| Premiums | With Pharmacy (Plan I) | Without Pharmacy (Plan II) |
|---|---|---|
| Comprehensive Plan | $250 | $125 |
| Plus Plan | $325 | $145 |
| Premium Plan | $360 | $184 |

| Premiums | With Pharmacy (Plan I) | Without Pharmacy (Plan II) |
|---|---|---|
| Comprehensive Plan | $250 | $125 |
| Plus Plan | $325 | $145 |
| Premium Plan | $360 | $184 |