Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$245 / $295Lab / X-Ray$0 / $0 - $30Radiology$100 - $200Urgent Care / ER$0 / $90MOOP In-network$4,200 continue reading
North Carolina 2021 MAPD
July 30, 2020
Dental$2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, denturesHealthy Foods Card$75 allowance per month for Healthy Foods Card for members to spend at continue reading
July 30, 2020
Premium$49PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$325 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$275 / $325Lab / X-Ray$0 / $0 - $50Radiology$180 - $275Urgent Care / ER$35 / $90MOOP In-network$6,700 continue reading
July 30, 2020
Premium$0 with a $50 Part B GivebackPCP$20Specialist$50Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)Outpatient Surgery$450Urgent Care / ER$65 / $90Lab / X-Ray$0 / $0 - continue reading
July 30, 2020
Premium$0PCP$35Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$245 / $295Urgent Care / ER$0 / $90Lab / X-Ray$0 / $0 - $25Radiology$45 - $275MOOP In-network$3,900 continue reading
July 30, 2020
Premium$23PCP$10Specialist$35Referrals RequiredNoInpatient Hospital$345 (days 1-5) ; $0 (days 6-90)MOOP In-network$5,900 Rx Deductible$95 tiers 4-5Rx Preferred$2/$8/$45/$95/31%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $25/Quarter for select health and continue reading
July 30, 2020
Pairs Well With: Premium Rx Deductible Preferred Retail 30-day Supply Standard Retail 30-day Supply Preferred Mail 90-day Supply Market Service Area continue reading
July 30, 2020
Pairs Well With: Premium Rx Deductible Preferred Retail 30-day Supply Standard Retail 30-day Supply Preferred Mail 90-day Supply Market Service Area continue reading
July 30, 2020
Dental $2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Healthy Foods Card N/A Vision Annual exam and $300 credit every year for continue reading
July 30, 2020
Dental $1000 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
July 30, 2020
Dental$2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, denturesHealthy Foods Card$75 allowance per month for Healthy Foods Card for members to spend at continue reading
July 30, 2020
Premium$0PCP$10Specialist$50Referrals RequiredNoInpatient Hospital$275 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$275Lab / X-Ray$0 - $30 / $0 - $50Urgent Care / ER$65 / $90MOOP In-network$5,400 Rx DeductibleN/ARx continue reading
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TMG University
