2021 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
$864.00
$72.00
2
15-19
$1,284.00
$107.00
3
20-24
$1,704.00
$142.00
4
25-29
$1,956.00
$163.00
5
30-34
$2,232.00
$186.00
6
35-39
$2,460.00
$205.00
7
40-44
$2,712.00
$226.00
8
45-49
$2,988.00
$249.00
9
50-54
$3,216.00
$268.00
A
55-59
$3,468.00
$289.00
B
60-64
$3,732.00
$311.00
C
65+
$1,872.00
$156.00

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
$288.00
$24.00

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
$144.00
$12.00

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
$648.00 per Unit
$54.00 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
$2,280.00 per Unit
$190.00 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
$288.00 per Unit
$24.00 per Unit