Premium$0MOOP$4,900 applies to in-network Medicare-covered benefitsPCP$0Specialist$20Inpatient Hospital$285 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center$0 - $225Lab$0RX Preferred Cost Share (one month)N/ARX Preferred Cost Share continue reading
2021
July 9, 2020
Premium $0 MOOP $6,700 applies to in-network Medicare-covered benefits PCP $0 Specialist $30 Inpatient Hospital $325 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center $0 continue reading
July 9, 2020
Premium $0 MOOP $6,500 applies to in-network Medicare-covered benefits ; $11,000 applies to in-network and out-of-network Medicarecovered benefits combined PCP $0 IN ; $50 OON Specialist continue reading
July 9, 2020
Premium $29 MOOP $4,900 applies to in-network Medicare-covered benefits PCP $0 Specialist $10 Inpatient Hospital $225 (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 PCP $0 Specialist $20 Inpatient Hospital $295 (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 PCP $0 Specialist $20 Inpatient Hospital $295 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center $0 continue reading
July 9, 2020
New plan for 2021Premium$0MOOP$5,500 applies to in-network Medicare-covered benefits ; $11,000 applies to in-network and out-of-network Medicarecovered benefits combinedPCP$0 IN ; $25 OONSpecialist$25 IN ; $55 continue reading
July 9, 2020
Premium $0 MOOP $4,900 applies to in-network Medicare-covered benefits PCP $0 Specialist $20 Inpatient Hospital $285 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center $0 continue reading
July 9, 2020
Premium $29 MOOP $3,900 applies to in-network Medicare-covered benefits PCP $0 Specialist $10 Inpatient Hospital $225 (days 1-5) ; $0 (days 6-90) ​ Ambulatory Surgery Center continue reading
July 8, 2020
Premium$0 or $25.60MOOP$6,700 applies to in-network Medicare-covered benefitsPCP$0Specialist$0Inpatient Hospital$0 or $195 (days 1-6) ; $0 (days 7-90) IN ; 35% OONAmbulatory Surgery Center$0 or 20%Urgent Care/ continue reading
July 8, 2020
Premium$0MOOP$4,900 applies to in-network Medicare-covered benefitsPCP$0Specialist$20Inpatient Hospital$295 (days 1-6) ; $0 (days 7-90) IN ; 35% OONAmbulatory Surgery Center$0 - $225/$275Urgent Care/ Emergency Room$​20/$90Lab/X-ray$0/$20Radiology$0-$195Rx Deductible$0​RX Preferred continue reading
July 8, 2020
Premium $0 MOOP $5,900 applies to in-network Medicare-covered benefits PCP $0 Specialist $0 Inpatient Hospital $295 (days 1-6) ; $0 (days 7-90) IN ; 35% OON continue reading
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