SmartHealth Basic
| Member |
$69.00 |
| Member+Spouse |
$69.00 |
| Member+Child(ren) |
$69.00 |
| Family |
$69.00 |
SmartHealth Plus Plan - 4 Outpatient Visit Plan
| Member |
$119.00 |
| Member+Spouse |
$139.00 |
| Member+Child(ren) |
$149.00 |
| Family |
$169.00 |
SmartHealth Plus Plan - 6 Outpatient Visit Plan
| Member |
$139.00 |
| Member+Spouse |
$159.00 |
| Member+Child(ren) |
$169.00 |
| Family |
$189.00 |
ADVANTAGE PLAN WITH 4 OUTPATIENT VISITS
| Member |
Age |
2500 iva |
1000 iva |
| Member |
18-29 |
$329.00 |
$379.00 |
| Member+Spouse |
18-29 |
$479.00 |
$574.00 |
| Member+Child(ren) |
18-29 |
$489.00 |
$584.00 |
| Family |
18-29 |
$679.00 |
$779.00 |
| Member |
30-49 |
$349.00 |
$399.00 |
| Member+Spouse |
30-49 |
$499.00 |
$599.00 |
| Member+Child(ren) |
30-49 |
$519.00 |
$604.00 |
| Family |
30-49 |
$689.00 |
$794.00 |
| Member |
50-64 |
$439.00 |
$494.00 |
| Member+Spouse |
50-64 |
$639.00 |
$749.00 |
| Member+Child(ren) |
50-64 |
$649.00 |
$754.00 |
| Family |
50-64 |
$844.00 |
$994.00 |
ADVANTAGE PLANT WITH 6 OUTPATIENT VISITS
| Member |
Age |
2500 iva |
1000 iva |
| Member |
18-29 |
$429.00 |
$459.00 |
| Member+Spouse |
18-29 |
$529.00 |
$639.00 |
| Member+Child(ren) |
18-29 |
$549.00 |
$659.00 |
| Family |
18-29 |
$749.00 |
$849.00 |
| Member |
30-49 |
$449.00 |
$479.00 |
| Member+Spouse |
30-49 |
$564.00 |
$659.00 |
| Member+Child(ren) |
30-49 |
$584.00 |
$679.00 |
| Family |
30-49 |
$769.00 |
$879.00 |
| Member |
50-64 |
$509.00 |
$559.00 |
| Member+Spouse |
50-64 |
$709.00 |
$809.00 |
| Member+Child(ren) |
50-64 |
$729.00 |
$829.00 |
| Family |
50-64 |
$929.00 |
$1084.00 |
SmartHealth Basic
| Member |
$69.00 |
| Member+Spouse |
$69.00 |
| Member+Child(ren) |
$69.00 |
| Family |
$69.00 |
SmartHealth Plus Plan - 4 Outpatient Visit Plan
| Member |
$119.00 |
| Member+Spouse |
$139.00 |
| Member+Child(ren) |
$149.00 |
| Family |
$169.00 |
SmartHealth Plus Plan - 6 Outpatient Visit Plan
| Member |
$139.00 |
| Member+Spouse |
$159.00 |
| Member+Child(ren) |
$169.00 |
| Family |
$189.00 |
ADVANTAGE PLAN WITH 4 OUTPATIENT VISITS
| Member |
Age |
2500 iva |
1000 iva |
| Member |
18-29 |
$379.00 |
$439.00 |
| Member+Spouse |
18-29 |
$519.00 |
$629.00 |
| Member+Child(ren) |
18-29 |
$529.00 |
$649.00 |
| Family |
18-29 |
$729.00 |
$829.00 |
| Member |
30-49 |
$399.00 |
$469.00 |
| Member+Spouse |
30-49 |
$559.00 |
$649.00 |
| Member+Child(ren) |
30-49 |
$574.00 |
$664.00 |
| Family |
30-49 |
$749.00 |
$859.00 |
| Member |
50-64 |
$494.00 |
$549.00 |
| Member+Spouse |
50-64 |
$694.00 |
$794.00 |
| Member+Child(ren) |
50-64 |
$709.00 |
$809.00 |
| Family |
50-64 |
$899.00 |
$1069.00 |
ADVANTAGE PLANT WITH 6 OUTPATIENT VISITS
| Member |
Age |
2500 iva |
1000 iva |
| Member |
18-29 |
$429.00 |
$459.00 |
| Member+Spouse |
18-29 |
$529.00 |
$639.00 |
| Member+Child(ren) |
18-29 |
$549.00 |
$659.00 |
| Family |
18-29 |
$749.00 |
$849.00 |
| Member |
30-49 |
$449.00 |
$479.00 |
| Member+Spouse |
30-49 |
$564.00 |
$659.00 |
| Member+Child(ren) |
30-49 |
$584.00 |
$679.00 |
| Family |
30-49 |
$769.00 |
$879.00 |
| Member |
50-64 |
$509.00 |
$559.00 |
| Member+Spouse |
50-64 |
$709.00 |
$809.00 |
| Member+Child(ren) |
50-64 |
$729.00 |
$829.00 |
| Family |
50-64 |
$929.00 |
$1084.00 |
