Premium $0 MOOP $5,900 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $295 (days 1-5) Ambulatory Surgery Center $0 or $225 Outpatient Hospital $0 or continue reading
2021
August 6, 2020
Premium$0MOOP $5,900PCP$0Specialist$45Referrals 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$0Key Extra BenefitsDental Level 3, Routine Eye Exam, Eyewear Credit, OTC Catalog, Routine Hearing Exam, Hearing Aids, Virtual Medical Visits, Virtual Mental Health Visits, Nurseline, Transportation, continue reading
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 Reabte: $30MOOP $6,700PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$395 (days 1-4)Ambulatory Surgery Center$0 or $335Outpatient Hospital$0 or $335Lab Copay$0Rx Deductible​Not coveredRx CopaysNot coveredKey Extra BenefitsDental Level 2, continue reading
August 6, 2020
Premium$0 ; Part B Rebate: $30MOOP $4,500PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-6)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible​Not CoveredRx CopaysNot CoveredKey Extra BenefitsDental Level 4, continue reading
August 6, 2020
Premium$49MOOP $6,700PCP$5Specialist$45Referrals RequiredNoInpatient Hospital$395 (days 1-4)Ambulatory Surgery Center$0 or $395Outpatient Hospital$0 or $395Lab Copay$0Rx Deductible$295 tiers 3-5Rx Copays$4/$14/$47/$100/27% Key Extra BenefitsRoutine Eye Exam, Routine Hearing Exam, Hearing Aids, continue reading
August 6, 2020
Premium$19MOOP $6,700PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$335 (days 1-5)Ambulatory Surgery Center$0 or $335Outpatient Hospital$0 or $335Lab Copay$0Rx Deductible$210 tiers 4-5Rx Copays$4/$12/$47/$100/29% Key Extra BenefitsDental Level 3, Routine Eye Exam, Eyewear Credit, continue reading
August 6, 2020
Premium$0 for Full DualsMOOP $0 for Full DualsPCP$0 for Full DualsSpecialist$0 for Full DualsReferrals RequiredNoInpatient Hospital$0 for Full DualsAmbulatory Surgery Center$0 for Full DualsOutpatient Hospital$0 for Full continue reading
August 6, 2020
Premium $0 ; Part B Rebate: $30 MOOP $6,700 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $350 (days 1-5) Ambulatory Surgery Center $0 or continue reading
August 6, 2020
Premium$24MOOP $4,500PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-6)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$0Rx Copays$2/$8/$47/$100/33%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $5,900PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$325 (days 1-6)Ambulatory Surgery Center$0 or $225Outpatient Hospital$0 or $325Lab Copay$0Rx Deductible$​0Rx Copays$3/$12/$47/$100/33%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
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TMG University
