THE LIMITED HIGH DEDUCTIBLE PLAN

A catastrophic-type plan with limited coverage and the lowest premiums

How the LivingWell Limited High Deductible Plan works:

• Before any expenses are paid by the LivingWell Limited High Deductible Plan (except preventive services, which are paid at 100%), you must meet your deductible amount (except for specific prescriptions).

• The plan will pay 50% of covered medical and prescription expenses, and you will pay a 50% co-insurance.

• Both your medical and prescription costs apply to the out-of-pocket maximum.