August 3, 2020
Premium$15PCP20%Specialist20%Referrals RequiredNoInpatient Hospital$490 (days 1-4) ; $0 (days 5-90)MOOP In-network$7,550Rx Deductible$415 tiers 3-5Rx Preferred$0/$15/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $300/Quarter for select health and wellness continue reading
August 3, 2020
Premium$0PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$250 (days 1-6) ; $0 (days 7-90)MOOP In-network$3,450Rx Deductible​N/ARx Preferred$0/$8/$45/$95/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and wellness products, Transportation continue reading
August 3, 2020
Premium$37PCP$10Specialist$45Referrals RequiredNoInpatient Hospital$345 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700Rx Deductible$215 tiers 4-5Rx Preferred$2/$8/$45/$95/29%Key Extra BenefitsHearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket Service continue reading
August 3, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$4,900 Rx Deductible$215 tiers 4-5Rx Preferred$2/$8/$45/$95/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and continue reading
August 3, 2020
Premium$63PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$345 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$215 tiers 4-5Rx Preferred$4/$12/$47/$100/29%Key Extra BenefitsHearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket continue reading
August 3, 2020
Premium$49PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$6,700 Rx Deductible$265 tiers 4-5Rx Preferred$4/$12/$47/$100/28%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
August 3, 2020
Premium$0PCP$10Specialist$50Referrals RequiredNoInpatient Hospital$275 (days 1-6) ; $0 (days 7-90)MOOP In-network$5,400 Rx Deductible​N/ARx Preferred​N/AKey Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket Service continue reading
August 3, 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
August 3, 2020
Premium$22PCP20%Specialist20%Referrals RequiredNoInpatient Hospital$490 (days 1-4) ; $0 (days 5-90)MOOP In-network$7,550 Rx Deductible$445 tiers 3-5Rx Preferred$0/$15/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and continue reading
August 3, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$345 (days 1-4) ; $0 (days 5-90)MOOP In-network$5,900 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsVision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket Service continue reading
August 3, 2020
Premium$0PCP$10Specialist$35Referrals RequiredNoInpatient Hospital$500 per admissionMOOP In-network$3,400 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $75/Quarter for select health and wellness productsMarket Service AreaAccomack, Alexandria City, continue reading
August 3, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
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