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 $0 MOOP $4,900 applies to in-network Medicare-covered benefits PCP $0 Specialist
Premium$16.80MOOP$6,700 applies to in-network Medicare-covered benefitsPCP$0 copaySpecialist$0 copayInpatient Hospital$95 (days 1-5) ;
Premium$10Inpatient Hospital$400 (days 1-4)Emergency Care$90Urgent Care$45PCP$15Telehealth (PCP & Urgent Care) BlueCare On
Premium$29Inpatient Hospital$450 (days 1-4)Emergency Care$90Urgent Care$45PCP$10Specialist$45PT, OT, SP$40OP Surgery$0 or $325 (i.e.
Premium$15Inpatient Hospital$450 (days 1-4)Emergency Care$90Urgent Care$45PCP$10Specialist$45PT, OT, SP$40OP Surgery$0 or $325 (i.e.
