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 |