PerfectHealth Plans

	Plan 54P	Plan 56P
MONTHLY PREMIUM	Single:$350.32 Employee w/Spouse: $723.06 Employee w/ 1 Child: $609.62 Family 3-6 people: $1014.76 Family 6+ people: $2181.58	Single: $310.84 Employee w/ Spouse: $640.34 Employee w/ 1 Child: $540.06 Family 3-6 people: $898.21 Family 6+ people: $1929.68
DEDUCTIBLE	$2500 Single $5000 Family combined	$5000 Single $10000 Family combined
CO-INSURANCE	In network ONLY 80% / 20% Co-Insurance Maximum: $2000	In network ONLY 100%
OFFICE VISITS	20% AFTER Deductible and Co-Insurance	$0 AFTER Deductible
EMERGENCY ROOM	20% AFTER Deductible and Co-Insurance	$0 AFTER Deductible
PHYSICAL THERAPY	20% AFTER Deductible and Co-Insurance	$0 AFTER Deductible
INPATIENT HOSPITAL	20% AFTER Deductible and Co-Insurance	$0 AFTER Deductible
Rx DRUGCARD	30% AFTER Deductible and Co-Insurance	30% AFTER Deductible and Co-Insurance
DOCTOR NETWORK	MultiPlan	Multiplan
HOSPITAL NETWORK	HIP	HIP
DEPENDANT CHILDREN	Dependant children covered to EOY 19th birthday, unless full time student, then EOM 26th birthday	Dependant children covered to EOY 19th birthday, unless full time student, then EOM 26th birthday

Rates include $10 administrative fee. This summary is for comparison purposes only.
For more details see plan summary.