Premium$0Key Extra BenefitsDental Level 5, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
2021
August 6, 2020
Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
August 6, 2020
Premium$0 ; Part B Rebate: $50MOOP $3,200PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5)Ambulatory Surgery Center$0 or $110Outpatient Hospital$0 or $160Lab Copay$0Rx DeductibleNot coveredRx CopaysNot coveredKey Extra BenefitsDental Level 4, continue reading
August 6, 2020
Premium $0 ; Part B Rebate: $50 MOOP $3,200 PCP $0 Specialist $25 Referrals Required No Inpatient Hospital $175 (days 1-5) Ambulatory Surgery Center $0 or continue reading
August 6, 2020
Premium$33MOOP $3,200PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5)Ambulatory Surgery Center$0 or $110Outpatient Hospital$0 or $160Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$33MOOP $3,200PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5)Ambulatory Surgery Center$0 or $110Outpatient Hospital$0 or $160Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $3,700PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $175Outpatient Hospital$0 or $225Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $3,700PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $175Outpatient Hospital$0 or $225Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$43MOOP $4,900PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $225Outpatient Hospital$0 or $275Lab Copay$0Rx Deductible$0Rx Copays$2/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $5,900PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$325 (days 1-5)Ambulatory Surgery Center$0 or $245Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$0Rx Copays$2/$8/$45/$95/33% Key Extra BenefitsDental Level 2, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $5,900PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $200Outpatient Hospital$0 or $250Lab Copay$0Rx Deductible$0Rx Copays$0/$5/$47/$100/33% (preferred)Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, Routine continue reading
August 6, 2020
Premium$38MOOP $4,900PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $175Outpatient Hospital$0 or $225Lab Copay$0Rx Deductible$0Rx Copays$3/$12/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
Page [tcb_pagination_current_page] of [tcb_pagination_total_pages]
TMG University
