2020 RATES & LIMITS

Traditional Sharing
$1,000 Annual Member Responsibility (AMR)
$2,000 Annual Family Responsibility
Annual Medical Sharing Limit $40,000 per person
Age Bracket
Ages
Annual Share Amount
Monthly Share Amount
1
00-14
$804.00
$67.00
2
15-19
$1,200.00
$100.00
3
20-24
$1,584.00
$132.00
4
25-29
$1,824.00
$152.00
5
30-34
$2,076.00
$173.00
6
35-39
$2,292.00
$191.00
7
40-44
$2,532.00
$211.00
8
45-49
$2,784.00
$232.00
9
50-54
$3,000.00
$250.00
A
55-59
$3,240.00
$270.00
B
60-64
$3,480.00
$290.00
C
65+
$1,740.00
$145.00

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
$264.00
$22.00

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
$132.00
$11.00

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
$600.00 per Unit
$50.00 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
$2,124.00 per Unit
$177.00 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
$264.00 per Unit
$22.00 per Unit