Deductible: $4500

Office copay: $35 (first 2 visits)

Generic drugs: $15

Brand drugs: $40 ($2500 deduct)

Coinsurance: 40%

Deductible: $2500

Office copay: $25 (first 2 visits)

Generic drugs: $10

Brand drugs: $35

Coinsurance: 25%

Deductible: $1500

Office copay: $40

Generic drugs: $15

Brand drugs: $50 ($3500 deduct)

Coinsurance: 30%