Premium$59PCP $10Inpatient Hospital$335 (days 1-6)Rx Deductible$0Tier 1 & Tier 6 Rx$0Lab / X-ray / Diagnostic$0 - $25OTC / MealsIncludedDental Allowance$325 per yearVision Allowance$200 per yearMOOP$5,900Market Service AreaAlamance, continue reading
Alamance
August 26, 2020
Premium $0 Deposit $3,000 Deductible $8,000 Member Responsibility $5,000 Key Extra Benefits No networks, freedom to choose the best Part D plan, the only MSA plan continue reading
August 26, 2020
Premium $0 PCP $20 Inpatient Hospital $335 (days 1-6) Lab / X-ray / Diagnostic $0 - $25 Meals Included Dental Allowance $300 Vision Allowance $100 MOOP continue reading
August 26, 2020
Premium $39 PCP $0 Inpatient Hospital $335 (days 1-6) Rx Deductible $0 Tier 1 & Tier 6 Rx $0 Lab / X-ray / Diagnostic $0 - continue reading
August 24, 2020
Premium $0 PCP $0 Inpatient Hospital $335 (days 1-6) Rx Deductible $195 (tier 4/ tier 5) Tier 1 & Tier 6 Rx $0 Lab / X-ray continue reading
August 24, 2020
Premium $0 Deposit $2,000 Deductible $5,000 Member Responsibility $3,000 Key Extra Benefits No networks, freedom to choose the best Part D plan, the only MSA plan continue reading
August 7, 2020
Premium$60MOOP $3,100 IN ; $5,100 OONInpatient HospitalDay 1 - $250 copay ; Days 2-6 - $125 copayOutpatient Surgery$100 IN ; $175 OONPCP$0 IN ; $45 OONSpecialist$20 IN continue reading
August 7, 2020
Premium $0 MOOP $3,400 IN ; $5,100 OON PCP $0 IN ; $50 OON Specialist $30 IN ; $50 OON Referrals Required No Lab Copay $0 continue reading
August 6, 2020
Premium$0 / Part B Rebate: $45MOOP $3,600PCP$0Specialist$25Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0X-Ray$14Urgent Care / ER$30 / $90Radiology Services$100Rx DeductibleNot coveredRx continue reading
August 6, 2020
Premium$38MOOP $3,900PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$345 (days 1-5)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0X-Rays$14Radiology Services$110Rx Deductible$50 tiers 4-5Rx Copays$2/$8/$47/$100/32%Key Extra BenefitsDental Level 4 ($1,000), Routine Eye Exam continue reading
August 6, 2020
Premium$27MOOP $3,600PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$295 (days 1-5)Ambulatory Surgery Center$0 or $195Outpatient Hospital$0 or $295Lab Copay$0X-Ray$14Urgent Care / ER$30 / $90Radiology Services$110Rx Deductible$50 tiers 4-5Rx Copays$2/$8/$47/$100/32%Key Extra BenefitsDental Level continue reading
August 6, 2020
Premium$0 / Part B Rebate: $50MOOP $6,700PCP$0Specialist$45Referrals RequiredNoInpatient Hospital$430 (days 1-4)Ambulatory Surgery Center$0 or $295Outpatient Hospital$0 or $395Lab Copay$0Urgent Care/ ER$30 / $90X-Ray$14Radiology Services$110Rx Deductible$435 tiers 3-5Rx continue reading
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