Premium$33PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$200 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$3/$12/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket 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$0PCP$5Specialist$40Referrals RequiredNoInpatient Hospital$225 (days 1-9) ; $0 (days 10-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$6/$9/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $45/Quarter for select health and wellness productsMarket continue reading
July 29, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$175 (days 1-8) ; $0 (days 9-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$6/$9/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $45/Quarter for select health and wellness productsMarket continue reading
July 29, 2020
Premium$0PCP$5Specialist$40Referrals RequiredNoInpatient Hospital$195 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$6/$15/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $75/Quarter for select health and wellness productsMarket continue reading
July 29, 2020
Premium$28PCP$5Specialist$40Referrals RequiredNoInpatient Hospital$225 (days 1-10) ; $0 (days 11-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$7/$12/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket continue reading
July 29, 2020
Dental $2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Healthy Foods Card $50 allowance per month for Healthy Foods Card for members continue reading
July 29, 2020
Premium$0PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$25 (days 1-5) ; $0 (days 6-90)MOOP In-network$3,400 Rx DeductibleN/ARx Preferred$0/$4/$47/$99/33%/$0Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $20/Month for select health and wellness products, continue reading
July 29, 2020
Premium $0 PCP $0 Specialist $30 Referrals Required No Inpatient Hospital $85 (days 1-10) ; $0 (days 11-90) MOOP In-network $3,700 Rx Deductible N/A Rx Preferred continue reading
July 29, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$85 (days 1-10) ; $0 (days 11-90)MOOP In-network$3,700 Rx Deductible​N/ARx Preferred$3/$12/$47/$99/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket continue reading
July 29, 2020
Dental$2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, denturesHealthy Foods Card$50 allowance per month for Healthy Foods Card for members to spend at 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 continue reading
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