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| UI Expand | ||
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$5,000/$10,000 deductible — A very high deductible plan with the highest out-of-pocket expenses but the lowest monthly premiums. This traditional PPO health plan offering is very similar to the HC 2000, but the HC5000 has a higher deductible to meet. Summary of Benefits & CoverageForms to completeOther documents |
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| Guidestone also offers a telemedicine service. |
2016 Monthly Premium Rates
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HSA 3000 | Base-Level ER contribution from non-MTD funds | Remaining ER contribution charged to MTD accounts | Total Reliant employer HSA contribution | Total charge to MTD account, including premium |
|---|---|---|---|---|
| Employee | $25 | $25 | $50 | $383.37 |
| Employee + Spouse or child(ren) | $50 | $75 | $125 | $863.41 |
| Family | $75 | $100 | $175 | $1,175.11 |
| Note |
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| Guidestone also offers a telemedicine service. |
Telemedicine Service
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