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
South Carolina 2021 MAPD
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
July 31, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 31, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
July 31, 2020
Premium$43PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$390 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$250 tiers 3-5Rx Preferred$5/$12/$47/$100/28%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
July 31, 2020
Premium ​ PCP ​ Specialist ​ Referrals Required ​ Inpatient Hospital ​ MOOP In-network ​ Rx Deductible ​ Rx Preferred ​ Key Extra Benefits ​ Market continue reading
Page [tcb_pagination_current_page] of [tcb_pagination_total_pages]
TMG University
