

• $500,000
Plan Year maximum, $1 million lifetime maximum
• $500 individual / $1,500 family deductible for in-network services
• $100,000 limit per person, per Plan Year for prescription drugs
• Prescriptions
cost $7 for generic drugs, 25% of formulary brand name drug costs, and 50%
of non-formulary brand name drugs. 

• Unlimited
Plan Year and lifetime coverage maximums
• Zero Plan Year deductible
• $10 office visit co-pays
• Direct relationship with your Primary Care Physician, who will develop
a personal wellness plan for you and work with you to help you
maximize your health
• See pages 15-16 of the mBenefitsConnect
Enrollment Booklet for more information.


* Without the Wellnes
Discount / ** Onboard part-time workers
averaging 28 or ore hours per week
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