July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$39Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$39- $275: SURMedical DeductibleN/AMOOP in-network$7,000 Rx Deductible$200Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$40- $275: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $275: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$39Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$39- $275: SURMedical DeductibleN/AMOOP in-network$7,550 Rx Deductible$200Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $275: SURMedical Deductible​N/AMOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$45Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$45- $275: SURMedical Deductible​$0MOOP in-network$7,000 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $295: SURMedical Deductible​N/AMOOP in-network$6,900 Rx Deductible​$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$308 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx DeductibleN/APrescription drug coverage (at preferred continue reading
July 20, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible $0 MOOP $3,000 Inpatient Hospital - Acute ​$0 copay up to continue reading
July 20, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible $0 MOOP $3,000 Inpatient Hospital - Acute $0 copay up to continue reading
July 20, 2020
Premium Part B Giveback $30 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $7,550 Inpatient Hospital - Acute $​350 (days 1-5) ; continue reading
July 20, 2020
Premium Part B Giveback $70 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $6,700 Inpatient Hospital - Acute $400 (days 1-4) ; continue reading
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