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covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC 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for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails6jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=7Page 7button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=7 data-page=7 class=ts-thumb lazyload alt=Page 7: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails7jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage 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the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails9jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=10Page 10button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=10 data-page=10 class=ts-thumb lazyload alt=Page 10: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails10jpg width=140 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amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails12jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=13Page 13button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=13 data-page=13 class=ts-thumb lazyload alt=Page 13: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC 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calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails16jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=17Page 17button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=17 data-page=17 class=ts-thumb lazyload alt=Page 17: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails17jpg width=140 height=200 divdivdiv 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certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails19jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=20Page 20button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=20 data-page=20 class=ts-thumb lazyload alt=Page 20: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC 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calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails23jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=24Page 24button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=24 data-page=24 class=ts-thumb lazyload alt=Page 24: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails24jpg width=140 height=200 divdivdiv 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certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220503095f71b2aa1d6ca10c2d697001html5thumbnails26jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=27Page 27button div class=ts-imageimg data-url=el-ss-and-prem-0712-jpay-is-a-specific-dollar-amountyou-have-to-pay-r-certain-coveredhtmlpage=27 data-page=27 class=ts-thumb lazyload alt=Page 27: EL-ss-and-prem-0712 · jpay is a specific dollar amountyou have to pay r certain covered services It-Of-Pocket Maximum is the most that you would pay a calendar year for deductible loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC 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