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
July 30, 2020
Premium$0PCP$0Specialist$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 $100/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$0Specialist$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 $100/Quarter for select health and wellness products, continue reading
July 24, 2020
Plan HighlightsOur broadest brand coverage with predictable costs. Never a deductible.Monthly Plan Premium$76.30Deductible$0Preferred mail order (T1-T4 90 day fills)$0 Tier 1-2, save more than $20 on continue reading
July 24, 2020
Plan Highlights Below benchmark* and solid brand and generic coverage Monthly Plan Premium $23.10 Deductible $355 Tiers 3-5 only Preferred mail order (T1-T4 90 day fills) continue reading
July 24, 2020
Plan HighlightsGreat for your healthy clients who take no drugs or use generic drugsMonthly Plan Premium$7.50Deductible$445 Tiers 2-5 onlyPreferred mail order (T1-T4 90 day fills)3x preferred continue reading
July 23, 2020
Star Rating Premium $32 Part B Giveback No PCP in-network $0 Specialist in-network $20 Inpatient Hospital $275 (days 1-6) ; $0 (days 7-90) Outpatient Hospital Services continue reading
July 23, 2020
Star Rating Not Available Premium $21 Part B Giveback No PCP in-network $0 Specialist in-network $25 Inpatient Hospital $300 (days 1-5) ; $0 (days 6-90) Outpatient continue reading
July 23, 2020
Star RatingPremium$16Part B GivebackNoPCP in-network$0Specialist in-network$30Inpatient Hospital$380 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $275: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$35Inpatient Hospital$380 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$35- $275: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$150Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$30Inpatient Hospital$300 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$30- $200: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$0Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$40Inpatient Hospital$320 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$40- $275: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$0Prescription drug coverage (at preferred pharmacies)Tier continue reading
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