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Summary of Benefits

Details: Covered Medical and Hospital Benefits (cont.) IN-NETWORK OUT-OF-NETWORK Any additional preventive services approved by Medicare during the contract year will be covered. EMERGENCY CARE Emergency room If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. $90 copay $90 copay

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Summary of Benefits

Details: hospital $450 copay per day for days 1-3 $0 copay per day for days 4-90 40% of the cost . You do not need areferral to receive covered services from plan providers. Certain procedures, services and drugs may need advance approval from your plan. This is called a"prior authorization" or "preauthorization." Please

› Verified 4 days ago

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SUMMARY of BENEFITS

Details: Covered Medical and Hospital Benefits Emergency Care If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. $0 copay Urgently $0 copayNeeded Services Diagnostic Tests, Lab and Radiology Services, and X-Rays (Costs for these services may be different if received in an

› Verified 4 days ago

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2021 Summary of Benefits

Details: Outpatient Hospital: $325 copay: Doctor Visit: Primary: $20 copay: Specialist: $40 copay: Preventive Care: Any additional preventive services approved by Medicare during the contract year will be covered. $0 copay: Emergency Care: If you are admitted to the hospital within 48 hours, you do not have to pay your share of the cost for emergency care.

› Verified 5 days ago

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Summary of Benefits

Details: Covered Medical and Hospital Benefits IN-NETWORK OUT-OF-NETWORK ACUTE INPATIENT HOSPITAL CARE N/A $450 copay per day for days 1-4 $0 copay per day for days 5-90 Your plan covers an unlimited number of days for an inpatient stay. 50% of the cost OUTPATIENT HOSPITAL COVERAGE Outpatient surgery at outpatient hospital $450 copay 50% of the cost

› Verified 4 days ago

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Summary of Benefits

Details: Hospital coverage* $375 per day, days 1-5; $0 per day, days 6-90 You pay $0 for days 91 and beyond. Inpatient hospital 50% per stay coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $375 per stay 50% per stay

› Verified 5 days ago

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Summary of Benefits

Details: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. Urgently needed services $15 copay at an urgent care center Urgently needed services are provided to treat anon-emergency, unforeseen medical illness, injury or condition that requires immediate medical attention.

› Verified 9 days ago

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Summary of Benefits

Details: Hospital coverage* $325 per day, days 1-5; $0 per day, days 6-90 You pay $0 for days 91 and beyond. Inpatient hospital coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $255 per stay

› Verified 5 days ago

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FirstMedicare Direct smartHMO (HMO)

Details: The inpatient hospital care limit does not apply to inpatient mental services provided in a general hospital. Our plan also covers 60 “lifetime reserve days.” These are “extra” days that we cover. If your hospital stay is longer than 90 days, you can use …

› Verified 4 days ago

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Summary of Benefits 2021 Qualified Medicare …

Details: Meals When you get home after an inpatient hospital stay, we cover up to 14 home delivered meals over a 7 day period. You will be contacted to schedule delivery if eligible and meals will be provided through GA Foods®. Nursing hotline Speak with a registered nurse 24 hours a day, 7 days a week to discuss medical issues or wellness topics.

› Verified 3 days ago

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Service area: North Carolina: Summary of Benefits 2021

Details: Hospital coverage* $295 per day, days 1-6; $0 per day, days 7-90 You pay $0 for days 91 and beyond. Inpatient hospital 50% per stay coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $200 50%

› Verified 1 days ago

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Summary of Benefits

Details: and Hospital Benefits Benefit What You Pay In-Network Out-of-Network Note: Services with a ¹ may require prior authorization. Services with a ² may require a referral from your doctor. Inpatient Hospital Coverage 1 Our plan covers an unlimited number of days for an inpatient hospital stay. $295 per day for days 1–7 $0 per day for days 8–90

› Verified 3 days ago

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NCDOI Standard Medicare Supplement Plan Benefits

Details: After all Medicare hospital benefits are exhausted, coverage for 100% of the Medicare Part A eligible hospital expenses. Coverage is limited to a maximum of 365 days of additional inpatient hospital care during the policyholder's lifetime.

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New Hanover Health FirstMedicare Select (HMO-POS) / New

Details: Outpatient Hospital Care (may require prior authorization) In-network: $300 copay for Outpatient Surgery, 20% of the cost for other Outpatient Hospital Services $275 copay for Outpatient Surgery, $0 copay for other Outpatient Hospital Services. 5 New Hanover Health FirstMedicare

› Verified 9 days ago

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2022 Summary of Benefits

Details: Outpatient Hospital: $275 copay Doctor Visit: Primary: $0 copay Specialist:* $25 copay Preventive Care: Any additional preventive services approved by Medicare during the contract year will be covered. $0 copay Emergency Care: If you are admitted to the hospital within 48 hours, you do not have to pay your share of the cost for emergency care.

› Verified 5 days ago

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HumanaChoice H5525-034 (PPO)

Details: hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. $90 copay $90 copay Urgently needed services Urgently needed services are provided to treat a non-emergency, unforeseen medical illness, injury or condition that requires immediate medical

› Verified 3 days ago

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Summary of Benefits

Details: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. Urgently needed services $20 copay at an urgent care center Urgently needed services are provided to treat anon-emergency, unforeseen medical illness, injury or condition that requires immediate medical attention.

› Verified 1 days ago

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Summary of Benefits

Details: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. Urgently needed services $25 copay at an urgent care center Urgently needed services are provided to treat anon-emergency, unforeseen medical illness, injury or condition that requires immediate medical attention.

› Verified 3 days ago

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Summary of Benefits

Details: Hospital coverage* $300 per day, days 1-4; $0 per day, days 5-90 You pay $0 for days 91 and beyond. Inpatient hospital coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $255 per stay

› Verified 7 days ago

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Summary of Medicare with Prescription Advantage Drugs Plan

Details: inpatient hospital stay. Outpatient Hospital Cost sharing for additional plan covered services will apply. Doctor Visits Ambulatory Surgical Center (ASC)2 Outpatient Hospital, including surgery2 Outpatient Hospital Observation Services2 Primary Care Provider Virtual Medical Visits Specialists2 $0 copay for a diagnostic colonoscopy $175 copay

› Verified 2 days ago

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Mecklenburg, Rowan, Union Service area: North Carolina

Details: Hospital coverage* $300 per day, days 1-4; $0 per day, days 5-90 You pay $0 for days 91 and beyond. Inpatient hospital coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $255

› Verified 2 days ago

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North Carolina Department of Insurance Mike Causey

Details: POST-HOSPITAL SKILLED NURSING FACILITY CARE You must have been an inpatient in a hospital for at least 3 days, enter a Medicare-approved facility generally within 30 days after hospital discharge, and meet other program requirements. ⁽³⁾ First 20 days 100% of approved amount Nothing 21st to 100th day All but $176 per day Up to $176 per day

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Summary of Benefits

Details: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for the emergency care. Urgently needed services $35 copay at an urgent care center Urgently needed services are provided to treat anon-emergency, unforeseen medical illness, injury or condition that requires immediate medical attention.

› Verified 5 days ago

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Summary of Benefits

Details: the hospital. For each Medicare-covered hospital stay, you are required to pay the applicable cost-sharing, starting with Day 1 each time you are admitted. There is a . $0 . copayment per lifetime . reserve day. $595 . per day for . days 1–3. $0 . per day for . days 4–90. 30%. c. oinsurance. Outpatient; 1. Individual or Group Therapy Visit

› Verified 1 days ago

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Summary of Benefits

Details: For each Medicare-covered hospital stay, you are required to pay the applicable cost-sharing, starting with Day 1 each time you are admitted. There is a . $0 . copayment per lifetime . reserve day. $595 . per day for . days 1–3. $0 . per day for . days 4–90 Outpatient. 1. Individual or Group Therapy Visit. $0 .

› Verified 7 days ago

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Summary of benefits 2022

Details: Inpatient Hospital. 2. $295 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond. Out-of-Network. 40% coinsurance per stay Our plan covers an unlimited number of days for an inpatient hospital stay. Outpatient Hospital. Cost sharing for additional plan covered services will apply. Doctor Visits Preventive Care. Ambulatory

› Verified 1 days ago

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2022 Summary of Benefits AVA (PPO)

Details: (no prior hospital stay required) 30% coinsurance: $0 per days 1-20 $100 per days 21-51 $0 per days 52-100 (no prior hospital stay required) 30% coinsurance: $0 per days 1-20 $100 per days 21-51 $0 per days 52-100 (no prior hospital stay required) 30% coinsurance: Physical & Speech : …

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Summary of benefits 2022

Details: Hospital, including surgery. 2. Outpatient Hospital Observation Services. 2. Primary Care Provider Specialists. 2. Virtual Medical Visits Medicare-covered. In-Network. $0 copay - $1,480 copay per stay (or the 2022 Original Medicare amount, whichever is less). Our plan covers an unlimited number of days for an inpatient hospital stay.

› Verified 8 days ago

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Summary of Medicare Advantage Plan Benefits 2021

Details: inpatient hospital stay. Outpatient Hospital Cost sharing for additional plan covered services will apply. Ambulatory Surgical Center (ASC)2 $0 copay for a diagnostic colonoscopy $300 copay otherwise 30% coinsurance Outpatient Hospital, including surgery2 $0 copay for a diagnostic colonoscopy $300 copay otherwise 30% coinsurance Outpatient Hospital

› Verified 1 days ago

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Summary of Benefits

Details: Hospital coverage* $300 per day, days 1-5; $0 per day, days 6-90 You pay $0 for days 91 and beyond. Inpatient hospital 50% per stay coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $245 per stay 50% per stay Outpatient hospital $35 - $245 50% services Lower cost sharing applies for services other

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Summary of benefits 2022

Details: Hospital, including surgery. 2. Outpatient Hospital Observation Services. 2. Primary Care Provider Specialists. 2. Virtual Medical Visits Medicare-covered. In-Network. $295 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond Our plan covers an unlimited number of days for an inpatient hospital stay. $0 copay for a diagnostic

› Verified 7 days ago

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Summary of Medicare with Prescription Advantage Drugs Plan

Details: inpatient hospital stay. Outpatient Hospital Cost sharing for additional plan covered services will apply. Ambulatory Surgical Center (ASC)2 Outpatient Hospital, including surgery2 Doctor Visits Preventive Care Outpatient Hospital Observation Services2 Primary Care Provider Specialists2 Virtual Medical Visits Medicare-covered $0 copay for a

› Verified 1 days ago

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Summary of benefits 2022

Details: Inpatient Hospital. 2. $395 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond. Out-of-Network. 40% coinsurance per stay Our plan covers an unlimited number of days for an inpatient hospital stay. Outpatient Hospital. Cost sharing for additional plan covered services will apply. Doctor Visits Preventive Care. Ambulatory

› Verified 1 days ago

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Summary of Medicare with Prescription Advantage Drugs Plan

Details: Inpatient Hospital2 In-Network $0 copay per stay Out-of-Network $1,400 copay per stay (or the 2021 Original Medicare amount, whichever is less). Our plan covers an unlimited number of days for an inpatient hospital stay. Outpatient Hospital Doctor Visits Preventive Care Ambulatory Surgical Center (ASC)2 Outpatient Hospital, including surgery2

› Verified 5 days ago

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Summary of benefits 2022

Details: Hospital, including surgery. 2. Outpatient Hospital Observation Services. 2. Primary Care Provider Specialists. 2. Virtual Medical Visits Medicare-covered. In-Network. $430 copay per day: for days 1-4 $0 copay per day: for days 5 and beyond Our plan covers an unlimited number of days for an inpatient hospital stay. $0 copay for a diagnostic

› Verified 2 days ago

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Summary of Medicare with Prescription Advantage Drugs Plan

Details: Hospital, including surgery2 Outpatient Hospital Observation Services2 Primary Care Provider Specialists2 Virtual Medical Visits Medicare-covered In-Network $345 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond Our plan covers an unlimited number of days for an inpatient hospital stay. $0 copay for a diagnostic colonoscopy

› Verified 7 days ago

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Summary of benefits 2022

Details: Hospital, including surgery. 2. Outpatient Hospital Observation Services. 2. Primary Care Provider Specialists. 2. Virtual Medical Visits Medicare-covered. In-Network. $325 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond Our plan covers an unlimited number of days for an inpatient hospital stay. $0 copay for a diagnostic

› Verified 7 days ago

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2022 Summary of Benefits

Details: emergency hospital admission. The copay is not waived if admitted to the hospital for Worldwide Emergency Services. Urgently needed services $0 copay Services with an asterisk (*) may require prior authorization.

› Verified 6 days ago

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Summary of benefits 2022

Details: Inpatient Hospital. 2. In-Network. $320 copay per day: for days 1-5 $0 copay per day: for days 6 and beyond. Out-of-Network. 40% coinsurance per stay Our plan covers an unlimited number of days for an inpatient hospital stay. Outpatient Hospital. Cost sharing for additional plan covered services will apply. Doctor Visits Preventive Care

› Verified 2 days ago

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