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<br /> ~ - - <br />PV!LlC Ð'lPLOTEES' MEn ICAL ~ IIOS'PITAL CUE ACT PUX c:::DES AIIO P1IEIU~ IASIC ~ Sl..l'Pt.ÐErTAL PU.WS . AUQJST " ~99' <br /> i <br /> ! <br /> SAIIiT JOSEPH'S TIA~lElS . ~n <br /> POIlAC ()O I TAŒC.UE HEAl. TH 1rE'TloaJ:: VA L1JC.Aa E I <br /> (POIlAC) (~NI) crC) (TII1I) (V'C) I <br /> PU. IO/TKL T PLAN IOITKL T PLA. IO/THLT PUI MalTHL T PL,U MOICTHLT I <br /> ! <br /> Ct'O E RArE croE RATE croE RATE ox)E lATE croE . RATE <br />Basic (8) <br />E~. only 207(1) $191.32 212(1) $137.33 52(1) $157.00 26/.(1) $160.5' 260(1) $165.50 <br />E~. ~ 1 dep. (2) 337.90 (2) 27(,.67 (2) 292.00 (2) 319.'-6 (2) 3111.10 <br />EIrp. ~ 2. de;:Is. m 1.71..56 (3) 357.06 (3) 397.00 m '20.62 m 399.25 <br /> . <br />Suppl~t to M~lcare (SM) <br />E~. only 2œ(1) 11ì.1.9 213( 1) 125.00 19(1) 1~.00 2'7(1) $13'.60 2f..!(1) $126.00 <br />E~. ~ 1 dep. (2) 234 . 99 (2) 250.00 (2) 25'.00 m .269.19 m 252.00 <br />E~. ~ 2.~. m 338.20 (3) . 37S. 00 (3) 339.00 m '03. i'9 m 3/.0.00 <br />Combinetion (8 ~ ~) <br />E~. (g¡ ), , dep. (8) 2œ«(,) 260(..07 213(1,) 262.~ '9«(') 269.00 2'7(') 293.52 2~(1,) 2~.6O <br />E~. (g¡ ). 2+ deps. (8) (5) 1.00.73 (5) 3lJ,. 73 (5) 371,.00 (5) 394.6a (5) 359.75 <br />E~. ~ 1+ Oeœ. (SM), 1+ deps. (8) (6) 371.65 (6) 332.39 (6) 359.00 (6) 37'0.35 (6) 333.15 <br />Em. (8), 1 dep. (g¡ ) m 3M.H2 (7) 262.33 (7) 277.00 (7) 295.13 (7) 291.50 <br />Emo. (8), 2. deps. (SM) (8) 1.12.03 (8) 3!7.33 (8) 362.00 (8) '29.73 (8) 37'9.50 <br />E~. ~ ,. deps. (8), 1 dep. (SM) (9) "'5.~ (9) ~'.72 (9) 382.00 (9) 396.29 (9) 372.65 <br /> <br />PACë 3 <br />