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John Alden Health Insurance in NEVADA – Health Plan Options

John Alden — First Dollar Managed Choice Open Access 30

A comparison of the First Dollar Managed Choice Open Access 30 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — First Dollar Managed Choice Open Access 40

A comparison of the First Dollar Managed Choice Open Access 40 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access 1500

A comparison of the Managed Choice Open Access 1500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $25 Copay, Specialist Visit: $35 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $25 Copay, Specialist Visit: $35 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

John Alden — Managed Choice Open Access 2500

A comparison of the Managed Choice Open Access 2500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

John Alden — Managed Choice Open Access 5000

A comparison of the Managed Choice Open Access 5000 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

John Alden — Managed Choice Open Access Value 1500

A comparison of the Managed Choice Open Access Value 1500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access Value 2500

A comparison of the Managed Choice Open Access Value 2500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access High Deductible 3000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access High Deductible 5000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — First Dollar Managed Choice Open Access 30 with Dental

A comparison of the First Dollar Managed Choice Open Access 30 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — First Dollar Managed Choice Open Access 40 with Dental

A comparison of the First Dollar Managed Choice Open Access 40 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access 1500 with Dental

A comparison of the Managed Choice Open Access 1500 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $25 Copay, Specialist Visit: $35 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $25 Copay, Specialist Visit: $35 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

John Alden — Managed Choice Open Access 2500 with Dental

A comparison of the Managed Choice Open Access 2500 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

John Alden — Managed Choice Open Access 5000 with Dental

A comparison of the Managed Choice Open Access 5000 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

John Alden — Managed Choice Open Access Value 1500 with Dental

A comparison of the Managed Choice Open Access Value 1500 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access Value 2500 with Dental

A comparison of the Managed Choice Open Access Value 2500 with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	see brochure	see brochure
Deductible	see brochure	see brochure

John Alden — Blue HSA 2600

A comparison of the Blue HSA 2600 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	80% after deductible	80% after deductible
Copay	N/A	N/A
Deductible	Individual- $2,600 Family- $5,200	Individual- $2,600 Family- $5,200

John Alden — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	You pay 50%
Office Visit	Physician Visit (Outpatient)- $35 Copay, Physician Visit (Outpatient- urgent)- $70	You pay 50% coinsurance.
Copay	Physician Visit (Outpatient)- $35 Copay, Physician Visit (Outpatient- urgent)- $70	N/A
Deductible	$1,000 Individual. $3,000 Family.	$2,000 Individual. $6,000 Family.

John Alden — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	You pay 50%
Office Visit	Physician Visit (Outpatient)- $40 Copay, Physician Visit (Outpatient- urgent)- $80	You pay 50% coinsurance.
Copay	Physician Visit (Outpatient)- $40 Copay, Physician Visit (Outpatient- urgent)- $80	N/A
Deductible	$2,000 Individual. $6,000 Family.	$4,000 Individual. $12,000 Family.

John Alden — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	You pay 50%
Office Visit	You pay 30%	You pay 50% coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual. $9,000 Family.	$6,000 Individual. $18,000 Family.

John Alden — Blue Saver 2000

A comparison of the Blue Saver 2000 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment) 3+ office visits: Member pays 100% of billed charges	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment) 3+ office visits: Member pays 100% of billed charges
Copay	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment)	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment)
Deductible	$2,000 (2-member maximum)	$2,000 (2-member maximum)

John Alden — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	You pay 50%
Office Visit	Physician Visit (Outpatient)- $30 Copay, Physician Visit (Outpatient- urgent)- $60	You pay 50% coinsurance.
Copay	Physician Visit (Outpatient)- $30 Copay, Physician Visit (Outpatient- urgent)- $60	N/A
Deductible	$500 Individual. $1,500 Family.	$1,000 Individual. $3,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% covered after deductible	70% covered after deductible
Office Visit	You pay 0% after deductible	You pay 30% after deductible
Copay	N/A	N/A
Deductible	$1,500 Individual. $3,000 Family.	$1,500 Individual. $3,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% covered after deductible	70% covered after deductible
Office Visit	You pay 0% after deductible	You pay 30% after deductible
Copay	N/A	N/A
Deductible	$2,000 Individual. $4,000 Family.	$2,000 Individual. $4,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% covered after deductible	70% covered after deductible
Office Visit	You pay 0% after deductible	You pay 30% after deductible
Copay	N/A	N/A
Deductible	$3,000 Individual. $6,000 Family.	$3,000 Individual. $6,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% covered after deductible	70% covered after deductible
Office Visit	You pay 0% after deductible	You pay 30% after deductible
Copay	N/A	N/A
Deductible	$4,000 Individual. $8,000 Family.	$4,000 Individual. $8,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% covered after deductible	70% covered after deductible
Office Visit	You pay 0% after deductible	You pay 30% after deductible
Copay	N/A	N/A
Deductible	$5,000 Individual. $10,000 Family.	$5,000 Individual. $10,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% covered after deductible	50% covered after deductible
Office Visit	You pay 30% after deductible	You pay 50% after deductible
Copay	N/A	N/A
Deductible	$1,500 Individual. $3,000 Family.	$1,500 Individual. $3,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% covered after deductible	50% covered after deductible
Office Visit	You pay 30% after deductible	You pay 50% after deductible
Copay	N/A	N/A
Deductible	$2,000 Individual. $4,000 Family.	$2,000 Individual. $4,000 Family.

John Alden — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% covered after deductible	50% covered after deductible
Office Visit	You pay 30% after deductible	You pay 50% after deductible
Copay	N/A	N/A
Deductible	$3,000 Individual. $6,000 Family.	$3,000 Individual. $6,000 Family.

John Alden — Blue 5000

A comparison of the Blue 5000 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment) 5+ office visits per member per year: Anthem pays 70%; office visits are subject to deductible	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment) 5+ office visits per member per year: Anthem pays 70%; office visits are subject to deductible
Copay	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment)	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment)
Deductible	$5,000 (2-member maximum)	$5,000 (2-member maximum)

John Alden — Calculated Risk Taker

A comparison of the Calculated Risk Taker offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$40 per visit, unlimited vists per year	Covered at 60% (not subject to deductible)
Copay	$40	N/A
Deductible	$1,500	$1,500

John Alden — Part-Time Daredevil

A comparison of the Part-Time Daredevil offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$30 copayment for the first four office visits then 100%	Covered at 60% (not subject to deductible)
Copay	$30	N/A
Deductible	$3,000	$3,000

John Alden — Thrill Seeker

A comparison of the Thrill Seeker offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$20 copayment for the first four office visits then 100%	Covered at 60% (not subject to deductible)
Copay	$20	N/A
Deductible	$5,000	$5,000

John Alden — RightPlan PPO 40

A comparison of the RightPlan PPO 40 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60% coinsurance	50% coinsurance
Office Visit	$40 copayment Only some services are covered as part of an office visit. All other covered services are subject to applicable coinsurance or other cost-sharing amounts.	50% coinsurance
Copay	$40 copayment Only some services are covered as part of an office visit. All other covered services are subject to applicable coinsurance or other cost-sharing amounts.	N/A
Deductible	None	None

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500 Individual, $3,000 Family	$3,000 Individual, $6,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500 Individual, $3,000 Family	$3,000 Individual, $6,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HSA

A comparison of the Lumenos HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$10,000 Individual, $20,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500 Individual, $3,000 Family	$3,000 Individual, $6,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500 Individual, $3,000 Family	$3,000 Individual, $6,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$10,000 Individual, $20,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$6,000 Individual, $12,000 Family

John Alden — Lumenos HIA

A comparison of the Lumenos HIA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$10,000 Individual, $20,000 Family

John Alden — SmartSense Generic Only Rx 500

A comparison of the SmartSense Generic Only Rx 500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$500 per individual, $1,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Generic Only Rx 1500

A comparison of the SmartSense Generic Only Rx 1500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$1,500 per individual, $3,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Generic Only Rx 2500

A comparison of the SmartSense Generic Only Rx 2500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$2,500 per individual, $5,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Generic Only Rx 5000

A comparison of the SmartSense Generic Only Rx 5000 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Generic Only Rx 7500

A comparison of the SmartSense Generic Only Rx 7500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	$30 copay for first 3 visits per member per year (deductible waived); after 3 visits, 70% once deductible is met	50% after deductible
Copay	$30 copay for first 3 visits per member per year (deductible waived); after 3 visits, 70% once deductible is met	50% after deductible
Deductible	$7,500 per individual, $15,000 maximum per family (once 2 or more members' allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$7,500 per individual, $15,000 maximum per family (once 2 or more members' allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Full Rx 500

A comparison of the SmartSense Full Rx 500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$500 per individual, $1,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Full Rx 1500

A comparison of the SmartSense Full Rx 1500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$1,500 per individual, $3,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Full Rx 2500

A comparison of the SmartSense Full Rx 2500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$2,500 per individual, $5,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Full Rx 5000

A comparison of the SmartSense Full Rx 5000 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible Specialists- copayment per office visit when included in the first three office visits in a calendar year; then 70% after deductible	50% after deductible
Copay	Primary Care Providers- copayment per office visit when included in the first three office visits in a calendar year Specialists- copayment per office visit when included in the first three office visits in a calendar year	50% after deductible
Deductible	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$5,000 per individual, $10,000 maximum per family (once 2 or more members? allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — SmartSense Full Rx 7500

A comparison of the SmartSense Full Rx 7500 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	$30 copay for first 3 visits per member per year (deductible waived); after 3 visits, 70% once deductible is met	50% after deductible
Copay	$30 copay for first 3 visits per member per year (deductible waived); after 3 visits, 70% once deductible is met	50% after deductible
Deductible	$7,500 per individual, $15,000 maximum per family (once 2 or more members' allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)	$7,500 per individual, $15,000 maximum per family (once 2 or more members' allowable charges that applied to their individual deductible, combine to equal the family maximum deductible)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Plan 80

A comparison of the Plan 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Plan 100

A comparison of the Plan 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,000 (maximum 2 per family, per calendar year)	$1,000 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,000 (maximum 2 per family, per calendar year)	$1,000 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Saver 80

A comparison of the Saver 80 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Copay Saver

A comparison of the Copay Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	$35	$35
Deductible	$2,500	$2,500

John Alden — Copay Saver

A comparison of the Copay Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	see brochure	see brochure
Copay	$35	$35
Deductible	$5,000	$5,000

John Alden — Copay Select

A comparison of the Copay Select offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	History and exam: $35 copay	History and exam: $35 copay
Copay	$35	$35
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

John Alden — Copay Select

A comparison of the Copay Select offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	History and exam: $35 copay	History and exam: $35 copay
Copay	$35	$35
Deductible	$1,000 (maximum 2 per family, per calendar year)	$1,000 (maximum 2 per family, per calendar year)

John Alden — Copay Select

A comparison of the Copay Select offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	History and exam: $35 copay	History and exam: $35 copay
Copay	$35	$35
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

John Alden — Copay Select

A comparison of the Copay Select offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	History and exam: $35 copay	History and exam: $35 copay
Copay	$35	$35
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

John Alden — Copay Select

A comparison of the Copay Select offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	History and exam: $35 copay	History and exam: $35 copay
Copay	$35	$35
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,150	$1,150

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,150	$1,150

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,900	$1,900

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,900	$1,900

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,900	$2,900

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,900	$2,900

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500	$3,500

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500	$3,500

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000	$5,000

John Alden — Single HSA 100

A comparison of the Single HSA 100 offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000	$5,000

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,150	$1,150

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,150	$1,150

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,900	$1,900

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$1,900	$1,900

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,900	$2,900

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$2,900	$2,900

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500	$3,500

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$3,500	$3,500

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000	$5,000

John Alden — Single HSA Saver

A comparison of the Single HSA Saver offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$5,000	$5,000

John Alden — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$1,500	$3,000

John Alden — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$1,500	$3,000

John Alden — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,500	$5,000

John Alden — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,500	$5,000

John Alden — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

John Alden — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

John Alden — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

John Alden — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

John Alden — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000	$4,000

John Alden — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000	$4,000

John Alden — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,000	$6,000

John Alden — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,000	$6,000

John Alden — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$4,000	$8,000

John Alden — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$4,000	$8,000

John Alden — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

John Alden — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

John Alden — Monogram

A comparison of the Monogram offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	75%
Office Visit	100% after deductible	75% after deductible
Copay	N/A	N/A
Deductible	$7,500 (Two family members must meet their deductible).	$15,000 (Two family members must meet their deductible).

John Alden — Monogram with Dental

A comparison of the Monogram with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	75%
Office Visit	100% after deductible	75% after deductible
Copay	N/A	N/A
Deductible	$7,500 (Two family members must meet their deductible).	$15,000 (Two family members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited

A comparison of the Portrait Share 80 Plus Rx Unlimited offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited and Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited

A comparison of the Portrait Share 80 Plus Rx Unlimited offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited and Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

John Alden — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

John Alden — Autograph Share 80 Plus Rx

A comparison of the Autograph Share 80 Plus Rx offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000	$10,000

John Alden — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000	$10,000

John Alden — Autograph Share 80 Plus Rx with Dental

A comparison of the Autograph Share 80 Plus Rx with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000	$10,000

John Alden — Autograph Share 80 Plus Rx

A comparison of the Autograph Share 80 Plus Rx offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$6,000	$12,000

John Alden — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$6,000	$12,000

John Alden — Autograph Share 80 Plus Rx with Dental

A comparison of the Autograph Share 80 Plus Rx with Dental offered by John Alden is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$6,000	$12,000