July 30, 2020
Premium$0PCP$5Specialist$35Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $25/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)Outpatient Surgery$400 / $450Urgent Care / ER$35 / $90Lab / X-Ray$0 / $0 - $35Radiology$100 - $200MOOP In-network$5,900 continue reading
July 30, 2020
Dental$2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, denturesHealthy Foods Card$75 allowance per month for Healthy Foods Card for members to spend at continue reading
July 30, 2020
Premium $0 with a $50 Part B Giveback PCP $20 Specialist $50 Referrals Required No Inpatient Hospital $450 (days 1-4) ; $0 (days 5-90) Outpatient Surgery continue reading
July 30, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$245 / $295Lab / X-Ray$0 / $0-$30Radiology$100 / $120Urgent Care / ER$0 / $90MOOP In-network$4,200 Rx DeductibleN/ARx continue reading
July 30, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$245 / $295Lab / X-Ray$0 / $0 - $30Radiology$100 - $200Urgent Care / ER$0 / $90MOOP In-network$4,200 continue reading
July 30, 2020
Dental$2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, denturesHealthy Foods Card$75 allowance per month for Healthy Foods Card for members to spend at continue reading
July 30, 2020
Premium$49PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$325 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$275 / $325Lab / X-Ray$0 / $0 - $50Radiology$180 - $275Urgent Care / ER$35 / $90MOOP In-network$6,700 continue reading
July 30, 2020
Premium$0 with a $50 Part B GivebackPCP$20Specialist$50Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)Outpatient Surgery$450Urgent Care / ER$65 / $90Lab / X-Ray$0 / $0 - continue reading
July 30, 2020
Premium$0PCP$35Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$245 / $295Urgent Care / ER$0 / $90Lab / X-Ray$0 / $0 - $25Radiology$45 - $275MOOP In-network$3,900 continue reading
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