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{{groupName}} Group # {{groupId}}

  • Care Coordination: {{customerServiceInformation.careCoordinationPhone}}
  • {{customerServiceInformation.email}}
  • {{customerServiceInformation.phone}}
  • {{customerServiceInformation.ttyRelayDescription}}: {{customerServiceInformation.ttyRelay}} (TTY {{customerServiceInformation.tty}})

{{plan.currentPlan.name}} {{plan.currentPlan.computedPlanType}} {{plan.currentPlan.computedPlanTypeText}} – Plan # {{plan.currentPlan.planCode}}

Preferred Network In Network Out of Network
Individual Deductible {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.individualDeductible : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.individualDeductible : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.individualDeductible : ''}}
Family Deductible {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.familyDeductible : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.familyDeductible : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.familyDeductible : ''}}
Individual Out-of-Pocket Max {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.individualOutOfPocketMax : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.individualOutOfPocketMax : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.individualOutOfPocketMax : ''}}
Family Out-of-Pocket Max {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.familyOutOfPocketMax : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.familyOutOfPocketMax : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.familyOutOfPocketMax : ''}}
Primary Care Visit {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.primaryCareVisit : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.primaryCareVisit : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.primaryCareVisit : ''}}
Specialty Visit {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.specialtyVisit : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.specialtyVisit : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.specialtyVisit : ''}}
Emergency Care {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.emergencyCare : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.emergencyCare : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.emergencyCare : ''}}
Urgent Care {{plan.currentPlan.tierOne ? plan.currentPlan.tierOne.urgentCare : ''}} {{plan.currentPlan.preferred ? plan.currentPlan.preferred.urgentCare : ''}} {{plan.currentPlan.nonPreferred ? plan.currentPlan.nonPreferred.urgentCare : ''}}

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