Premium$28MOOP $4,900PCP$0Specialist$35Referrals RequiredNoInpatient Hospital$250 (days 1-6)Ambulatory Surgery Center$0 or $250Outpatient Hospital$0 or $250Lab Copay$0Rx Deductible$150 tiers 4-5Rx Copays$3/$12/$47/$100/33%Key Extra BenefitsDental Level 4, Routine Eye Exam, Eyewear Credit, continue reading
Alleghany
August 4, 2020
Premium$0MOOP $5,900PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$295 (days 1-6)Ambulatory Surgery Center$0 or $295Outpatient Hospital$0 or $295Lab Copay$0Rx Deductible$150 tiers 4-5Rx Copays$3/$13/$47/$100/30%Key Extra BenefitsDental Level 2, Routine Eye Exam, Eyewear Credit, 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$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
July 30, 2020
Premium $0 with a $50 Part B Giveback PCP $20 Specialist $50 Referrals Required No Inpatient Hospital $450 (days 1-4) ; $0 (days 5-90) Outpatient Surgery 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
July 30, 2020
Premium$0PCP$10Specialist$50Referrals RequiredNoInpatient Hospital$275 (days 1-6) ; $0 (days 7-90)Outpatient Surgery$275Lab / X-Ray$0 - $30 / $0 - $50Urgent Care / ER$65 / $90MOOP In-network$5,400 Rx DeductibleN/ARx continue reading
July 30, 2020
Premium$0 with $50 Part B GivebackPCP$20Specialist$50Referrals RequiredNoInpatient Hospital$240 (days 1-6) ; $0 (days 7-90)Outpatient Surgery $145 / $195Lab / X-Ray$0 / $150-$45Urgent Care / ER$20 / $90Radiology$180 continue reading
July 30, 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
July 24, 2020
Plan HighlightsOur broadest brand coverage with predictable costs. Never a deductible.Monthly Plan Premium$63.80Deductible$0Preferred mail order (T1-T4 90 day fills)$0 Tier 1-2, save more than $20 on continue reading
July 24, 2020
Plan HighlightsBelow benchmark* and solid brand and generic coverageMonthly Plan Premium$26.90Deductible$380 Tiers 3-5 onlyPreferred mail order (T1-T4 90 day fills)3x preferred retail cost sharingPharmacy NetworkSame broad continue reading
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