Premium $0 PCP $0 Inpatient Hospital $335 (days 1-6) Rx Deductible $195 (tier 4/ tier 5) Tier 1 &Tier 6 Rx $0 Lab / X-ray / continue reading
North Carolina 2021 MAPD
August 24, 2020
Premium $0 PCP $0 Inpatient Hospital $335 (days 1-6) Rx Deductible $195 (tier 4/ tier 5) Tier 1 & Tier 6 Rx $0 Lab / X-ray continue reading
August 24, 2020
Premium $0 MOOP $3,400 PCP $0 Specialist $35 Inpatient Hospital $200 days 1-6 Outpatient Surgery $145/$200 Lab Copay $0 X-Ray Services $0 - $85 Radiology $275 continue reading
August 24, 2020
Premium $0 MOOP $3,400 PCP $35 Specialist $35 Inpatient Hospital $200 days 1-6 Outpatient Surgery $145/$200 Lab Copay $0 X-Ray Services $0 - $85 Radiology $275 continue reading
August 24, 2020
Premium $0 Deposit $2,000 Deductible $5,000 Member Responsibility $3,000 Key Extra Benefits No networks, freedom to choose the best Part D plan, the only MSA plan continue reading
August 17, 2020
Dental $2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Healthy Foods Card $75 allowance per month for Healthy Foods Card for members continue reading
August 17, 2020
Premium$28PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$4,400 Rx Deductible​N/ARx Preferred$2/$8/$45/$95/33%Key Extra Benefits$1000 Dental, $300 Vision, Hearing, Fitness, OTC $45/Quarter for select health and continue reading
August 17, 2020
Premium $0 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $295 (days 1-6) ; $0 (days 7-90) Outpatient Surgery $245 / $295 Urgent Care / continue reading
August 17, 2020
Premium$135PCP$0Specialist$0Referrals RequiredNoInpatient Hospital$0 per admissionOutpatient Surgery$300Urgent Care / ER$0 / $90Lab / X-Ray$0 / $0Radiology$0 - $275MOOP In-network$6,700 Rx Deductible$190 tiers 3-5Rx Preferred$4/$12/$47/$99/29%Key Extra Benefits$2000 Dental, continue reading
August 7, 2020
Premium $0 MOOP $6,700 Key Extra Benefits Unlimited trips, $100/mo OTC, telehealth, meal benefit, companion care, $20/mo fresh food card,$500 vision, $2000 hearing Market Service Area continue reading
August 7, 2020
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
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
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