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DFS Plans
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Click on plan name link to view full benefit summary.
| Plan Name |
Deductible |
Description |
Summary of Benefit Design |
| HM-CL-4074 |
0 |
No deductible, first dollar coverage for covered benefits, Co-pay only plan. |
HM-CL-4074 – DFS $25/$0/$3000; RX$10/$30/$50 w/ OC |
| HM-CL-4075 |
0 |
No deductible, first dollar coverage for covered benefits, Co-pay only plan. |
HM-CL-4075 – DFS $25/$0/$5000; RX$10/$30/$50 w/ OC |
| HM-CL-4076 |
0 |
No deductible, First dollar coverage for covered benefits, Co-pay only plan |
HM-CL-4076 - DFS $25/$0/$5000; Rx $10/$50/$100 w OC |
| HM-CL-4077 |
0 |
No deductible, first dollar coverage for covered benefits, Co-pay only plan. |
HM-CL-4077 – DFS $25/$0/$7500; Rx $10/$50/$100 w OC
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