HSA Eligible

OPTION 1

Primary + Child(ren)

Your Monthly Premium

$1,508.85

Individual Deductible
$3,500
Individual Out-of-Pocket Max
$6,900
Family Deductible
$7,000
Family Out-of-Pocket Max
$13,800
Office Visit
20% After Deductible
Specialist Visit
20% After Deductible