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Welcome to Northrop Grumman - Benefits Online

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The Anthem Blue Cross Preferred PPO Option<br />

Benefit plan<br />

year<br />

deductible<br />

Office visit<br />

copay<br />

In-network<br />

$500 per<br />

individual/<br />

$1,000 per<br />

family<br />

$20 (specialist<br />

visit: $40)<br />

Preferred PPO<br />

Coinsurance 10% 40%<br />

Benefit plan<br />

year out-ofpocket<br />

maximum<br />

$3,000 per<br />

individual/<br />

$6,000 per<br />

family<br />

Out-ofnetwork<br />

$800 per<br />

individual/<br />

$1,600 per<br />

family<br />

40%<br />

coinsurance<br />

$5,000 per<br />

individual/<br />

$10,000 per<br />

family<br />

For more details, and <strong>to</strong> access<br />

comparison charts for all plans, go <strong>to</strong><br />

<strong>Benefits</strong> OnLine at<br />

http://benefits.northropgrumman.com<br />

9

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