2019 RATES & LIMITS

Traditional Sharing
$1,000 Annual Member Responsibility (AMR)
$2,000 Annual Family Responsibility
Annual Medical Sharing Limit $35,000 per person
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
1
00-14
$732.00
$61.00
2
15-19
$1,092.00
$91.00
3
20-24
$1,452.00
$121.00
4
25-29
$1,668.00
$139.00
5
30-34
$1,896.00
$158.00
6
35-39
$2,100.00
$175.00
7
40-44
$2,316.00
$193.00
8
45-49
$2,544.00
$212.00
8
50-54
$2,748.00
$229.00
A
55-59
$2,964.00
$247.00
B
60-64
$3,192.00
$266.00
C
65+
$1,608.00
$134.00

Dental Program (available only with the Traditional Sharing)
$150 Dental Annual Member Responsibility (AMR)
Annual Dental Sharing Limit $1,000
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
All
All
$240.00
$20.00

Vision Program (available only with the Traditional Sharing)
$150 Vision Annual Member Responsibility (AMR)
Annual Vision Sharing Limit $1,000
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
All
All
$120.00
$10.00

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
All
$540.00 per Unit
$45.00 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
All
$1,944.00 per Unit
$162.00 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
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
All
All
$240.00 per Unit
$20.00 per Unit