Premium $0 Key Extra Benefits Dental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, continue reading
Alexandria City
August 4, 2020
Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Virtual Medical Visits, continue reading
August 4, 2020
Premium$0Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, OTC Debit Card, Healthy Food Benefit, Routine Hearing Exam, Hearing Aids, Fitness Program, Fitbit, Virtual Medical continue reading
August 4, 2020
Premium $0 / Part B Rebate : $30 MOOP $6,700 PCP $0 Specialist $40 Referrals Required No Inpatient Hospital $345 (days 1-5) Ambulatory Surgery Center $0 continue reading
August 4, 2020
Premium$19MOOP $5,900PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$250 (days 1-5)Ambulatory Surgery Center$0 or $250Outpatient Hospital$0 or $250Lab Copay$0Rx Deductible$95 tiers 4-5Rx Copays$3/$12/$47/$100/31%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
August 4, 2020
Premium$0MOOP $6,700PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$395 (days 1-3)Ambulatory Surgery Center$0 or $345Outpatient Hospital$0 or $345Lab Copay$0Rx Deductible$195 tiers 3-5Rx Copays$0/$5/$47/$100/29%Key Extra BenefitsDental Level 3, Routine Eye Exam, Eyewear Credit, continue reading
August 3, 2020
Premium$0PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$295 (days 1-6) ; $0 (days 7-90)MOOP In-network$4,900 Rx Deductible$215 tiers 4-5Rx Preferred$2/$8/$45/$95/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and continue reading
August 3, 2020
Premium$63PCP$15Specialist$45Referrals RequiredNoInpatient Hospital$345 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$215 tiers 4-5Rx Preferred$4/$12/$47/$100/29%Key Extra BenefitsHearing, Fitness, OTC $25/Quarter for select health and wellness productsMarket continue reading
August 3, 2020
Premium$78PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$360 (days 1-5) ; $0 (days 6-90)MOOP In-network$7,550 Rx Deductible$360 tiers 4-5Rx Preferred$5/$15/$47/$99/26%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
August 3, 2020
Premium$0PCP$10Specialist$35Referrals RequiredNoInpatient Hospital$500 per admissionMOOP In-network$3,400 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $75/Quarter for select health and wellness productsMarket Service AreaAccomack, Alexandria City, continue reading
August 3, 2020
Premium$0 with a $50 Part B GivebackPCP$20Specialist$50Referrals RequiredNoInpatient Hospital$195 (days 1-6) ; $0 (days 7-90)MOOP In-network$6,700 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $30/Quarter continue reading
August 3, 2020
Premium$15PCP20%Specialist20%Referrals RequiredNoInpatient Hospital$490 (days 1-4) ; $0 (days 5-90)MOOP In-network$7,550 Rx Deductible$445 tiers 3-5Rx Preferred$0/$17/$47/$95/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Quarter for select health and continue reading
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