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
Amelia
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
July 24, 2020
Plan Highlights Great for your healthy clients who take no drugs or use generic drugs Monthly Plan Premium $7.50 Deductible $445 Tiers 2-5 only Preferred mail continue reading
July 23, 2020
Star RatingNot AvailableMedicare Zero Dollar Cost SharingYesPCP0%Specialist in-network0%MOOP in-network$7,550 Rx Deductible$220Copayments may vary depending on your level of ExtraHelp®Tier 1: Preferred Generics (standard) : $5Tier 1: continue reading
July 23, 2020
Star RatingPremium$69Part B GivebackNoPCP in-network$20Specialist in-network$50Inpatient Hospital$315 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$50 - $325: SURMedical Deductible$1,000MOOP in-network$7,550 Rx Deductible$250Prescription drug coverage (at preferred continue reading
July 23, 2020
Star RatingPremium$0Part B GivebackNoPCP in-network$0Specialist in-network$50Inpatient Hospital$300 (days 1-7) ; $0 (days 8-90)Outpatient Hospital Services$325Medical Deductible$0MOOP in-network$6,700 Rx Deductible$195Prescription drug coverage (at preferred pharmacies)Tier 1: Preferred continue reading
July 6, 2020
Premium $0 MOOP $7,550 PCP $0 copay Specialist $0 copay Inpatient Hospital $0 copay RX Deductible $0 RX Preferred Cost Share T1/T2/T3/T4/T5/T6 $0 / $0-$3.70 / continue reading
July 6, 2020
Premium $0 MOOP $7,550 PCP $0 copay Specialist $0 copay Inpatient Hospital $0 copay RX Deductible $0 RX Preferred Cost Share T1/T2/T3/T4/T5/T6 $0 / $0-$3.70 / continue reading
July 6, 2020
Premium $0 MOOP $5,900 PCP $0 copay Specialist $40 copay Inpatient Hospital $325 copay (days 1-5) RX Deductible $325 (T3-T5) RX Preferred Cost Share T1/T2/T3/T4/T5/T6 $4 continue reading
July 6, 2020
LIS Eligibility & Premium No LIS: $21.6025% Subsidy: $16.2050% Subsidy: $10.8075% Subsidy: $5.40100% Subsidy: $0 MOOP $5,900 PCP $0 copay Specialist $40 copay Inpatient Hospital $325 continue reading
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