Insurance Plan Summary Deductible Wellness Exams Premium

Last updated: 2/4/2023

Insurance Plan Summary Deductible Wellness Exams Premium monthly Individual Individual Spouse 5 000 00 No deductible Using this plan what is the out of pocket cost for a medical treatment that costs 600 100 covered A 45 00 B 0 45 00 400 00 C 600 00 D 400 00