20 23 - contentserver.destinationrx.com
2 3 Plan selection Name/Nombre JOHN L SMITH MEDICARE HEALTHSAMPLEINSURANCE 1EG4-TE5-MK72 HOSPITAL (PART A) 03-01-2016 MEDICAL (PART B) 03-01-2016 …
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Login - Connecture
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Oct 15, 2023 · During Gap, or Coverage Gap Phase. This phase is commonly referred to as the "Donut Hole." It occurs after you and your plan reach $5,030 in 2024 in drug spending. During …
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2023 Summary Of Benefits - Connecture
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Out-of-network: Up to $100 reimbursement for eyewear. Up to $50 reimbursement for one routine exam Up to $20 reimbursement for retinal imaging. Routine vision services. In- and out-of …
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Summary Of Benefits 2023 - Connecture
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$0 copay - 20% coinsurance Outpatient individual therapy visit2 $0 copay - 20% coinsurance Virtual Mental Health Visits $0 copay to talk with a network telehealth provider online through …
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