Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible $0 MOOP $3,000 Inpatient Hospital - Acute ​$0 copay up to continue reading
2021
July 20, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible $0 MOOP $3,000 Inpatient Hospital - Acute $0 copay up to continue reading
July 20, 2020
Premium Part B Giveback $30 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $7,550 Inpatient Hospital - Acute $​350 (days 1-5) ; continue reading
July 20, 2020
Premium Part B Giveback $70 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $6,700 Inpatient Hospital - Acute $400 (days 1-4) ; continue reading
July 20, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $7,550 Inpatient Hospital - Acute $300 (days 1-6) ; continue reading
July 20, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $6,700 Inpatient Hospital - Acute $288 (days 1-7) ; continue reading
July 20, 2020
Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $45 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $5,100 IN/OON Inpatient Hospital - Acute continue reading
July 20, 2020
Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $90 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $2,500 IN/OON Inpatient Hospital - Acute continue reading
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $3,450 Inpatient Hospital - Acute $372 (days 1-6) ; continue reading
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $5,900 Inpatient Hospital - Acute $270 (days 1-8) ; continue reading
July 17, 2020
Premium Part B Giveback $55 IN/OON Total Premium (Part C Part D) $0 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $7,350 IN/OON Inpatient Hospital - Acute continue reading
July 17, 2020
Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $0 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $5,500 IN/OON Inpatient Hospital - Acute continue reading
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