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