Premium $23.10 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $​395 per stay Ambulatory Surgery Center $0 - $110 Lab $0 continue reading
2021
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 $30 Inpatient Hospital $270 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $79 MOOP $4,800 applies to in-network Medicare-covered benefits PCP $0 Specialist $25 Inpatient Hospital ​$400 per stay Ambulatory Surgery Center $0​ Lab $0 RX Preferred 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 $27.80 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $300 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 10, 2020
Premium $23.10 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $395 per stay Ambulatory Surgery Center $0 - $110 Lab $0 continue reading
July 10, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $40 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 $27.30 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital ​$500 per stay Ambulatory Surgery Center $0 - $110 Lab $0 continue reading
July 9, 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 9, 2020
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
Page [tcb_pagination_current_page] of [tcb_pagination_total_pages]