Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
2021
July 29, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 29, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 29, 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
July 29, 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 29, 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 29, 2020
Dental $2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Vision $40 credit for annual eye exam and $300 credit every year for continue reading
July 29, 2020
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
July 29, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$195 (days 1-6) ; $0 (days 7-90)MOOP In-network$6,700 Rx Deductible​N/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $30/Quarter for select health and wellness products, continue reading
July 29, 2020
Premium$43PCP$10Specialist$45Referrals RequiredNoInpatient Hospital$275 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx Deductible$320 tiers 4-5Rx Preferred$5/$15/$47/$99/27%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $45/Quarter for select health and continue reading
July 29, 2020
Premium$16PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$7,550 Rx Deductible$400 tiers 4-5Rx Preferred$5/$15/$47/$99/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $45/Quarter for select health and continue reading
July 29, 2020
Premium$0PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$295 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx Deductible​$300 tiers 4-5Rx Preferred$1/$8/$42/$90/27%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and continue reading
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