Premium $0 MOOP  $3,400 PCP $35 Specialist $35 Inpatient Hospital $200 days

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Premium $0 Deposit $3,000 Deductible $8,000 Member Responsibility $5,000 Key Extra Benefits

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Premium $0 Deposit $2,000 Deductible $5,000 Member Responsibility $3,000 Key Extra Benefits

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Premium $0 Deposit $3,000 Deductible $8,000 Member Responsibility $5,000 Key Extra Benefits

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Premium $0 Deposit $2,000 Deductible $5,000 Member Responsibility $3,000 Key Extra Benefits

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