| Program 1 | Program 2 | Program 3 | Program 4 | |
|---|---|---|---|---|
| Annual Medical Bill Sharing Limit: | $50,000 | $100,000 | $150,000 | $200,000 |
| Medical Bill Sharing Percentage after AMR/AFR: | 70% | 80% | 80% | 90% |
| Annual Member Responsibility (AMR): | $5,000 | $2,500 | $1,000 | $500 |
| Annual Family Responsibility (AFR): | $10,000 | $5,000 | $2,000 | $1,000 |
| Maximum Number of Contributions per Family: | 6 | 6 | 6 | 6 |
| *Those with Medicare A & B will have half of the listed Annual Member Responsibility (AMR) and Annual Family Responsibility (AFR) Amounts | ||||
| Dental | Vision | |||
|---|---|---|---|---|
| Annual Bill Sharing Limit: | $8,000 | $1,000 | ||
| Bill Sharing Percentage after AMR: | 80% | 80% | ||
| Annual Member Responsibility (AMR): | $150 | $150 | ||
| Maximum Number of Shares per Family: | 6 | 6 | ||
| Monthly Contribution per Person, All Ages*: | $40 | $16 | ||
| *Children ages 3 and below can be exempt from Dental and Vision by request | ||||
| Age | Monthly |
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Family Cost Calculator |
Optional Additionsselect checkboxes to enable |
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| Monthly | Monthly | Monthly | Monthly | Monthly | Monthly | ||||
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