| Premiums | With Pharmacy (Plan I) | Without Pharmacy (Plan II) |
|---|---|---|
| Comprehensive Plan | $265 | $135 |
| Plus Plan | $340 | $155 |
| Premium Plan | $375 | $190 |

| Premiums | With Pharmacy (Plan I) | Without Pharmacy (Plan II) |
|---|---|---|
| Comprehensive Plan | $265 | $135 |
| Plus Plan | $340 | $155 |
| Premium Plan | $375 | $190 |