Premium$60MOOP $3,100 IN ; $5,100 OONInpatient HospitalDay 1 - $250 copay ; Days 2-6 - $125 copayOutpatient Surgery$100 IN ; $175 OONPCP$0 IN ; $45 OONSpecialist$20 IN continue reading
HTA NC 2021 MAPD
August 7, 2020
Premium$0Deductibles (Medical and Rx)$0MOOP $5,000 IN ; N/A OONInpatient Hospital$225 copay days 1-6Outpatient Surgery$225 Lab$0X-ray$10Radiology$50-$175PCP$35 IN ; N/A OONSpecialist$20 copay; $0 copay for endocrinologist, podiatrist & cardiologist continue reading
August 7, 2020
Premium $0 MOOP $3,400 IN ; $5,100 OON PCP $0 IN ; $50 OON Specialist $30 IN ; $50 OON Referrals Required No Lab Copay $0 continue reading
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TMG University
