| Option 1 | Option 2 | Option 3 |
|---|---|---|
|
|
|
|
| M Plan | ||
| No Deductible or Coinsurance | ||
| Routine Physicals, Eye Exams | ||
| Immunizations | ||
| Home Health Care | ||
| Outpatient Mental Health Services | ||
| M Plan + | M Plan + | M Plan + |
| Eyeglasses | Dental Plan | Option 1 + |
| Hearing Aid | Dentures | Option 2 |
| Drugs with $1 Copayment | ||
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