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Your Quote
Individual/ Family Plan
Deduc- tible
Co-insu-rance
PCP Office Visit Copay
Diagnostic Services(Lab & X-ray)
Rx Drugs
Monthly Premium
$10010%$5$0$5 Generic; $20 Brand$0.00
$030%$15$0$10 Generic; $50 Brand$0.00
$25020%$1020%20% Generic; 20% Brand$0.00
$100020%$0$0$5 Generic; $25 Brand$0.00
$25050%$1050%50% Generic; 50% Brand$0.00
$130025%25%25%25% Generic; 25% Brand$0.00
$250020%$10$0$10 Generic; $75 Brand$0.00
$500020%$5$0$5 Generic; $50 Brand$0.00
$200020%$20$0$10 Generic; $75 Brand$0.00
$260050%50%50%50% Generic; 50% Brand$0.00
$400020%20%20%20% Generic; 20% Brand$0.00
$66000%$200%; $0 for lab services only0% Generic; 0% Brand$0.00