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Blue Cross Blue Shield of Georgia > Blue Care Network HMO > Edit Plan
Please select the applicable tier levels and enter both the employee and employer
monthly
cost.
Include
Coverage Level
Employee Cost
Company Cost
Total
Employee Only
EE
Employee
Individual
Employee + Spouse
Employee + Spouse/Partner
Employee + Partner
Employee With Spouse
Do not use for Employee + 1
Employee + Child(ren)
Employee + Dependent(s)
Employee + n
Employee With Children
Family
Employee + Family
Employee + Spouse + Dependent(s)
Employee + Spouse/Partner + Dependent(s)
Employee + Partner + Dependent(s)
Employee With Family
Employee + 1
Employee + Family Extension
Employee With Family Extension
Family Extension
Sponsored Dependent
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