$1,000 Annual Member Responsibility (AMR)except those with Medicare A & B who have a $500 AMR
$2,000 Annual Family Responsibility
Annual Medical Sharing Limit $150,000 per person
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
1
00-14
$1008.00
$84.00
2
15-19
$1,488.00
$124.00
3
20-24
$1,956.00
$163.00
4
25-29
$2,256.00
$188.00
5
30-34
$2,568.00
$214.00
6
35-39
$2,832.00
$236.00
7
40-44
$3,108.00
$259.00
8
45-49
$3,432.00
$286.00
9
50-54
$3,696.00
$308.00
A
55-59
$3,984.00
$332.00
B
60-64
$4,284.00
$357.00
C
65+
$2,148.00
$179.00
Dental Program (available only with the Traditional Sharing)
Diabetic Supply Program (available only with the Traditional Sharing)
No additional shares required to enroll ‐ ‐ ‐ Not subject to the Annual Member Responsibility (AMR)
Type 1 Diabetic Monthly Supply Sharing Limit $300
Type 2 Diabetic Monthly Supply Sharing Limit $150
Emerald Care Sharing
$5,000 Incident Member Responsibility (IMR)
Annual Sharing Limit $100,000 per person *
Illness Sharing Limit $125,000 per illness *
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
All
0-64
$756.00 per Unit
$63.00 per Unit
Diamond Care Sharing
$1,000 Annual Member Responsibility (AMR)
Annual Sharing Limit $200,000 per person *
Illness Sharing Limit $125,000 per illness *
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
All
Al0-64
$2,628.00 per Unit
$219.00 per Unit
ExtenCare (available only with Emerald Care Sharing & Diamond Care Sharing)
* This plan extends sharing limits for Emerald Care and Diamond Care by $100,000 per person per year