Premium $0 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $295 (days 1-6) ; $0 (days 7-90) Outpatient Surgery $245 / $295 Urgent Care / continue reading
2021
August 17, 2020
Premium$135PCP$0Specialist$0Referrals RequiredNoInpatient Hospital$0 per admissionOutpatient Surgery$300Urgent Care / ER$0 / $90Lab / X-Ray$0 / $0Radiology$0 - $275MOOP In-network$6,700 Rx Deductible$190 tiers 3-5Rx Preferred$4/$12/$47/$99/29%Key Extra Benefits$2000 Dental, continue reading
August 11, 2020
Premium $60 MOOP $3,100 IN ; $5,100 OON Inpatient Hospital Day 1 - $250 copay ; Days 2-6 - $125 copay Outpatient Surgery ​$100 IN ; continue reading
August 7, 2020
Premium $0 MOOP $6,700 Key Extra Benefits Unlimited trips, $100/mo OTC, telehealth, meal benefit, companion care, $20/mo fresh food card,$500 vision, $2000 hearing Market Service Area continue reading
August 7, 2020
Premium$60MOOP $3,100 IN ; $5,100 OONInpatient HospitalDay 1 - $250 copay ; Days 2-6 - $125 copayOutpatient Surgery$100 IN ; $175 OONPCP$0 IN ; $45 OONSpecialist$20 IN continue reading
August 7, 2020
Premium$0Deductibles (Medical and Rx)$0MOOP $5,000 IN ; N/A OONInpatient Hospital$225 copay days 1-6Outpatient Surgery$225 Lab$0X-ray$10Radiology$50-$175PCP$35 IN ; N/A OONSpecialist$20 copay; $0 copay for endocrinologist, podiatrist & cardiologist continue reading
August 7, 2020
Premium $0 MOOP $3,400 IN ; $5,100 OON PCP $0 IN ; $50 OON Specialist $30 IN ; $50 OON Referrals Required No Lab Copay $0 continue reading
August 7, 2020
Premium$0Inpatient Hospital$400 (days 1-4)Emergency Care$90Urgent Care$45PCP$15Telehealth (PCP & Urgent Care) BlueCare On Demand$5Specialist$45PT, OT, SP$40OP Surgery$0 or $325 (i.e. $0 for polyp removal during colorectal screening)Lab $15X-ray $15Diagnostic continue reading
August 7, 2020
Premium$0Inpatient Hospital$495 (days 1-4)Emergency Care$90Urgent Care$65PCP$15Specialist$50PT, OT, SP$40OP Surgery$0 or $395 (i.e. $0 for polyp removal during colorectal screening)Lab $10X-ray $10 - $20 (Office - OP Facility)Diagnostic Radiological continue reading
August 7, 2020
Premium$19Inpatient Hospital$450 (days 1-4)Emergency Care$90Urgent Care$45PCP$10Specialist$45PT, OT, SP$40OP Surgery$0 or $325 (i.e. $0 for polyp removal during colorectal screening)Lab $10X-ray $10Diagnostic Radiological Services (CT, MRI, etc. )$0-$150 ($0 continue reading
August 6, 2020
Premium $0 MOOP $6,700 PCP $0 Specialist $45 Referrals Required No Inpatient Hospital $395 (days 1-5) Ambulatory Surgery Center $0 or $295 Outpatient Hospital $0 or continue reading
August 6, 2020
Premium $0 Key Extra Benefits Dental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, Virtual continue reading
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