| Single deductibles |
$1250, $2000, $2700, $3500, $5000 |
| Family aggregate deductibles |
$2500, $3000, $4000, $5450, $6000, $7000, $10000 |
| Coinsurance (In-network/out-of-network) |
100%/70%, 80%/50%, 50%/50% |
| Single out-of-pocket maximum |
$1,100 - $5,000 Dependent on selected combination of deductible and coinsurance. |
| Family out-of-pocket maximum |
$2,200 - $10,000 Dependent on selected combination of deductible and coinsurance. |
| Preventive care |
1) Cover at 100% (waive deductible)
2) Cover at your chosen coinsurance percentage (waive deductible)
3) Deductible and coinsurance |
| Prescription drug |
Integrated with medical deductible, coinsurance and out-of-pocket maximum |