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
2021
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 $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 9, 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 9, 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 9, 2020
Premium$0MOOP$6,900 applies to in-network Medicare-covered benefits ; $11,000 applies to in-network and out-of-network Medicare-covered benefits combinedPCP$5 IN ; $40 OONSpecialist$40 IN ; $55 OONInpatient Hospital$315 (days continue reading
July 9, 2020
Premium$0MOOP$6,200 applies to in-network Medicare-covered benefitsPCP$0Specialist$30Inpatient Hospital$295 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center$0 - $250Lab$0 RX Preferred Cost Share (one month)Tier 1: $0 continue reading
July 9, 2020
Premium$0MOOP$6,900 applies to in-network Medicare-covered benefits ; $11,000 applies to in-network and out-of-network Medicarecovered benefits combinedPCP$5 IN ; $40 OONSpecialist$35 IN ; $55 OONInpatient Hospital$295 (days continue reading
July 9, 2020
Premium $0 MOOP $6,200 applies to in-network Medicare-covered benefits PCP $0 Specialist $30 Inpatient Hospital $275 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center $0 continue reading
July 9, 2020
Premium $24.50 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $325 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center $0 continue reading
July 9, 2020
Premium $25 MOOP $5,200 applies to in-network Medicare-covered benefits ; N/A OON PCP $0 IN ; 30% OON Specialist $20 IN ; 30% OON Inpatient Hospital continue reading
July 9, 2020
Premium $20 MOOP $6,900 applies to in-network Medicare-covered benefits PCP $5 Specialist $40 Inpatient Hospital $360 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
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TMG University
