Green Blue500 Blue100 Blue0 White
Maximum Unlimited Unlimited Unlimited Unlimited $500,000
Co-insurance (PPO) 80% 80% 80% 80% 100%
Deductible $90 $500 $100 $0 $100
Yearly rates (12~24) $644 $932 $1,121 $1,190 $357
Yearly rates (25~29) $1,110 $1,456 $1,711 $1,820 $568
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