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CoventryOne Authorized Agent |
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CoventryOne
$30 Copay Plan $2,500 Deductible |
CoventryOne
$35 Copay Plan $2,500 Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
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Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
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$239.93 |
$239.93 |
$171.64 |
$171.64 |
$166.48 |
$166.48 |
$150.85 |
$150.85 |
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145.59 |
145.59 |
103.00 |
103.00 |
99.90 |
99.90 |
90.52 |
90.52 |
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93.84 |
93.84 |
71.65 |
71.65 |
69.49 |
69.49 |
62.97 |
62.97 |
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93.84 |
93.84 |
71.65 |
71.65 |
69.49 |
69.49 |
62.97 |
62.97 |
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91.66 |
98.56 |
69.98 |
74.71 |
67.88 |
72.46 |
61.50 |
95.66 |
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98.49 |
103.19 |
68.32 |
77.69 |
66.26 |
75.36 |
60.04 |
68.28 |
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87.29 |
106.01 |
66.65 |
79.52 |
64.64 |
77.12 |
58.57 |
69.88 |
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78.50 |
107.22 |
56.43 |
80.64 |
54.73 |
78.21 |
49.59 |
70.86 |
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79.37 |
111.81 |
57.05 |
80.64 |
55.34 |
78.21 |
50.14 |
70.86 |
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80.27 |
114.68 |
57.70 |
82.70 |
55.96 |
80.21 |
50.71 |
72.68 |
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80.91 |
120.17 |
58.16 |
86.67 |
56.41 |
84.06 |
51.11 |
76.16 |
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81.55 |
125.67 |
58.61 |
90.63 |
56.85 |
87.90 |
51.51 |
79.65 |
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85.81 |
131.09 |
61.86 |
93.17 |
60.00 |
90.37 |
54.36 |
81.88 |
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CoventryOne
$30 Copay Plan $2,500 Deductible |
CoventryOne
$35 Copay Plan $2,500 Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
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Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
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86.48 |
133.49 |
62.34 |
94.88 |
60.46 |
92.02 |
54.78 |
83.38 |
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87.15 |
134.64 |
62.83 |
96.86 |
60.94 |
93.94 |
55.22 |
85.12 |
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88.17 |
135.98 |
63.56 |
98.73 |
61.65 |
95.75 |
55.86 |
86.76 |
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91.08 |
137.31 |
65.66 |
101.43 |
63.68 |
98.38 |
57.70 |
89.14 |
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96.73 |
138.64 |
69.20 |
104.94 |
67.12 |
101.78 |
60.82 |
92.22 |
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102.38 |
140.68 |
73.24 |
109.54 |
71.04 |
106.25 |
64.37 |
96.27 |
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106.65 |
146.05 |
76.30 |
113.63 |
74.00 |
110.21 |
67.05 |
99.86 |
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108.07 |
151.89 |
77.31 |
115.17 |
74.99 |
111.70 |
67.95 |
101.21 |
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109.49 |
157.74 |
78.33 |
117.22 |
75.97 |
113.69 |
68.84 |
103.02 |
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113.11 |
163.75 |
81.36 |
118.21 |
78.93 |
114.65 |
71.52 |
103.88 |
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118.45 |
167.79 |
85.23 |
120.24 |
82.66 |
116.62 |
74.90 |
105.67 |
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123.68 |
169.93 |
88.8 |
121.78 |
86.31 |
118.12 |
78.20 |
107.03 |
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129.57 |
173.48 |
93.23 |
124.33 |
90.43 |
120.59 |
81.94 |
109.26 |
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134.96 |
176.32 |
97.11 |
126.36 |
94.19 |
122.56 |
85.34 |
111.05 |
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138.64 |
184.13 |
99.83 |
131.18 |
96.83 |
127.23 |
87.74 |
115.29 |
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143.97 |
186.88 |
103.68 |
133.13 |
100.56 |
129.12 |
91.12 |
116.99 |
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147.62 |
190.35 |
106.30 |
135.61 |
103.10 |
131.53 |
93.42 |
119.18 |
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152.78 |
193.45 |
111.19 |
137.81 |
107.84 |
133.66 |
97.72 |
121.11 |
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CoventryOne
$30 Copay Plan $2,500 Deductible |
CoventryOne
$35 Copay Plan $2,500 Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
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Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
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161.39 |
196.88 |
122.32 |
140.26 |
118.64 |
136.04 |
107.50 |
123.27 |
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173.48 |
202.79 |
133.11 |
144.69 |
129.10 |
140.34 |
116.98 |
127.16 |
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185.57 |
213.06 |
146.43 |
158.25 |
142.02 |
153.49 |
128.69 |
139.07 |
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198.37 |
223.32 |
161.08 |
171.82 |
156.23 |
166.65 |
141.56 |
151.00 |
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208.49 |
231.20 |
177.18 |
188.14 |
171.84 |
182.48 |
155.71 |
165.35 |
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218.80 |
238.69 |
194.89 |
194.50 |
189.03 |
188.65 |
171.28 |
170.94 |
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226.81 |
251.76 |
197.14 |
228.33 |
191.21 |
221.46 |
173.25 |
200.67 |
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244.93 |
264.34 |
199.39 |
233.21 |
193.39 |
226.19 |
175.23 |
204.95 |
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254.42 |
277.58 |
208.20 |
238.08 |
201.93 |
230.92 |
182.97 |
209.23 |
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266.16 |
291.46 |
216.54 |
242.95 |
210.02 |
235.64 |
190.30 |
213.52 |
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279.85 |
295.22 |
228.63 |
247.83 |
221.75 |
240.37 |
200.93 |
217.80 |
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294.85 |
298.97 |
242.23 |
252.70 |
234.94 |
245.10 |
212.88 |
222.08 |
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309.28 |
312.42 |
257.57 |
257.57 |
249.82 |
249.82 |
226.36 |
226.36 |
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323.71 |
325.39 |
270.30 |
268.91 |
262.16 |
260.82 |
237.54 |
236.33 |
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331.97 |
332.89 |
278.21 |
276.29 |
269.84 |
267.98 |
244.50 |
242.81 |
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347.55 |
347.58 |
292.24 |
288.95 |
283.45 |
280.26 |
256.83 |
253.94 |
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395.04 |
363.72 |
309.61 |
303.18 |
300.30 |
294.05 |
272.10 |
266.44 |
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413.88 |
373.34 |
319.64 |
312.98 |
310.02 |
303.56 |
280.91 |
275.06 |
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433.59 |
381.69 |
328.24 |
322.37 |
318.36 |
312.67 |
288.46 |
283.31 |
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454.17 |
389.72 |
336.62 |
331.35 |
326.49 |
321.38 |
295.84 |
291.20 |
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Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
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CoventryOne
$30 Copay Plan $2,500 Deductible |
CoventryOne
$35 Copay Plan $2,500 Deductible |
CoventryOne
$45 Copay Plan $2,750 Deductible $0 Prescription Ded. |
CoventryOne
$45 Copay Plan $2,750 Deductible $1K Rx Deductible |
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