OPTION 4
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Your Monthly Premium
$962.24
Individual Deductible
The amount you pay for covered health care services before your health insurance plan starts to pay.
$0
Individual Out-of-Pocket Max
The most you have to pay for covered services in a plan year. Once you meet this amount, the insurance company pays 100% of the covered expenses for the remainder of the calendar year.
$5,000
Family Deductible
The amount you pay for covered health care services before your health insurance plan starts to pay.
$0
Family Out-of-Pocket Max
The most you have to pay for covered services in a plan year. Once you meet this amount, the insurance company pays 100% of the covered expenses for the remainder of the calendar year.
$10,000
Office Visit
The fixed dollar amount you pay for certain health services that cover a range of prevention, wellness, and treatment for common illnesses.
No Cost
Specialist Visit
The fixed dollar amount you pay for certain services like office visits and prescriptions. A provider focusing on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions.
No Cost
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