$138.65

$125.72

$98.08

$81.46

$231.95

$218.10

$188.15

$168.76

$318.12

$298.07

$254.01

$219.85

$248.27

$235.34

$203.96

$172.57

$321.67

$307.83

$274.13

$239.98

$450.38

$430.53

$382.53

$333.61

Deductibles:
$0 In-System
$200/$400 In-Network
$375/$750 Out-of Network

Out-of-pocket maximums:
$500/$1,000 In-System
$1,000/$2,000 In-Network
$1,175/$2,350 Out-of Network

Coverage:
In-System: 90%
In-Network: 80%
Out-of-Network: 70% (R&C)

Deductibles*:
$1,050/$2,100 In-System
$1,500/$3,000 In-Network
$3,000/$6,000 Out-of Network

*employer pays first
$750/$1500 of deductible
through Choice Fund

Out-of-pocket maximums:
$2,250/$4,500 In-System
$5,000/$10,000 In-Network
$8,000/$16,000 Out-of Network

Coverage:
In-System: 90%
In-Network: 80%
Out-of-Network: 70% (R&C)

Deductibles:
$500/$1,000 In-System
$1,500/$3,000 In-Network
$3,000/$6,000 Out-of Network

Out-of-pocket maximums:
$3,000/$6,000 In-System
$6,000/$12,000 In-Network
$7,500/$15,000 Out-of Network

Coverage:
In-System: 90%
In-Network: 80%
Out-of-Network: 70% (R&C)

Deductibles:
$1,000/$2,000 In-System
$3,000/$6,000 In-Network
$5,000/$10,000 Out-of Network

Out-of-pocket maximums:
$ 6,000/$12,000In-System
$8,000/$16,000 In-Network
$10,000/$20,000 Out-of Network

Coverage:
In-System: 80%
In-Network: 70%
Out-of-Network: 70% (R&C)