Premium $55 MOOP $6,700 applies to in-network Medicare-covered benefits ; N/A OON PCP $0 IN ; 30% OON Specialist $30 IN ; 30% OON Inpatient Hospital continue reading
2021
July 10, 2020
Premium $0 MOOP $6,300 applies to in-network Medicare-covered benefits ; $10,000 applies to in-network and out-of-network Medicare-covered benefits combined PCP $0 IN ; $40 OON Specialist continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits​ PCP $0 Specialist $5 Inpatient Hospital $325 (days 1-5) ; $0 (days 6-90) IN ; 30% OON continue reading
July 10, 2020
Premium $0 MOOP $5,900 applies to in-network Medicare-covered benefits ; $10,000 applies to in-network and out-of-network Medicare-covered benefits combined PCP $5 IN ; $40 OON Specialist continue reading
July 10, 2020
Premium $24.50 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $195 (days 1-10) ; $0 (days 11-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $0 MOOP $5,900 applies to in-network Medicare-covered benefits ; $10,000 applies to in-network and out-of-network Medicare-covered benefits combined PCP $0 IN ; $40 OON Specialist continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $5 Inpatient Hospital $325 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $5 Inpatient Hospital $325 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $0 MOOP $5,900 applies to in-network Medicare-covered benefits ; $10,000 applies to in-network and out-of-network Medicare-covered benefits combined PCP $5 IN ; $40 OON Specialist continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $30 Inpatient Hospital $300 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $0 MOOP $5,900 applies to in-network Medicare-covered benefits ; $10,000 applies to in-network and out-of-network Medicare-covered benefits combined PCP $0 IN ; $40 OON Specialist continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $5 Inpatient Hospital $325 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
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