July 23, 2020
Star RatingPremium$21Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$400 (days 1-3) ; $0 (days 4-90)Outpatient Hospital Services$40- $225: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$270 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$7,000 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$245 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$145 (days 1-10) ; $0 (days 11-90)Outpatient Hospital Services$35- $175: SURMedical Deductible$0MOOP in-network$5,900 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$245 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$7,550 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 22, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$245 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $225: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible​$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 22, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$45Inpatient Hospital$308 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $195: SURMedical Deductible$0MOOP in-network$6,900 Rx DeductibleN/APrescription drug coverage (at preferred pharmacies)Tier continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$130Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $0Tier 1: continue reading
July 22, 2020
Star RatingPremium$21Part B GivebackNoPCP in-network$0Specialist in-network$35Inpatient Hospital$390 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $225: SURMedical Deductible$0MOOP in-network$6,500 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
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