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The benefit details are a summary for informational and comparison purposes only and do not include the full extent of limitations and exclusions. We want you to understand what your coverage does not include before you enroll. These plans have exclusions and limitations to benefits and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, contact your insurance agent or contact us. The overview of coverage and member cost shares are based on benefits being received from an in-network provider. Member cost shares may be more for services received from an out-of-network provider. The rates quoted here are subject to change. Rates may change for a variety of reasons including, but not limited to, plan effective date, age of applicant(s), geographic location and other factors. If there is any difference between the rates quoted on this site and the final assigned rate, the assigned rate will prevail.