Pairs Well With: Premium Rx Deductible Preferred Retail 30-day Supply Standard Retail 30-day Supply Preferred Mail 90-day Supply Market Service Area continue reading
South Carolina 2021 MAPD
July 31, 2020
Pairs Well With: Premium Rx Deductible Preferred Retail 30-day Supply Standard Retail 30-day Supply Preferred Mail 90-day Supply Market Service Area continue reading
July 30, 2020
Dental$4000 annually; $0 copayments cover: exams, x-rays, cleanings, extractions, fillings, crowns, dentures, denture adjustments, denture realign, deep cleaning, recementation, emergency treatment for pain, oral surgery, periodontal continue reading
July 30, 2020
Premium$55PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$390 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$295 tiers 3-5Rx Preferred$7/$17/$47/$100/27%Key Extra BenefitsHearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket continue reading
July 30, 2020
Premium$28PCP$5Specialist$45Referrals RequiredNoInpatient Hospital$390 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible​$245 tiers 3-5Rx Preferred$4/$12/$47/$100/28%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $25/Quarter for select health and continue reading
July 30, 2020
Premium$0PCP$10Specialist$45Referrals RequiredNoInpatient Hospital$245 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $225/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$20Specialist$50Referrals RequiredNoInpatient Hospital$245 (days 1-6) ; $0 (days 7-90)MOOP In-network$6,700 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $30/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$25.30PCP$0Specialist$15Referrals RequiredNoInpatient Hospital$325 (days 1-6) ; $0 (days 7-90)MOOP In-network$7,550 Rx Deductible$445 tiers 2-5Rx Preferred$0/$20/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $125/Quarter for select health and continue reading
July 30, 2020
Premium$4.10PCP20%Specialist20%Referrals RequiredNoInpatient Hospital$2019 per admissionMOOP In-network$7,550 Rx Deductible$445 tiers 2-5Rx Preferred$0/$17/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $400/Quarter for select health and wellness products, Transportation 36 continue reading
July 30, 2020
Premium$0PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$350 (days 1-5) ; $0 (days 6-90)MOOP In-network$7,550 Rx Deductible$145 tiers 4-5Rx Preferred$4/$12/$47/$100/30%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and continue reading
July 30, 2020
Premium$0PCP$20Specialist$50Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)MOOP In-network$7,550 Rx Deductible$400 tiers 3-5Rx Preferred$5/$15/$47/$100/25%Key Extra BenefitsVision, Hearing, FitnessMarket Service AreaAbbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, continue reading
July 30, 2020
Premium$0PCP$5Specialist$35Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $25/Quarter for select health and wellness products, continue reading
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