Plan HighlightsOur broadest brand coverage with predictable costs. Never a deductible.Monthly Plan Premium$76.40Deductible$0Preferred mail order (T1-T4 90 day fills)$0 Tier 1-2, save more than $20 on continue reading
Aetna LA 2021 MAPD
July 24, 2020
Plan HighlightsBelow benchmark* and solid brand and generic coverageMonthly Plan Premium$30.80Deductible$215 Tiers 3-5 onlyPreferred mail order (T1-T4 90 day fills)3x preferred retail cost sharingPharmacy NetworkSame broad continue reading
July 24, 2020
Plan HighlightsGreat for your healthy clients who take no drugs or use generic drugsMonthly Plan Premium$7.50Deductible$445 Tiers 2-5 onlyPreferred mail order (T1-T4 90 day fills)3x preferred continue reading
July 23, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 23, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 23, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$220Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $5Tier 1: continue reading
July 23, 2020
Star RatingPremium$28Part B GivebackNoPCP in-network$10Specialist in-network$40Inpatient Hospital$195 (days 1-10) ; $0 (days 11-90)Outpatient Hospital Services$40- $200: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$270 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $225: SURMedical DeductibleN/AMOOP in-network$7,000 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$21Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$400 (days 1-3) ; $0 (days 4-90)Outpatient Hospital Services$40- $225: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$270 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$7,000 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$245 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$145 (days 1-10) ; $0 (days 11-90)Outpatient Hospital Services$35- $175: SURMedical Deductible$0MOOP in-network$5,900 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
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TMG University
