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Gold Plus Medical Plan 76y - 80y Ages Group

$9,394.00

Silver Plus Medical Plan 25y - 30y Ages Group

$727.00

Bronze Plus SemiPrivate Medical Plan 41y - 45y Ages Group

$752.00

Bronze Plus SemiPrivate Medical Plan 46y - 50yAges Group

$933.00

Gold Plan In- Hospital only Class A 41y-45y age group

$1,079.00

Gold Plan In- Hospital only Class A 56y-60y age group

$2,518.00

Silver Plan In- Hospital only Class B 36y-40y age group

$762.00

Silver Plan In- Hospital only Class B 66y-70y age group

$5,466.00

Silver Plan In- Hospital only Class B 76y-80y age group

$6,029.00

Ambulatory Out-Hospital 0d - 17y age group

$185.00

Ambulatory Out-Hospital 81y + age group

$1,366.00

Silver Plan In- Hospital only Class B 61y-65y age group

$2,563.00

Bronze Plan In-Hospital only Class A 61y-65y age group

$3,232.00

Ambulatory Out-Hospital 56y - 60y age group

$660.00

Ambulatory Out-Hospital 76y - 80y age group

$1,326.00

Gold Plan In- Hospital only Class A 0d-17y age group

$439.00

Gold Plan In- Hospital only Class A 18y-24y age group

$676.00

Gold Plan In- Hospital only Class A 25y-30y age group

$923.00

Gold Plan In- Hospital only Class A 51y-55y age group

$1,547.00

Gold Plan In- Hospital only Class A 81y+ age group

$9,575.00

Gold Plan In- Hospital only Class A 31y-35y age group

$966.00

Silver Plan In- Hospital only Class B 0d-17y age group

$342.00

Silver Plan In- Hospital only Class B 18y-24y age group

$512.00

Bronze Plan In-Hospital only Class A 81y + age group

$5,647.00

Bronze Plan In-Hospital only Class B 31y - 35y age group

$606.00

Bronze Plan In-Hospital only Class B 46y - 50y age group

$883.00

Bronze Plan In-Hospital only Class B 51y - 55y age group

$970.00

Bronze Plan In-Hospital only Class B 61y - 65y age group

$2,136.00

Gold Plan In- Hospital only Class A 36y-40y age group

$1,021.00

Silver Plan In- Hospital only Class B 41y-45y age group

$805.00

Silver Plan In- Hospital only Class B 46y-50y age group

$1,058.00

Silver Plan In- Hospital only Class B 81y+ age group

$6,329.00

Bronze Plan In-Hospital only Class A 46y-50y age group

$1,140.00

Ambulatory Out-Hospital 18y - 24y age group

$383.00

Ambulatory Out-Hospital 25y - 30y age group

$467.00

Gold Plan In- Hospital only Class A 46y-50y age group

$1,368.00

Silver Plan In- Hospital only Class B 25y-30y age group

$694.00

Ambulatory Out-Hospital 71y - 75y age group

$1,288.00

Gold Plan In- Hospital only Class A 61y-65y age group

$3,878.00

Silver Plan In- Hospital only Class B 31y-35y age group

$727.00

Bronze Plan In-Hospital only Class A 36y-40y age group

$850.00

Bronze Plan In-Hospital only Class A 41y-45y age group

$900.00

Bronze Plan In-Hospital only Class B 0d - 17y age group

$286.00

Gold Plan In- Hospital only Class A 66y-70y age group

$8,271.00

Bronze Plan In-Hospital only Class A 18y-24y age group

$564.00

Bronze Plan In-Hospital only Class A 25y-30y age group

$770.00

Bronze Plan In-Hospital only Class B 41y - 45y age group

$671.00

Gold Plan In- Hospital only Class A 71y-75y age group

$8,686.00

Dental Gold Plan 3000 - 0d - 17y Age Group

$840.00

Dental Gold Plan 3000 - 18y - 24y Age Group

$960.00

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