Premium$28.20PCP$20Specialist20%Referrals RequiredNoInpatient Hospital$450 (days 1-4) ; $0 (days 5-90)MOOP In-network$6,700 Rx Deductible$225 tiers 2-5Rx Preferred$8/$15/$47/$100/29%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $100/Month for select health and continue reading
Anderson
July 31, 2020
Premium $0 PCP $10 Specialist $30 Referrals Required No Inpatient Hospital $550 per admission MOOP In-network $3,400 Rx Deductible N/A Rx Preferred N/A Key Extra Benefits continue reading
July 31, 2020
Premium $0 PCP $0 Specialist $35 Referrals Required No Inpatient Hospital $0 per admission MOOP In-network $5,900 Rx Deductible N/A Rx Preferred N/A Key Extra Benefits continue reading
July 31, 2020
Premium$43PCP$15Specialist$50Referrals RequiredNoInpatient Hospital$390 (days 1-5) ; $0 (days 6-90)MOOP In-network$6,700 Rx Deductible$250 tiers 3-5Rx Preferred$5/$12/$47/$100/28%Key Extra BenefitsVision, Hearing, Fitness, OTC $25/Quarter for select health and wellness continue reading
July 31, 2020
Premium$0PCP$5Specialist$35Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and wellness products, continue reading
July 31, 2020
Premium$0PCP$0Specialist$30Referrals RequiredNoInpatient Hospital$298 (days 1-7) ; $0 (days 8-90)MOOP In-network$7,550 Rx DeductibleN/ARx Preferred$4/$12/$47/$100/33%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $75/Quarter for select health and wellness products, continue reading
July 30, 2020
Dental$4000 annually; $0 copayments cover: exams, x-rays, cleanings, extractions, fillings, crowns, dentures, denture adjustments, denture realign, deep cleaning, recementation, emergency treatment for pain, oral surgery, periodontal continue reading
July 30, 2020
Premium$0PCP$10Specialist$45Referrals RequiredNoInpatient Hospital$245 (days 1-7) ; $0 (days 8-90)MOOP In-network$6,700 Rx DeductibleN/ARx PreferredN/AKey Extra BenefitsDental, Vision, Hearing, Fitness, OTC $225/Quarter for select health and wellness products, continue reading
July 30, 2020
Premium$0PCP$20Specialist$50Referrals RequiredNoInpatient Hospital$245 (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 for select health and wellness products, continue reading
July 30, 2020
Premium$25.30PCP$0Specialist$15Referrals RequiredNoInpatient Hospital$325 (days 1-6) ; $0 (days 7-90)MOOP In-network$7,550 Rx Deductible$445 tiers 2-5Rx Preferred$0/$20/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $125/Quarter for select health and continue reading
July 30, 2020
Premium$4.10PCP20%Specialist20%Referrals RequiredNoInpatient Hospital$2019 per admissionMOOP In-network$7,550 Rx Deductible$445 tiers 2-5Rx Preferred$0/$17/$47/$100/25%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $400/Quarter for select health and wellness products, Transportation 36 continue reading
July 30, 2020
Premium$0PCP$0Specialist$40Referrals RequiredNoInpatient Hospital$350 (days 1-5) ; $0 (days 6-90)MOOP In-network$7,550 Rx Deductible$145 tiers 4-5Rx Preferred$4/$12/$47/$100/30%Key Extra BenefitsDental, Vision, Hearing, Fitness, OTC $50/Quarter for select health and continue reading
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