July 31, 2020
Premium​$69PCP$20Specialist$45Referrals RequiredNoInpatient Hospital$325 per day (Days 1-5); $0 per day (Days 6-90)MOOP In-network$6,700Rx Deductible$00 tiers 2-5Rx Preferred$7/$17/$47/$95/25%Key Extra BenefitsVision, Fitness, OTC $30/Quarter for select health and continue reading
July 31, 2020
Premium$62PCP$5Specialist$45Referrals RequiredNoInpatient Hospital$285 (days 1-6) ; $0 (days 7-90)MOOP In-network$6,700 Rx Deductible$150 tiers 3-5Rx Preferred$5/$15/$47/$97/30%Key Extra BenefitsVision, Fitness, OTC $25/Quarter for select health and wellness productsMarket continue reading
July 31, 2020
Premium$0PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$275 (days 1-6) ; $0 (days 7-90)MOOP In-network$5,900 Rx DeductibleN/ARx Preferred$3/$10/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $150/Quarter for select health and wellness productsMarket continue reading
July 31, 2020
Premium $57 PCP $15 Specialist $40 Referrals Required No Inpatient Hospital $250 (days 1-7) ; $0 (days 8-90) MOOP In-network $6,700 Rx Deductible $150 tiers 3-5 continue reading
July 31, 2020
Premium$106PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$0 per admissionMOOP In-network$3,900 Rx DeductibleN/ARx Preferred$1/$10/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $200/Quarter for select health and wellness products, the unused monthly allowance continue reading
July 31, 2020
Premium$32PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5) ; $0 (days 6-90)MOOP In-network$4,900 Rx DeductibleN/ARx Preferred$3/$10/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $150/Quarter for select health and wellness productsMarket continue reading
July 31, 2020
Premium $0 PCP $0 Specialist $25 Referrals Required No Inpatient Hospital $275 (days 1-6) ; $0 (days 7-90) MOOP In-network $5,900 Rx Deductible N/A Rx Preferred continue reading
July 31, 2020
Premium $0 PCP $0 Specialist $30 Referrals Required No Inpatient Hospital $250 (days 1-5) ; $0 (days 6-90) MOOP In-network $4,900 Rx Deductible N/A Rx Preferred continue reading
July 31, 2020
PremiumPCPSpecialistReferrals RequiredInpatient HospitalMOOP In-networkRx DeductibleRx PreferredKey Extra BenefitsMarket Service Area continue reading
July 31, 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 31, 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 31, 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
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