
Note that each one of the plans listed below lists an UA—Unshareable Amount. An UA is the most you’ll have to pay for healthcare services during your plan period (per incident). Once you meet your UA, that’s when your costs start being covered.
*UA - Unsharable Amount
| Plan Type | Rate |
|---|---|
| Member Only | |
| Member & Spouse | |
| Member & Child(ren) | |
| Member & Family |
*UA - Unsharable Amount
| Member Only | |
| Member & Spouse | |
| Member & Child(ren) | |
| Member & Family |

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