Plan Highlights Our broadest brand coverage with predictable costs. Never a deductible. Monthly Plan Premium $56.90 Deductible $0 Preferred mail order (T1-T4 90 day fills) $0 continue reading
Tennessee 2021 MAPD
July 24, 2020
Plan HighlightsBelow benchmark* and solid brand and generic coverageMonthly Plan Premium$27Deductible$290 Tiers 3-5 onlyPreferred mail order (T1-T4 90 day fills)3x preferred retail cost sharingPharmacy NetworkSame broad 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 RatingNot AvailablePremium$22Part B GivebackNoPCP in-network$0Specialist in-network$25Inpatient Hospital$300 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$25- $300: SURMedical Deductible$0MOOP in-network$7,500 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 23, 2020
Star RatingNot AvailablePremium$20Part B GivebackNoPCP in-network$0Specialist in-network$25Inpatient Hospital$300 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$25- $300: SURMedical Deductible$0MOOP in-network$6,700 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 23, 2020
Star RatingPremium$15Part B GivebackNoPCP in-network$0Specialist in-network$20Inpatient Hospital$275 (days 1-6) ; $0 (days 7-90)Outpatient Hospital Services$20- $275: SURMedical Deductible$0MOOP in-network$5,900 Rx Deductible$0Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackYesPCP in-network$10Specialist in-network$45Inpatient Hospital$350 (days 1-4) ; $0 (days 6-90)Outpatient Hospital Services$45- $350: SURMedical Deductible$0MOOP in-network$7,500 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$350 (days 1-4) ; $0 (days 6-90)Outpatient Hospital Services$40- $300: 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$5Specialist in-network$45Inpatient Hospital$300 (days 1-5) ; $0 (days 6-90)Outpatient Hospital Services$45- $275: SURMedical Deductible$0MOOP in-network$7,500 Rx Deductible$0Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackN/APCP in-network$0Specialist in-network$35Inpatient Hospital$350 (days 1-4) ; $0 (days 5-90)Outpatient Hospital Services$35- $300: 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 GivebackYesPCP in-network$0Specialist in-network$40Inpatient Hospital$350 (days 1-4) ; $0 (days 5-90)Outpatient Hospital Services$40- $300: SURMedical Deductible$0MOOP in-network$7,500 Rx Deductible$0Prescription drug coverage (at preferred pharmacies)Tier continue reading
July 17, 2020
Premium Part B Giveback$0Total Premium (Part C Part D)$0 In-Network Plan DeductibleN/AMOOP$5,500 Inpatient Hospital - Acute$275 (days 1-6) ; $0 (days 7-90)PCP Office Visits$0Specialist Office Visits$30OTC Items$160 continue reading
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TMG University
