BLUE SHIELD

Community Blue

203 HMO Series

10/20/40 RX

$15 co-pay

BLUE SHIELD

Community Blue

205 HMO Series

5/30/40 RX

 $20 co-pay

BLUE SHIELD

Secure Blue Extra

Indemnity Program

Family

$ 669.34

$ 639.95

$ 1087.47

Individual

$ 248.06

$ 237.30

$ 423.11

2/Person 

$ 504.28

$ 482.21

$ 967.62

CDPHP

50%

RX

$20 co-pay

GHI HMO

$10/20/30

RX

$20 co-pay

MVP

$5/20

RX

$15 co-pay

MVP

No RX

$15 co-pay

Family

$ 583.94

$ 642.95

$ 675.28

$ 574.35

Individual

$ 220.47

$ 241.00

$ 255.87

$ 218.05

2/Person 

$ 436.95

$ 501.55

$ 507.75

$ 432.11