In-Network Deductible (Individual/Family)
$50/$150
In-Network Annual Maximum
$1,000 per member
Preventive Services: No Charge
Basic Services: 20%
Major Services: 50%
Orthodontics: $1,000
In-Network Deductible (Individual/Family)
$50/$150
In-Network Annual Maximum
$1,000 per member
Preventive Services: No Charge
Basic Services: 20%
Major Services: 50%
Orthodontics: $1,000