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Blue Cross and Blue Shield of Minnesota
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Simply BlueSM Plan
(deductible: $5000, coinsurance: (100%)
Insurance
Plan Details,
Exclusions and Limitations
Simply BlueSM Plan
(deductible: $7500, coinsurance: (100%)
Simply BlueSM Plan
(deductible: $10000, coinsurance: (100%)
Aware CareSM Plan
(deductible: $300, coinsurance: (80/20%)
Insurance
Plan Details,
Exclusions and Limitations
Aware CareSM Plan
(deductible: $500, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $750, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $1000, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $1500, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $2000, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $3000, coinsurance: (80/20%)
Insurance
Plan Details,
Exclusions and Limitations
Aware CareSM Plan
(deductible: $5000, coinsurance: (80/20%)
Aware CareSM Plan
(deductible: $5000, coinsurance: (100%)
Options Blue (deductible: $1,350, coinsurance:
80%)
Insurance
Plan Details,
Exclusions and Limitations
Options Blue (deductible: $1,900, coinsurance:
80%)
Options Blue (deductible: $2,650, coinsurance:
80%)
Options Blue (deductible: $1,350, coinsurance: 0%)
Options Blue (deductible: $1,900, coinsurance: 0%)
Options Blue (deductible: $2,650, coinsurance: 0%)
Options Blue (deductible: $2,650, coinsurance:
80%)
Options Blue (deductible: $3,800, coinsurance:
80%)
Options Blue (deductible: $5,250, coinsurance:
80%)
Options Blue (deductible: $2,650, coinsurance: 0%)
Options Blue (deductible: $3,800, coinsurance: 0%)
Options Blue (deductible: $5,250, coinsurance: 0%)
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Open Access (deductible: $150, coinsurance: 20%)
Insurance
Plan Details,
Exclusions and Limitations
Open Access (deductible: $300, coinsurance: 20%)
Open Access (deductible: $500, coinsurance: 20%)
Open Access (deductible: $750, coinsurance: 20%)
Open Access (deductible: $1000, coinsurance: 20%)
Open Access (deductible: $1500, coinsurance: 20%)
Open Access (deductible: $3000, coinsurance: 20%)
Open Access (deductible: $5000, coinsurance: 20%)
Empower Midwest Choice (deductible: $1,200,
coinsurance: 20%)
Insurance
Plan Details,
Exclusions and Limitations
Empower Midwest Choice (deductible: $2,000,
coinsurance: 20%)
Empower Midwest Choice (deductible: $2,600,
coinsurance: 0%)
Empower Midwest Choice (deductible: $5,000,
coinsurance: 0%)
Empower Midwest Choice (deductible: $2,400,
coinsurance: 20%)
Empower Midwest Choice (deductible: $4,000,
coinsurance: 20%)
Empower Midwest Choice (deductible: $5,150,
coinsurance: 0%)
Empower Midwest Choice (deductible: $10,000,
coinsurance: 0%)
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Medica of Minnesota
Medica SoloSM
for Individuals $3000 (deductible: $3000, coinsurance:
100%)
Insurance
Plan Details,
Exclusions and Limitations
Medica SoloSM
for Individuals $6000 (deductible: $6000, coinsurance:
100%)
Medica SoloSM
for Individuals $9000 (deductible: $9000, coinsurance:
100%)
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Medica Direct ValueSM
for Individuals $150 (deductible: $150, coinsurance:
20%)
Insurance
Plan Details,
Exclusions and Limitations
Medica Direct ValueSM
for Individuals $500 (deductible: $500, coinsurance:
20%)
Medica Direct ValueSM
for Individuals $1000 (deductible: $1000, coinsurance:
20%)
Medica Direct ValueSM
for Individuals $1500 (deductible: $1500, coinsurance:
20%)
Medica Direct ValueSM
for Individuals $2,500 (deductible: $2,500, coinsurance:
20%)
Medica Direct ValueSM
for Individuals $5,000 (deductible: $5,000, coinsurance:
20%)
Medica Direct HSA SM for Individuals
(deductible: $1,400, coinsurance: 20%)
Insurance
Plan Details,
Exclusions and Limitations
Medica Direct HSA SM for Individuals
(deductible: $1,800, coinsurance: 20%
Medica Direct HSA SM for Individuals
(deductible: $1,800, coinsurance: 0%
Medica Direct HSA SM for Individuals
(deductible: $2,800, coinsurance: 0%
Medica Direct HSA SM for Individuals
(deductible: $2,750, coinsurance: 20%
Medica Direct HSA SM for Individuals
& Families (deductible: $3,600, coinsurance: 20%
Medica Direct HSA SM for Individuals
& Families
(deductible: $3,600, coinsurance: 0%
Insurance
Plan Details,
Exclusions and Limitations
Medica Direct HSA SM for Individuals
& Families (deductible: $5,400, coinsurance: 0%
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