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MEDICAL PLANS for EARLY RETIREES UNDER 65 (OCT2025-SEPT2026)MONTHLY PREMIUM/1-PARTYMONTHLY PREMIUM/2-PARTYMONTHLY PREMIUM/2+PARTY
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KAISER $20OV/$10-$30 RX $ 896.00 $ 1,793.00 $ 2,330.00
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ANTHEM SELECT CLASSIC 20 Select RX $200DED/$10-$35 RX $ 853.00 $ 1,719.00 $ 2,235.00
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ANTHEM SELECT HMO PREMIER 20 RX $9-$35 $ 899.00 $ 1,805.00 $ 2,348.00
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80/20 PPO PLAN L $2000/$4000 DED/$4000/$8000 MOOP Rx $9/$35 $ 908.00 $ 1,826.00 $ 2,375.00
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80/20 PPO PLAN K $1000/$2000 DED/$3000/$6000 MOOP Rx $7/$25 $ 1,004.00 $ 2,019.00 $ 2,625.00
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80/20 PPO PLAN L $2000/$4000 DED/$4000/$8000 MOOP Rx $5/$20 $ 937.00 $ 1,876.00 $ 2,439.00
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PROCATIVE CARE PLAN GOLD Rx $9/$35 $ 988.00 $ 1,991.00 $ 2,590.00
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DENTAL RATES (OCT2025-SEPT2026) $ 57.20 $ 117.20 $ 161.00
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VISION RATES - Non-Kaiser (OCT2025-SEPT2026) $ 8.83 $ 17.65 $ 28.42
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VISION RATES - Kaiser (OCT2025-SEPT2026) $ 1.56 $ 3.12 $ 5.02
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