Premium$69PCP $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 AreaAlexander, continue reading
Alexander
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 $49 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 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$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$0MOOP $4,500PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$325 (days 1-5)Ambulatory Surgery Center$0 or $225Outpatient Hospital$0 or $325Lab Copay$0X-ray$14Radiology Services$110Rx Deductible$95 tiers 3-5Rx Copays$2/$8/$47/$100/31%Key Extra BenefitsDental Level 4 ($1,000), Routine Eye Exam continue reading
August 5, 2020
Premium$0Key Extra Benefits$2500 dental, $300 vision, $275 /qtr OTC, $55 fresh food card, hearing aids, Fitness benefits, virtual doctor visits, 48 trips, PERS, meal benefit, Virtual continue reading
July 30, 2020
Premium$49PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$325 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$275 / $325Lab / X-Ray$0 / $0 - $50Radiology$180 - $275Urgent Care / ER$35 / $90MOOP In-network$6,700 continue reading
July 30, 2020
Dental $1000 annually; $0 copayments covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Healthy Foods Card $75 allowance per month for Healthy Foods Card for members continue reading
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