Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
2021
August 4, 2020
Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
August 4, 2020
Premium $0 / Part B Rebate: $50 MOOP $5,000 PCP $0 Specialist $25 Referrals Required No Inpatient Hospital $295 (days 1-5) Ambulatory Surgery Center $0 or continue reading
August 4, 2020
Premium$46MOOP $3,900PCP$0Specialist$20Referrals RequiredNoInpatient Hospital$195 (days 1-5)Ambulatory Surgery Center$0 or $145Outpatient Hospital$0 or $195Lab Copay$0Rx Deductible$​0Rx Copays$2/$10/$47/$100/33%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 4, 2020
Premium $0 MOOP $5,900 PCP $0 Specialist $25 Referrals Required No Inpatient Hospital $295 (days 1-5) Ambulatory Surgery Center $0 or $200 Outpatient Hospital $0 or continue reading
August 4, 2020
Premium$0MOOP $4,900PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $200Outpatient Hospital$0 or $250Lab Copay$0Rx Deductible$55 tiers 4-5Rx Copays$2/$10/$47/$100/32%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium$0MOOP $5,000PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $245Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$55 tiers 4-5Rx Copays$2/$8/$47/$100/32%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium$48MOOP $4,900PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$225 (days 1-8)Ambulatory Surgery Center$0 or $175Outpatient Hospital$0 or $225Lab Copay$0Rx Deductible$​0Rx Copays$2/$10/$47/$100/33%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 4, 2020
Premium$0MOOP $5,900PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$350 (days 1-5)Ambulatory Surgery Center$0 or $245Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$55 tiers 4-5Rx Copays$2/$10/$47/$100/32%Key Extra BenefitsDental Level 1, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium$0MOOP $4,500PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $245Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$55 tiers 4-5Rx Copays$0/$3/$47/$100/32%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium $0 Key Extra Benefits Dental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, continue reading
August 4, 2020
Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
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