1710 search results for Out

MA Plan Natchitoches Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-natchitoches-parish-2017.pdf?sfvrsn=c94f7652_12

Health Plan Deductible $750 Out-of-Network $1,000 annual deductible $1,000 annual deductible, % / 19%-25% 20% / 30% (Part B) Out-of-Pocket Maximum $6,700 / $10,000 $6,700 / $10,000 $6,700, Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits Table, -POS $47 $35 $151 $1,000 annual deductible $350 Out-of-Network deductible $350 Out-of-Network, Hospital Annual Drug Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum

MA Plan Winn Parish 2017

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-winn-parish-2017.pdf?sfvrsn=bd457652_6

$77 $0 Health Plan Deductible $750 Out-of-Network $1,000 annual deductible $1,000 annual deductible, % / 19%-25% 20% / 30% (Part B) Out-of-Pocket Maximum $6,700 / $10,000 $6,700 / $10,000 $6,700, Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary of Benefits, $47 $35 $151 $1,000 annual deductible $350 Out-of-Network deductible $350 Out-of-Network, Hospital Annual Drug Deductible Additional Coverage in Gap Chemo Drugs Out-of-Pocket Maximum Summary

East Carroll

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/east-carroll.pdf?sfvrsn=c6f47452_12

%/30% 20%/30% 20%/17%-20% 20% Out-of-Pocket Maximum $6700 / $10,000 $6700 / $10,000 $6700 / $10,000, $500 Out-of-network $500 Out-of-network $500 Out-of-network $500 Out-of-network PCP Co-Pay $15- $35, Yes Chemo Drugs 20%/50% 20%/50% 0%/50% 20% 50% Out of Pocket Maximum $6,700 $5,500 $0 $3,000, in the Gap No Chemo Drugs 20% Out of Pocket Maximum $6,700

Union

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/unionb65c232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=3dc54852_6

; $1,000 Out-of-Network PCP Co-Pay $5 $5 $0 $0 In-Network Specialist Co-Pay $35 $35 $50 $40, % Out-of-Pocket Maximum $6,700 In-Network; $10,000 Combined $6,700 In-Network; $10,000 Combined, Premium $0 $0 $53 $87 Health Plan Deductible $0 $1000 Out-of-Network $1000 Out-of-Network $1000 Out, $0 $415 $400 Additional Coverage in the Gap No No No Chemo Drugs $0 20% 20% $0 Out of Pocket, Drugs 20% 20% 20% 20% Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700 2019 Medicare Advantage Plans

Richland

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/richland8b5b232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=8fc44852_6

Premium $68.00 $15.00 $0.00 $0.00 Health Plan Deductible $0.00 $0.00 $0.00 $1000 out of network, % 20% Out-of-Pocket Maximum $0 for in network; $10,000 out of network $6,700.00 $6,700 $6,700.00, Plan Deductible $1000 out of network $1000 out of network $185.00 $0.00 PCP Co-Pay $15 in network $15, Coverage in the Gap No No No No Chemo Drugs 20% 20% 20% 20% Out of Pocket Maximum $6,700.00 $6,700.00, % Out of Pocket Maximum $5,500 $3,000 2019 Medicare Advantage Plans Richland

Red River

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/red-river815b232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=9cc44852_6

Premium $15 $68 $28.60 $0 Health Plan Deductible $0 $0 In-Network; $1,000 Out-of-Network $185 $1,000 Out-of-Network PCP Co-Pay $0 $0 In-Network 20% $0 In-Network Specialist Co-Pay $50 $40, in the Gap Yes Yes No Chemo Drugs 20% 20% 20% 20% Out-of-Pocket Maximum $6,700 In-Network $5,000, Deductible $1,000 Out-of-Network $1,000 $1,000 Out-of-Network $0 PCP Co-Pay $5 In-Network $15, Coverage in the Gap No No No No Chemo Drugs 20% 20% 20% 20% Out-of-Pocket Maximum $6,700 In-Network

Plaquemines

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/plaquemines7b5b232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=9dc44852_6

$0.00 $22.00 $0.00 Health Plan Deductible $0 in network; $1,000 out of network $0.00 $0.00 $0.00, No Yes Chemo Drugs 20% 20% 20% 20% Out-of-Pocket Maximum $5,000 in network; $10,000 combined, Health Plan Deductible $1000 out of network $1000 out of network $1000 out of network $185.00 PCP Co, % Out-of-Pocket Maximum $6,700 in network; $10,000 combined $6,700 in network; $10,000 combined, % 20% 20% 20% Out of Pocket Maximum $5,500 $3,000 $6,700 $6,700 $6,700 2019 Medicare Advantage Plans

Madison

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/madison5a5a232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=52c74852_6

Deductible $0.00 $0.00 $0.00 $1000 out of network PCP Co-Pay $0.00 $0.00 $10.00 $0 in network Specialist, in the Gap Yes Yes No Chemo Drugs 20% 20% 20% 20% Out-of-Pocket Maximum $0 for in network; $10,000 out, Health Plan Deductible $1000 out of network $1000 out of network $185.00 $0.00 PCP Co-Pay $15, Additional Coverage in the Gap No No No No Chemo Drugs 20% 20% 20% 20% Out of Pocket Maximum $6,700.00, % 20% Out of Pocket Maximum $5,500 $3,000 Madison 2019 Medicare Advantage Plans

La Salle

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/la-sallef659232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=66c74852_6

% 20% Out-of-Pocket Maximum $0 for in network; $10,000 out of network $6,700.00 $6,700 $6700, HMO-POS Monthly Consolidated Premium $0.00 $53.00 $87.00 $33.10 Health Plan Deductible $1000 out of network $1000 out of network $1000 out of network $185.00 PCP Co-Pay $0 in network $15, in the Gap No No No Chemo Drugs 20% 20% 20% 20% Out of Pocket Maximum $6,700.00 $6,700.00 $6,700.00 $6,700, No No No Chemo Drugs 20% 20% 20% Out of Pocket Maximum $6,700 $5,500 $3,000

Jackson

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/jacksonba59232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=8ac64852_6

Deductible $0 $0 In-Network; $1,000 Out-of-Network $0 $1000 Out-of-Network $1000 Out-of-Network PCP, Yes Yes No No No Chemo Drugs $0 $0 $0 20% $0 Out-of-Pocket Maximum $6,700 In-Network $5,000 In-Network; $10,000 Out-of-Network $6,700 In-Network $6,700 In-Network; $10,000 Combined $6,700, Premium $0 $59 $169 $59.00 $169.00 Health Plan Deductible $1000 Out-of-Network $0 $0 $0.00 $0.00, in the Rx Gap No Yes No No Chemo Drugs 20% $0 20% 20% 20% Out-of-Pocket Maximum $6,700 In-Network