Premium Part B Giveback$0Total Premium (Part C Part D)$0In-Network Plan Deductible$0MOOP$3,450 Inpatient Hospital - Acute​$0 copay up to 90 days per admissionPCP Office Visits$0Specialist Office Visits$0OTC continue reading
2021
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$12In-Network Plan DeductibleN/AMOOP$3,450 Inpatient Hospital - Acute$250 (days 1-7) ; $0 (days 8-90)PCP Office Visits$0Specialist Office Visits$25OTC Items$125 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$90In-Network Plan DeductibleN/AMOOP$2,500 IN/OONInpatient Hospital - Acute$200 (days 1-5) ; $0 (days 6-90) IN/OONPCP Office Visits$0 IN/OONSpecialist Office continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$30In-Network Plan DeductibleN/AMOOP$6,000 IN/OONInpatient Hospital - Acute$275 (days 1-7) ; $0 (days 8-90) IN/OONPCP Office Visits$5 IN/OONSpecialist Office 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$375 (days 1-7) ; $0 (days 8-90)PCP Office Visits$10Specialist Office Visits$45OTC Items$105 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$350 (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 $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $5,900 Inpatient Hospital - Acute $372 (days 1-5) ; continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$3,000 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)$0 In-Network Plan DeductibleN/AMOOP$3,000 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)$0 In-Network Plan DeductibleN/AMOOP$3,450 Inpatient Hospital - Acute$325 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0 Specialist Office Visits$0OTC Items$150 continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$3,450 Inpatient Hospital - Acute$325 (days 1-5) ; $0 (days 6-90)PCP Office Visits$0 Specialist Office Visits$0OTC Items$150 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 IN/OON Inpatient Hospital - Acute $300 (days 1-5) continue reading
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TMG University
