| Basic | |
|---|---|
| Single | $675.00 |
| Two Party | $1,292.00 |
| Family | $1,642.00 |
| Supplement to Medicare | |
|---|---|
| Single | $402.00 |
| Two Party | $802.00 |
| Family | $1,281.00 |
| Basic | |
|---|---|
| Single | $675.00 |
| Two Party | $1,292.00 |
| Family | $1,642.00 |
| Supplement to Medicare | |
|---|---|
| Single | $402.00 |
| Two Party | $802.00 |
| Family | $1,281.00 |