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$
39
99
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$
39
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Guardianship $3000
- Pricing
- Employee: (18-29); (30-44); (45-54); (55-64)
- Employee & Spouse: : (18-29); (30-44); (45-54); (55-64)
- Employee & Children: (18-29); (30-44); (45-54); (55-64)
- Family: (18-29); (30-44); (45-54); (55-64)
- Deductibles
- Single: $3000
- Family: $6000
- Out of Pocket Max
- Single: $6000
- Family: $12000
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care
Guardianship 5000 HSA
- Pricing
- Employee: (18-29); (30-44); (45-54); (55-64)
- Employee & Spouse: : (18-29); (30-44); (45-54); (55-64)
- Employee & Children: (18-29); (30-44); (45-54); (55-64)
- Family: (18-29); (30-44); (45-54); (55-64)
- Deductibles
- Single: $5000
- Family: $10000
- Out of Pocket Max
- Single: $6550
- Family: $13100
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care
Guardianship $5000
- Pricing
- Employee: (18-29); (30-44); (45-54); (55-64)
- Employee & Spouse: : (18-29); (30-44); (45-54); (55-64)
- Employee & Children: (18-29); (30-44); (45-54); (55-64)
- Family: (18-29); (30-44); (45-54); (55-64)
- Deductibles
- Single: $5000
- Family: $10000
- Out of Pocket Max
- Single: $6550
- Family: $13100
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care
PSM GigCare $5000 PPO/HSA
Major Medical- Unlimited Annual Benefits
- Pricing
-
Employee:
$607.21 (18-29)
$625.50 (30-44)
$648.32 (45-54)
$695.17 (55-64)
-
Employee & Spouse: :
$1,074.41 (18-29)
$1,110.99 (30-44)
$1,156.62 (45-54)
$1,250.32 (55-64)
-
Employee & Children:
$982.97 (18-29)
$1,015.89 (30-44)
$1,056.96 (45-54)
$1,141.29 (55-64)
-
Family:
$1,546.63 (18-29)
$1,601.49 (30-44)
$1,669.94 (45-54)
$1,810.49 (55-64)
- Deductibles
- Single: $5000
- Family: $10000
- Out of Pocket Max
- Single: $6550
- Family: $13100
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care
PSM GigCare $7350 EPO
Major Medical- Unlimited Annual Benefits
- Pricing
-
Employee:
$578.95 (18-29)
$596.15 (30-44)
$617.61 (45-54)
$661.67 (55-64)
-
Employee & Spouse: :
$1,018.91 (18-29)
$1,053.31 (30-44)
$1,096.22 (45-54)
$1,184.34 (55-64)
-
Employee & Children:
$932.92 (18-29)
$963.87 (30-44)
$1,002.49 (45-54)
$1,081.80 (55-64)
-
Family:
$1,463.87 (18-29)
$1,515.47 (30-44)
$1,579.84 (45-54)
$1,712.02 (55-64)
- Deductibles
- Single: $7350
- Family: $14700
- Out of Pocket Max
- Single: $9200
- Family: $18400
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care
PSM GigCare $5000 EPO
Major Medical- Unlimited Annual Benefits
- Pricing
-
Employee:
$663.64 (18-29)
$684.23 (30-44)
$709.91 (45-54)
$762.65 (55-64)
-
Employee & Spouse: :
$1,188.28 (18-29)
$1,229.46 (30-44)
$1,280.82 (45-54)
$1,386.30 (55-64)
-
Employee & Children:
$1,085.36 (18-29)
$1,122.41 (30-44)
$1,168.64 (45-54)
$1,263.57 (55-64)
-
Family:
$1,717.94 (18-29)
$1,779.70 (30-44)
$1,856.74 (45-54)
$2,014.96 (55-64)
- Deductibles
- Single: $5000
- Family: $10000
- Out of Pocket Max
- Single: $7350
- Family: $14700
- Coinsurance: (See Plan Design)
- 100% Covered
- Annual Adult Physical
- Adult Immunizations
- Mammogram
- Gynecological Services
- Routine Colonoscopy
- Well Child/Newborn Care