CoventryOne Authorized Agent |
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CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$35 Copay Plan $2,750 Deductible |
CoventryOne
$30 Copay Plan $2,750 Deductible |
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|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
|
$189.66 |
$189.66 |
$212.24 |
$212.24 |
$215.83 |
$215.83 |
$301.69 |
$301.69 |
|
|
113.80 |
113.80 |
127.34 |
127.34 |
129.50 |
129.50 |
181.02 |
181.02 |
|
|
79.15 |
79.15 |
88.57 |
88.57 |
90.07 |
90.07 |
125.91 |
125.91 |
|
|
79.15 |
79.15 |
88.57 |
88.57 |
90.07 |
90.07 |
125.91 |
125.91 |
|
|
77.30 |
82.52 |
86.50 |
92.35 |
87.96 |
93.91 |
122.96 |
131.27 |
|
|
75.44 |
85.81 |
84.42 |
96.03 |
85.85 |
97.65 |
120.01 |
136.50 |
|
|
69.12 |
87.84 |
77.35 |
98.29 |
78.66 |
99.95 |
109.95 |
139.72 |
|
|
64.82 |
89.10 |
72.54 |
99.70 |
73.77 |
101.39 |
103.11 |
141.73 |
|
|
65.58 |
89.10 |
73.39 |
99.70 |
74.63 |
101.39 |
104.32 |
141.73 |
|
|
66.34 |
91.38 |
74.24 |
102.25 |
75.49 |
103.98 |
105.53 |
145.35 |
|
|
66.85 |
95.76 |
74.80 |
107.16 |
76.07 |
108.97 |
106.33 |
152.32 |
|
|
67.35 |
100.14 |
75.37 |
112.06 |
76.64 |
113.96 |
107.13 |
159.29 |
|
|
71.73 |
102.92 |
80.27 |
115.17 |
81.63 |
117.12 |
114.11 |
163.72 |
|
|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$35 Copay Plan $2,750 Deductible |
CoventryOne
$30 Copay Plan $2,750 Deductible |
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|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
|
$72.32 |
$104.44 |
$80.93 |
$116.87 |
$82.30 |
$118.85 |
$115.05 |
$166.13 |
|
|
72.91 |
106.46 |
81.59 |
119.14 |
82.98 |
121.15 |
115.98 |
169.35 |
|
|
73.76 |
107.48 |
82.54 |
120.27 |
83.93 |
122.30 |
117.33 |
170.96 |
|
|
76.20 |
108.57 |
85.27 |
121.49 |
86.72 |
123.55 |
121.21 |
172.70 |
|
|
77.97 |
109.58 |
87.25 |
122.63 |
88.73 |
124.70 |
124.03 |
174.31 |
|
|
80.92 |
111.18 |
90.55 |
124.42 |
92.09 |
126.53 |
128.72 |
176.86 |
|
|
84.29 |
115.40 |
94.33 |
129.13 |
95.93 |
131.32 |
134.09 |
183.56 |
|
|
85.39 |
120.04 |
95.55 |
134.32 |
97.17 |
136.60 |
135.83 |
190.94 |
|
|
86.57 |
124.67 |
96.87 |
139.51 |
98.52 |
141.87 |
137.71 |
198.31 |
|
|
89.44 |
130.57 |
100.08 |
146.11 |
101.78 |
148.59 |
142.27 |
207.70 |
|
|
93.65 |
132.85 |
104.80 |
148.66 |
106.57 |
151.18 |
148.97 |
211.32 |
|
|
97.78 |
134.53 |
109.42 |
150.55 |
111.27 |
153.10 |
155.54 |
214.00 |
|
|
102.42 |
137.40 |
114.61 |
153.75 |
116.55 |
156.36 |
162.91 |
218.56 |
|
|
106.72 |
139.59 |
119.42 |
156.21 |
121.44 |
158.85 |
169.75 |
222.05 |
|
|
109.58 |
145.58 |
122.63 |
162.90 |
124.70 |
165.66 |
174.31 |
231.57 |
|
|
113.80 |
147.68 |
127.34 |
165.26 |
129.50 |
168.06 |
181.02 |
234.92 |
|
|
116.66 |
151.73 |
130.55 |
169.79 |
132.76 |
172.67 |
185.58 |
241.35 |
|
|
120.79 |
155.95 |
135.17 |
174.51 |
137.46 |
177.46 |
192.15 |
248.06 |
|
|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$35 Copay Plan $2,750 Deductible |
CoventryOne
$30 Copay Plan $2,750 Deductible |
||||||
|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
|
$125.01 |
$163.53 |
$139.89 |
$183.00 |
$142.26 |
$186.09 |
$198.85 |
$260.13 |
|
|
128.89 |
171.96 |
144.23 |
192.43 |
146.67 |
195.69 |
205.02 |
273.54 |
|
|
137.91 |
180.39 |
154.32 |
201.86 |
156.93 |
205.28 |
219.36 |
286.94 |
|
|
147.35 |
189.83 |
164.88 |
212.43 |
167.68 |
216.02 |
234.38 |
301.96 |
|
|
156.45 |
197.25 |
175.07 |
220.73 |
178.04 |
224.46 |
248.86 |
313.76 |
|
|
156.45 |
197.25 |
175.07 |
220.73 |
178.04 |
224.46 |
248.86 |
313.76 |
|
|
176.60 |
205.00 |
197.62 |
229.41 |
200.96 |
233.29 |
280.91 |
326.10 |
|
|
186.54 |
216.47 |
208.75 |
242.23 |
212.28 |
246.34 |
296.73 |
344.33 |
|
|
195.48 |
223.04 |
218.75 |
249.59 |
222.45 |
253.82 |
310.95 |
354.79 |
|
|
211.41 |
228.52 |
236.57 |
255.72 |
240.58 |
260.05 |
336.29 |
363.51 |
|
|
225.07 |
241.84 |
251.86 |
270.63 |
256.12 |
275.21 |
358.01 |
384.69 |
|
|
254.32 |
269.41 |
284.59 |
301.47 |
289.41 |
306.58 |
404.54 |
428.54 |
|
|
272.02 |
284.58 |
304.40 |
318.45 |
309.55 |
323.84 |
432.70 |
452.67 |
|
|
289.72 |
297.14 |
324.20 |
332.51 |
329.69 |
338.14 |
460.85 |
472.65 |
|
|
307.34 |
305.23 |
343.92 |
341.56 |
349.74 |
347.34 |
488.88 |
485.53 |
|
|
322.85 |
319.22 |
361.28 |
357.22 |
367.39 |
363.27 |
513.55 |
507.78 |
|
|
342.07 |
334.99 |
382.78 |
374.86 |
389.26 |
381.21 |
544.12 |
532.86 |
|
|
353.19 |
345.78 |
395.23 |
386.93 |
401.93 |
393.48 |
561.82 |
550.02 |
|
|
362.64 |
356.15 |
405.80 |
398.53 |
412.67 |
405.28 |
576.84 |
566.51 |
|
|
315.77 |
326.98 |
353.35 |
365.90 |
359.34 |
372.09 |
502.29 |
520.12 |
|
|
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$35 Copay Plan $2,750 Deductible |
CoventryOne
$30 Copay Plan $2,750 Deductible |
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