Premium$0 with $50 Part B GivebackPCP$20Specialist$50Referrals RequiredNoInpatient Hospital$240 (days 1-6) ; $0 (days 7-90)Outpatient Surgery $145 / $195Lab / X-Ray$0 / $150-$45Urgent Care / ER$20 / $90Radiology$180 continue reading
North Carolina 2021 MAPD
July 30, 2020
Premium$85PCP$20Specialist$50Referrals RequiredNoInpatient Hospital$345 (days 1-5) ; $0 (days 6-90)MOOP In-network/Out-network$7,550 Rx Deductible$160 tiers 3-5Rx Preferred$5/$15/$47/$99/30%Key Extra BenefitsDental, Hearing, Fitness, OTC $75/Quarter for select health and wellness continue reading
July 30, 2020
Premium$78PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$360 (days 1-5) ; $0 (days 6-90)MOOP In-network$7,550 Rx Deductible$360 tiers 4-5Rx Preferred$5/$15/$47/$99/26%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
July 30, 2020
Premium$70PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)MOOP In-network$6,700 Rx Deductible$265 tiers 4-5Rx Preferred$4/$12/$47/$100/28%Key Extra BenefitsHearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket continue reading
July 30, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$345 (days 1-4) ; $0 (days 5-90)Outpatient Surgery$295 / $345Urgent Care / ER$20 / $90Lab / X-Ray$0 / $0 - $20Radiology$180 - $275MOOP In-network$4,350 continue reading
July 30, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$345 (days 1-4) ; $0 (days 5-90)Outpatient Surgery$295 / $345Urgent Care / ER$20 / $90Lab / X-Ray$0 / $0 - $20Radiology$180 - $275MOOP In-network$4,400 continue reading
July 24, 2020
Plan HighlightsOur broadest brand coverage with predictable costs. Never a deductible.Monthly Plan Premium$61.90Deductible$0Preferred mail order (T1-T4 90 day fills)$0 Tier 1-2, save more than $20 on continue reading
July 24, 2020
Plan HighlightsBelow benchmark* and solid brand and generic coverageMonthly Plan Premium$25.30Deductible$330 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 22, 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 22, 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 22, 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
Page [tcb_pagination_current_page] of [tcb_pagination_total_pages]
TMG University
