Premium$0 / Part B Rebate: $50MOOP $6,700PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$430 (days 1-4)Ambulatory Surgery Center$0 or $295Outpatient Hospital$0 or $395Lab Copay$0X-ray $14Urgent Care / ER$30 / $90Radiology Services$110Rx Deductible$435 tiers continue reading
2021
August 6, 2020
Premium$27MOOP $3,600PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0X-Ray$14Urgent Care / ER$30 / $90Radiology Services$110Rx Deductible$50 tiers 4-5Rx Copays$2/$8/$47/$100/32%Key Extra BenefitsDental Level continue reading
August 6, 2020
Premium$0 / Part B Rebate: $50MOOP $6,700PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$430 (days 1-4)Ambulatory Surgery Center$0 or $295Outpatient Hospital$0 or $395Lab Copay$0Urgent Care/ ER$30 / $90X-Ray$14Radiology Services$110Rx Deductible$435 tiers 3-5Rx continue reading
August 6, 2020
Premium$0MOOP $4,500PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$325 (days 1-5)Ambulatory Surgery Center$0 or $225Outpatient Hospital$0 or $325Lab Copay$0X-ray$14Radiology Services$110Rx Deductible$95 tiers 3-5Rx Copays$2/$8/$47/$100/31%Key Extra BenefitsDental Level 4 ($1,000), Routine Eye Exam continue reading
August 5, 2020
Premium$0Key Extra Benefits$3500 dental, $300 vision, $300/qtr OTC, $50/mo fresh food card, hearing aids, Fitness benefits, 48 trips, PERS, meal benefit, virtual doctor visits including mental continue reading
August 5, 2020
Premium$0Key Extra Benefits$2500 dental, $300 vision, $275 /qtr OTC, $55 fresh food card, hearing aids, Fitness benefits, virtual doctor visits, 48 trips, PERS, meal benefit, Virtual continue reading
August 5, 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 5, 2020
Premium $0 / Part B Rebate: $50 MOOP $6,700 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $275 (days 1-6) Ambulatory Surgery Center $0 or continue reading
August 5, 2020
Premium $20 MOOP $6,700 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $275 (days 1-6) Ambulatory Surgery Center $0 or $275 Outpatient Hospital $0 or continue reading
August 5, 2020
Premium $0 MOOP $6,700 PCP $10 Specialist $40 Referrals Required No Inpatient Hospital $325 (days 1-5) Ambulatory Surgery Center $0 or $295 Outpatient Hospital $0 or continue reading
August 5, 2020
Premium $40 MOOP $6,700 PCP $5 Specialist $35 Referrals Required No Inpatient Hospital $275 (days 1-6) Ambulatory Surgery Center $0 or $275 Outpatient Hospital $0 or continue reading
August 5, 2020
Premium $0 MOOP $6,400 PCP $0 Specialist $30 Referrals Required No Inpatient Hospital $295 (days 1-5) Ambulatory Surgery Center $0 or $295 Outpatient Hospital $0 or continue reading
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TMG University
