Premium​PCP​Specialist​Referrals Required​Inpatient Hospital​MOOP In-network​Rx Deductible​Rx Preferred​Key Extra Benefits​Market Service Area​ continue reading
2021
July 27, 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 27, 2020
Pairs Well With:PremiumRx DeductiblePreferred Retail 30-day SupplyStandard Retail 30-day SupplyPreferred Mail 90-day SupplyMarket Service Area continue reading
July 27, 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 27, 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 27, 2020
Premium$28.20PCP$20Specialist20%Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)MOOP In-network$6,700 Rx Deductible$360 tiers 2-5Rx Preferred$4/$15/$47/$100/26%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $275/Quarter for select health and continue reading
July 27, 2020
Premium$44PCP$10Specialist$40Referrals RequiredNoInpatient Hospital$260 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx Deductible$150 tiers 4-5Rx Preferred$5/$15/$47/$97/30%Key Extra BenefitsDental, Vision, Fitness, OTC $75/Quarter for select health and wellness continue reading
July 27, 2020
Premium$21PCP$5Specialist$40Referrals RequiredNoInpatient Hospital$275 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx Deductible$150 tiers 4-5Rx Preferred$5/$15/$47/$97/30%Key Extra BenefitsDental, Vision, Fitness, OTC $30/Quarter for select health and wellness continue reading
July 27, 2020
Premium$0PCP$10Specialist$35Referrals RequiredNoInpatient Hospital$260 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx Deductible$150 tiers 4-5Rx Preferred$5/$15/$47/$97/30%Key Extra BenefitsDental, Vision, Fitness, OTC $75/Quarter for select health and wellness continue reading
July 27, 2020
Premium$0PCP$5Specialist$35Referrals RequiredNoInpatient Hospital$250 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$5/$15/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness productsMarket continue reading
July 27, 2020
Premium$27PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$290 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx Preferred$7/$17/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $75/Quarter for select health and wellness productsMarket continue reading
July 27, 2020
Premium$0PCP$0Specialist$25Referrals Required​NoInpatient Hospital$225 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,300 Rx Deductible​N/ARx Preferred$5/$15/$47/$97/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $40/Month for select health and wellness productsMarket continue reading
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TMG University
