Anthem 2021 MAPD

June 22, 2020

LIS Eligibility & Premium No LIS: $22.7025% subsidy: $1750% subsidy: $11.3075% subsidy: $5.70100% subsidy: $0 MOOP $5,900 PCP $0 copay Specialist $45 copay Inpatient Hospital $295 copay

Anthem 2021 MAPD

June 22, 2020

Premium $0 MOOP $6,700 PCP $5 copay Specialist $45 copay Inpatient Hospital $295 copay (days 1-7) RX Deductible $150 (T3-T5) RX Preferred Copay T1/T2/T3/T4/T5/T6 $4 /

Anthem 2021 MAPD

June 22, 2020

Premium $38 MOOP $3,450 PCP $10 copay Specialist $50 copay Inpatient Hospital $295 copay (days 16) RX Deductible $95 (T3-T5) RX Preferred Copay T1/T2/T3/T4/T5/T6 $5 /