$\backslash$table$[[$Base Plan,Qualified High Deductible$],[,]]$

What is the most I$\text{'}$d have to pay annually with the BASE plan $($including premiums$)$ if my family used the following services this year?

Premiums

Rx Patient P $-$ Direct cost $$10$ each month $-$

RxPatient C $-1$ Tier one each month $-$

Rx Patient $H-1$ Tier $3$ each month$-$

$3$ Specialist Visits $-$

$2$ Office Visits $-$

TOTAL$-$

$$5\mathrm{.}368\mathrm{.}44$

$$6\mathrm{.}428\mathrm{.}44$

$$6,728\mathrm{.}44$