Premium Part B Giveback$50Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$6,700 Inpatient Hospital - Acute$375 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0 Specialist Office Visits$50OTC Items$75 continue reading
2021
July 17, 2020
Premium Part B Giveback$40Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$4,500 Inpatient Hospital - Acute$350 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0 Specialist Office Visits$35OTC Items$115 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0In-Network Plan DeductibleN/AMOOP$5,500 IN/OONInpatient Hospital - Acute$295 (days 1-5) ; $0 (days 6-90) IN ; 35% of the continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$3,400 Inpatient Hospital - Acute$0 copay up to 90 days per admissionPCP Office Visits$0 Specialist Office Visits$0OTC continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$15.20In-Network Plan DeductibleN/AMOOP$4,900 Inpatient Hospital - Acute$275 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0Specialist Office Visits$25OTC Items$200 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$4,900 Inpatient Hospital - Acute$300 (days 1-6) ; $0 (days 7-90)PCP Office Visits$0Specialist Office Visits$30OTC Items$180 continue reading
July 17, 2020
Premium Part B Giveback$50Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$6,700 Inpatient Hospital - Acute$375 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0Specialist Office Visits$50OTC Items$75 continue reading
July 17, 2020
Premium Part B Giveback$40Total Premium (Part C Part D)$0In-Network Plan DeductibleN/AMOOP$6,700 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$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$5,900 Inpatient Hospital - Acute$372 (days 1-5) ; $0 (days 6-90)PCP Office Visits$5Specialist Office Visits$45OTC Items$60 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0In-Network Plan DeductibleN/AMOOP$7,550 Inpatient Hospital - Acute$360 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0Specialist Office Visits$40OTC Items$75 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$3,400 Inpatient Hospital - Acute$275 (days 1-8) ; $0 (days 9-90)PCP Office Visits$0Specialist Office Visits$35OTC Items$125 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$20.40In-Network Plan DeductibleMedicare Defined Part B Deductible amountMOOP$3,000 Inpatient Hospital - Acute​$2,524 Copay per stayPCP Office Visits20%Specialist Office continue reading
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