CLICK ON THE PLAN NAME BELOW (in white letters) TO VIEW THE FULL SUMMARY OF BENEFITS Smart Choice 2500 Preventive Care FREE Primary Care Option 1: FREE when using First Stop Health Specialist Care Option 2: Meet deductible then 20% coinsurance Urgent Care Emergency Room Care Meet deductible then 20% coinsurance Smart Choice 3500 Preventive Care FREE Primary Care Option 1: FREE when using First Stop Health Specialist Care Option 2: Meet deductible then 20% coinsurance Urgent Care Emergency Room Care Meet deductible then 20% coinsurance Smart Choice 4500 Preventive Care FREE Primary Care Option 1: FREE when using First Stop Health Specialist Care Option 2: Meet deductible then 20% coinsurance Urgent Care Emergency Room Care Meet deductible then 20% coinsurance 13

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