Medical PPO Plan Design Medical Plan Coverage *Network preventive care covered at 100% In NetworkOut of Network Deductible* Single Family $1,250 $2,500 $5,000 Out-of-Pocket Max (includes deductible) Single Family $4,000 $6,400 $8,000 $16,000 Member Cost Sharing (coinsurance after deductible is met) 20%40%
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