Premium$0 ; Part B Rebate: $50MOOP $3,200PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5)Ambulatory Surgery Center$0 or $110Outpatient Hospital$0 or $160Lab Copay$0Rx DeductibleNot coveredRx CopaysNot coveredKey Extra BenefitsDental Level 4, continue reading
Virginia 2021 MAPD
August 6, 2020
Premium$33MOOP $3,200PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$175 (days 1-5)Ambulatory Surgery Center$0 or $110Outpatient Hospital$0 or $160Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 6, 2020
Premium$0MOOP $3,700PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $175Outpatient Hospital$0 or $225Lab Copay$0Rx Deductible$0Rx Copays$0/$8/$45/$95/33% Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Catalog, continue reading
August 4, 2020
Premium $0 Key Extra Benefits Dental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, continue reading
August 4, 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 4, 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, Fitbit, Virtual Medical continue reading
August 4, 2020
Premium $0 / Part B Rebate : $30 MOOP $6,700 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $345 (days 1-5) Ambulatory Surgery Center $0 continue reading
August 4, 2020
Premium $0 MOOP $6,700 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $345 (days 1-5) Ambulatory Surgery Center $0 or $345 Outpatient Hospital $0 or continue reading
August 4, 2020
Premium$19MOOP $5,900PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $250Outpatient Hospital$0 or $250Lab Copay$0Rx Deductible$95 tiers 4-5Rx Copays$3/$12/$47/$100/31%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium $0 MOOP $6,700 PCP $0 Specialist $45 Referrals Required No Inpatient Hospital $295 (days 1-6) Ambulatory Surgery Center $0 or $295 Outpatient Hospital $0 or continue reading
August 4, 2020
Premium$0MOOP $6,700PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$395 (days 1-3)Ambulatory Surgery Center$0 or $345Outpatient Hospital$0 or $345Lab Copay$0Rx Deductible$195 tiers 3-5Rx Copays$0/$5/$47/$100/29%Key Extra BenefitsDental Level 3, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium $0 MOOP $6,700 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $345 (days 1-4) Ambulatory Surgery Center $0 or $345 Outpatient Hospital $0 or continue reading
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