July 21, 2020
Star RatingNot AvailablePremium$35Part B GivebackNoPCP in-network$0Specialist in-network$50Inpatient Hospital$350 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$50- $295: SURMedical Deductible​N/AMOOP in-network$7,550 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star Rating Not Available Premium $32 Part B Giveback No PCP in-network $5 Specialist in-network $40 Inpatient Hospital $298 (days 1-7) ; $0 (days 8-90) Outpatient continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $295: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $295: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$45Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $225: SURMedical Deductible​$0MOOP in-network$6,900 Rx Deductible$250Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$45Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$45- $295: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$250Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$20Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$400 (days 1-4) ; $0 (days 5-90)Outpatient Hospital Services$40- $300: SURMedical Deductible​$0MOOP in-network$7,550 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingNot AvailablePremium$32Part B GivebackNoPCP in-network$5Specialist in-network$40Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$40- $275: SURMedical Deductible​$0MOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred continue reading
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