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Individual Health Plans


HDHMO Qualified 44

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In-Network Deductible
Individual: $5,250  |  Family: $10,500
Preventive Care
$0
Office Visit
15%
Specialist Visit 
15%
Prescription Drugs
Tier 1: 50% Tier 2: 50% Tier 3: 50%
Urgent Care
15%
Emergency Room
15%
Inpatient Hospital
15%
Outpatient Surgery
15%
Plan Documents
Summary of Benefits & Coverage
Health Plan Contract

Standard HDHMO Non-Qualified 40

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In-Network Deductible
Individual: $4,000  |  Family: $8,000
Preventive Care
$0
Office Visit
50%
Specialist Visit 
50%
Prescription Drugs
Tier 1: $10 Tier 2: $35 Tier 3: $70
Urgent Care
50%
Emergency Room
50%
Inpatient Hospital
50%
Outpatient Surgery
50%
Plan Documents
Summary of Benefits & Coverage
Health Plan Contract