Summary of Benefits & Coverage for 1/1/2027 010127_25-0-3500_OCHBP010127_2520-1000 RX_OCHBP010127_2520-2000 RX_OCHBP010127_2520-6000 RX_OCHBP010127_3520-7500 RX_OCHBP010127_HSA 3000_0% MMRX FAM AGG_OCHBP010127_HSA 3000_0% MMRX SIN AGG_OCHBP010127_HSA 3500_20% PDRX_OCHBP010127_HSA 5000_0% PDRX_OCHBP010127_HSA 7000_0% PDRX_OCHBP010127_HSA 8750_20% MMRX_OCHBP
