MEDICAL BENEFITS INFORMATION
MEDICAL BENEFITS INFORMATION
| Emergency Room Deductible | $70 |
| In Network Deductible INDIVIDUAL/FAMILY | $300/$600 |
| Out of Network Deductible INDIVIDUAL/FAMILY | $600/NO FAMILY |
| In Network Out of Pocket INDIVIDUAL/FAMILY | $3000/$6000 |
| Out of Network Out of Pocket INDIVIDUAL/FAMILY | No Out of Network Out of Pocket |