Monthly premiums by family given their choices
| Family Summary | Monthly Premium |
Basic Plan Deductible Change |
Basic Plan PCP Requirement |
Supplemental Plan Dental & Vision |
Supplemental Plan Private Room |
|---|---|---|---|---|---|
| Family 1: Single 30-year old adult | $ | - | - | - | - |
| Family 2: Single parent with 2 children | $ | - | - | - | - |
| Family 3: Couple with 2 children | $ | - | - | - | - |
| Family 4: Elderly couple | $ | - | - | - | - |