Harvard Pilgrim Health Care

Clear Choice HMO Bronze 7500

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Medical Deductible	Individual: $7,500 Family: $15,000 Per Person: $7,500
Prescription Drug Deductible	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical
Medical Out-of-Pocket Maximum	Individual: $9,200 Family: $18,400 Per Person: $9,200
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Primary Doctor	Standard: $45 Copay
Specialist	Standard: $80 Copay

Preferred Brand Drugs	Standard: $50 Copay after deductible
Generic Drugs	Standard: $30 Copay