| White | Green | Blue 80 | Blue 90 | |
|---|---|---|---|---|
| Maximum | $250,000 | Unlimited | Unlimited | Unlimited |
| Co-insurance (PPO) | 100% | 80% | 80% | 90% |
| Deductible | $100 | $500 | $500 | $0 |
| Yearly rates (17~24) | $485 | $803 | $1,015 | $1,577 |
| Yearly rates (25~29) | $726 | $1,015 | $1,226 | $1,865 |
| Yearly rates (30~45) | $1,486 | $1,986 | $2,248 | $3,365 |
| Detail | Detail | Detail | Detail | |
| Buy | Buy | Buy | Buy |