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Medical Plan- HDHP 4 w HSA-2021

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Calendar Year $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ... that calendar year total and meet the family’s out-of-pocket maximum amount. Medical Services Member ...

Medical Plan PCPA 2023

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BCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...

Medical Plan 2023

Human Resources | Page

BCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...

Regence Medical-Fire-2022

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covered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual $750 ... Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating Provider ... Scripts Pharmacy Program (90-day supply) Member Pays Individual deductible per calendar year No deductible ...