July 22, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$0Specialist in-network$25Inpatient Hospital$325 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$25- $325: SURMedical Deductible$0MOOP in-network$5,500 Rx Deductible​$0Prescription drug coverage (at preferred continue reading
July 22, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$30Inpatient Hospital$300 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$30- $245: SURMedical Deductible$0MOOP in-network$6,500 Rx DeductibleN/APrescription drug coverage (at preferred pharmacies)Tier continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingNoPCP$0Specialist in-network$0MOOP in-network$7,550 Rx Deductible$220Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $5Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingNoPCP$0Specialist in-network$0MOOP in-network$7,550 Rx Deductible$220Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $5Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingNoPCP20%Specialist in-network20%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 SharingNoPCP20%Specialist in-network20%MOOP in-network$7,550 Rx Deductible$220Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $5Tier 1: continue reading
July 22, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingNoPCP20%Specialist in-network20%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$0Part B GivebackNoPCP in-network$5Specialist in-network$45Inpatient Hospital$295 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $225: SURMedical Deductible$0MOOP 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$295 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $225: SURMedical Deductible$0MOOP 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$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 Deductible​N/APrescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingNot AvailablePremium$49Part B GivebackNoPCP in-network$5Specialist in-network$45Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $225: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
Page [tcb_pagination_current_page] of [tcb_pagination_total_pages]
