July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $275: SURMedical Deductible​N/AMOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$5Specialist in-network$45Inpatient Hospital$375 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$45- $275: SURMedical Deductible​$0MOOP in-network$7,000 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $295: SURMedical Deductible​N/AMOOP in-network$6,900 Rx Deductible​$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingNot AvailablePremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$308 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $275: SURMedical Deductible$0MOOP in-network$6,900 Rx DeductibleN/APrescription drug coverage (at preferred continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$250 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $195: SURMedical Deductible$0MOOP in-network$6,400 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$245 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $195: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$250 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $195: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$45Inpatient Hospital$250 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $225: SURMedical Deductible$0MOOP in-network$6,900 Rx Deductible$200Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$5Specialist in-network$35Inpatient Hospital$250 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$35- $195: SURMedical Deductible$0MOOP in-network$6,400 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$298 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $295: SURMedical DeductibleN/AMOOP in-network$6,900 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 21, 2020
Star Rating Premium $0 Part B Giveback No PCP in-network $5 Specialist in-network $35 Inpatient Hospital $250 (days 1-7) ; $0 (days 8-90) Outpatient Hospital Services continue reading
July 20, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0 Specialist in-network$45Inpatient Hospital$308 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$45- $195: SURMedical Deductible$0MOOP in-network$6,400 Rx DeductibleN/APrescription drug coverage (at preferred pharmacies)Tier continue reading
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