
|
E
|
Yes
|
$5,450 Individual/
$10,900 Family
|
PCP: $35 Copay
Spec: $75 Copay |
$0 |
0.5
|
$8,900 Individual/
$17,800 Family
|
$60/$100/$250
|
View |
View |
Silver S24L
|
L
|
Yes
|
$5,450 Individual/
$10,900 Family
|
PCP: $35 Copay
Spec: $75 Copay |
$0 |
0.5
|
$8,900 Individual/
$17,800 Family
|
$60/$100/$250
|
View |
View |
Silver S24S
|
S
|
Yes
|
$5,450 Individual/
$10,900 Family
|
PCP: $35 Copay
Spec: $75 Copay |
$0 |
0.5
|
$8,900 Individual/
$17,800 Family
|
$60/$100/$250
|
View |
View |
Silver S25E
|
E
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $55 Copay
Spec: $100 Copay |
$0 |
0.5
|
$9,450 Individual/
$18,900 Family
|
$4500 ded/coins
|
View |
View |
Silver S25L
|
L
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $55 Copay
Spec: $100 Copay |
$0 |
0.5
|
$9,450 Individual/
$18,900 Family
|
$4500 ded/coins
|
View |
View |
Silver S25S
|
S
|
Yes
|
$0 Individual/
$0 Family
|
PCP: $55 Copay
Spec: $100 Copay |
$0 |
0.5
|
$9,450 Individual/
$18,900 Family
|
$4500 ded/coins
|
View |
View |
Silver S26E
|
E
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$9,100 Individual/
$18,200 Family
|
20/40[80 sub to ded]
|
View |
View |
Silver S26L
|
L
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$9,100 Individual/
$18,200 Family
|
20/40[80 sub to ded]
|
View |
View |
Silver S26S
|
S
|
Yes
|
$5,900 Individual/
$11,800 Family
|
PCP: $40 Copay
Spec: $80 Copay |
$0 |
0.4
|
$9,100 Individual/
$18,200 Family
|
20/40[80 sub to ded]
|
View |
View |
Silver S27E
|
E
|
Yes
|
$5,700 Individual/
$11,400 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,700 Individual/
$13,400 Family
|
ded/coins
|
View |
View |
Silver S27L
|
L
|
Yes
|
$5,700 Individual/
$11,400 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,700 Individual/
$13,400 Family
|
ded/coins
|
View |
View |
Silver S27S
|
S
|
Yes
|
$5,700 Individual/
$11,400 Family
|
PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,700 Individual/
$13,400 Family
|
ded/coins
|
View |
View |
Silver S28E
|
E
|
Yes
|
$5,850 Individual/
$11,700 Family
|
Sanitas: $30 Copay
All Other PCP: $60 Copay
Spec: $120 Copay |
$0 |
0.5
|
$6,800 Individual/
$13,600 Family
|
ded/coins
|