MAPD Cheat Sheets
How to use the 2022 Cheatsheets
Please note our 2022 cheatsheets has a dedicated website this year. You will need a separate login from your VIP login details. Your VIP login will not work. If you have not already been assigned one, request an account from your marketer.
Watch a how-to video below.
Premium$0Inpatient Hospital$495 (days 1-4)Emergency Care$90Urgent Care$65PCP$15Specialist$50PT, OT, SP$40OP Surgery$0 or $395 (i.e.
Dental $2500 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions,
Premium$28PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$4,400 Rx Deductible​N/ARx
Premium $0 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $295
Premium$135PCP$0Specialist$0Referrals RequiredNoInpatient Hospital$0 per admissionOutpatient Surgery$300Urgent Care / ER$0 / $90Lab /
