Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $20.90 IN/OON In-Network Plan Deductible N/A IN/OON MOOP $6,000 IN/OON Inpatient Hospital - Acute continue reading
Guilford
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible $0 MOOP $3,450 Inpatient Hospital - Acute ​$0 copay up to continue reading
July 17, 2020
Premium Part B Giveback $0 IN/OON Total Premium (Part C Part D) $0 IN/OON In-Network Plan Deductible $0 IN/OON MOOP $3,450 IN/OON Inpatient Hospital - Acute continue reading
July 17, 2020
Premium Part B Giveback $0 Total Premium (Part C Part D) $0 In-Network Plan Deductible N/A MOOP $5,500 Inpatient Hospital - Acute $350 (days 1-5 ) continue reading
July 13, 2020
Premium$29MOOP$3,900 applies to in-network Medicare-covered benefitsPCP$0Specialist$10Inpatient Hospital$225 (days 1-5) ; $0 (days 6-90) Ambulatory Surgery Center$0 - $175Urgent Care/ Emergency Room$10/$90Lab/X-rays$0/$10Radiology Services$0-$195Rx Deductible$0RX Preferred Cost Share continue reading
July 9, 2020
Premium$0 / $25 PartB GivebackMOOP$5,500 applies to in-network Medicare-covered benefits ; $11,000 applies to in-network and out-of-network Medicarecovered benefits combinedPCP$0 IN ; $50 OONSpecialist$25 IN ; continue reading
July 9, 2020
Premium $0 MOOP $4,900 applies to in-network Medicare-covered benefits PCP $0 Specialist $20 Inpatient Hospital $285 (days 1-6) ; $0 (days 7-90) Ambulatory Surgery Center $0 continue reading
July 8, 2020
Premium$0 or $25.60MOOP$6,700 applies to in-network Medicare-covered benefitsPCP$0Specialist$0Inpatient Hospital$0 or $195 (days 1-6) ; $0 (days 7-90) IN ; 35% OONAmbulatory Surgery Center$0 or 20%Urgent Care/ continue reading
July 8, 2020
Premium$0MOOP$4,900 applies to in-network Medicare-covered benefitsPCP$0Specialist$20Inpatient Hospital$295 (days 1-6) ; $0 (days 7-90) IN ; 35% OONAmbulatory Surgery Center$0 - $225/$275Urgent Care/ Emergency Room$​20/$90Lab/X-ray$0/$20Radiology$0-$195Rx Deductible$0​RX Preferred continue reading
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