Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $6,400 Inpatient Hospital - Acute $300 (days 1-6) ; continue reading
2021
July 17, 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 $300 (days 1-6) ; continue reading
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $16.70 In-Network Plan Deductible N/A MOOP $6,700 Inpatient Hospital - Acute $225 (days 1-6) ; 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 $5,550 IN/OON Inpatient Hospital - Acute continue reading
July 17, 2020
Premium$0Part B Giveback$75Total Premium (Part C Part D)$0 IN/OONIn-Network Plan Deductible$200 IN/OONMOOP$7,550 IN/OONInpatient Hospital - Acute$325 (days 1-6) ; $0 (days 7-90) IN; 20% of the 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 $5,550 IN/OON Inpatient Hospital - Acute continue reading
July 17, 2020
Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $20.90 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $6,000 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 $0 MOOP $3,450 Inpatient Hospital - Acute ​$0 copay up to 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 $0 IN/OON MOOP $3,450 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 $5,500 Inpatient Hospital - Acute $350 (days 1-5) ; continue reading
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $5,500 Inpatient Hospital - Acute $350 (days 1-5 ) continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$5,500 Inpatient Hospital - Acute$275 (days 1-6) ; $0 (days 7-90)PCP Office Visits$0Specialist Office Visits$30OTC Items$160 continue reading
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