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High Deductible Medical Savings Account
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Medical
Savings Account 100/80 PPO, Area 4 Non-Smoker |
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MULTI-PERSON |
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MALE |
Attained Age |
Deductible |
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$1500(SINGLE) |
$2250(SINGLE) |
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$3000(FAMILY) |
$4500(FAMILY) |
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TO 24 |
53.75 |
49.06 |
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25-29 |
63.54 |
57.60 |
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30-34 |
76.46 |
69.06 |
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35-39 |
94.79 |
85.62 |
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40-44 |
114.48 |
104.69 |
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45-49 |
139.06 |
127.39 |
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50-54 |
172.08 |
157.40 |
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55-59 |
216.67 |
199.38 |
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60-64 |
275.84 |
252.19 |
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FEMALE |
Attained Age |
Deductible |
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$1500(SINGLE) |
$2250(SINGLE) |
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$3000(FAMILY) |
$4500(FAMILY) |
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TO 24 |
77.08 |
70.21 |
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25-29 |
91.98 |
83.75 |
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30-34 |
112.19 |
102.60 |
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35-39 |
127.60 |
117.29 |
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40-44 |
145.42 |
132.81 |
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45-49 |
161.35 |
148.02 |
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50-54 |
187.81 |
172.60 |
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55-59 |
207.50 |
190.21 |
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60-64 |
231.67 |
212.40 |
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Deductible |
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$1500(SINGLE) |
$2250(SINGLE) |
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$3000(FAMILY) |
$4500(FAMILY) |
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CHILD(REN) |
96.77 |
87.08 |
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MATERNITY |
75.00 |
61.00 |
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SINGLE REHAB - $6.50 MULTI REHAB - $16.50 |
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