Dental$3000 annually; $0 copayments cover: exams, x-rays, cleanings, fluoride treatment,extractions, fillings, crowns, dentures, denture adjustments, denture realign, deep cleaning, recementation, emergency treatment for pain, oral surgery, continue reading
2021
July 31, 2020
Premium$28.20PCP$20Specialist20%Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)MOOP In-network$6,700 Rx Deductible$225 tiers 2-5Rx Preferred$8/$15/$47/$100/29%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Month for select health and continue reading
July 31, 2020
Premium $0 PCP $10 Specialist $30 Referrals Required No Inpatient Hospital $550 per admission MOOP In-network $3,400 Rx Deductible N/A Rx Preferred N/A Key Extra Benefits continue reading
July 31, 2020
Premium $0 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $0 per admission MOOP In-network $5,900 Rx Deductible N/A Rx Preferred N/A Key Extra Benefits continue reading
July 31, 2020
Premium$70PCP$20Specialist$40Referrals RequiredNoInpatient Hospital$295 (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 $20/Month for select health and wellness productsMarket continue reading
July 31, 2020
Premium$108PCP$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$40PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$250 (days 1-5) ; $0 (days 6-90)MOOP In-network$5,900 Rx DeductibleN/ARx Preferred$1/$10/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and wellness productsMarket continue reading
July 31, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$5,900 Rx DeductibleN/ARx Preferred$1/$17/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket continue reading
July 31, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 31, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 31, 2020
Premium$43PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$390 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$250 tiers 3-5Rx Preferred$5/$12/$47/$100/28%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
July 31, 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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