1710 search results for Out
- MA Plan Tensas Parish 2017
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/ma-plan-tensas-parish-2017.pdf?sfvrsn=d6457652_6
- % / 19%-25% 20% / 30% (Part B)
Out-of-Pocket Maximum
$6,700 $6,700 / $10,000 $6,700 / $10,000
2017,
Additional Coverage in Gap
Chemo Drugs
Out-of-Pocket Maximum
Summary of Benefits Table (Tensas, PPO HMO-POS HMO-POS
$47 $35 $151
$1,000 annual deductible $350 Out-of-Network deductible $350 Out, Nursing
Inpatient Hospital
Annual Drug Deductible
Additional Coverage in Gap
Chemo Drugs
Out,
$32.80
$0
$166 annual deductible $350 Out-of-Network deductible
$10 $25 / 0 - 20%
20% after $166
- Grant
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/grant.pdf?sfvrsn=a4f47452_12
- %
20%
30%
20%
17%-30%
20%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700/ $10,000 $6,700/ $10,000, Plan Deductible
$500 Out-of-Network
deductible
$500 Out-of-Network
deductible
$500 Out,
Additional Coverage in the Gap No Gap coverage No Gap coverage Yes No
Chemo Drugs 20% 20% 20% 20%
Out, Drugs 20%
Out of Pocket Maximum $6,700
- Caldwell
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/caldwell.pdf?sfvrsn=c1f77452_12
-
No No No No
Chemo Drugs
20%/30% 20%/30% 20%/17%-20% 20%
Out-of-Pocket Maximum
$6,700 $6,700 $6,700, Deductible
$0 $500 Out-of-network $250 Out-of-network $500 Out-of-network
PCP Co-Pay
$15 $35 0%- 20, %/50%
Out-of-Pocket Maximum
$6,700 $6,700 $5,500 $3,000
2018 Medicare Advantage Plans
Caldwell, Drugs
20%
Out-of-Pocket Maximum
$6,700.00
- Caddo
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/caddo.pdf?sfvrsn=c6f77452_12
- %/40% 20% 20%/30%
Out-of-Pocket Maximum $6,700 $5,900/ $10,000 $6,700 $6,700/ $10,000
2018 Medicare, $1,000 annual deductible $500 Out-of network $500 Out-of network
PCP Co-Pay $15/30% $15 $20 / 0, with Plan Talk with Plan Talk with Plan
Chemo Drugs 20%- 30% 20%/ 17%-20% 20%/50% 20% - 50%
Out-of-Pocket, Plan $500 Out-of network
PCP Co-Pay $10 0%- 20% $35 or 0-20%
Specialist Co-Pay 20% per visit $50, $380
Additional Coverage in the Gap Talk with Plan Talk with Plan
Chemo Drugs 20% 20%- 50%
Out
- Cameron
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/cameron.pdf?sfvrsn=cbf77452_12
- not covered No No No
Chemo Drugs 20%/30% 20%/30% 20% 20%
Out-of-Pocket Maximum $6,700 $6,700 $6,700, Deductible $0 $500 Out-of-network $500 Out-of-network $500 Out-of-network
PCP Co-Pay $15 $35 0%- 20%/50, Coverage in the Gap No No No Yes
Chemo Drugs 20%/17%-20% 20%/50% 20% 20%
Out-of-Pocket Maximum $6,700, 20% 20%/50%
Out-of-Pocket Maximum $6,700 $6,700
- Bossier
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/bossier.pdf?sfvrsn=d0f77452_12
- % 20% 20%/30%
Out-of-Pocket Maximum $6,700 $5,900 $6,700 $6700/$10,000
2018 Medicare Advantage, annual deductible $500 Out-of network $500 Out-of network
PCP Co-Pay $15/30% $15/$15 $20 / 0%- 20%/50, with Plan Talk with Plan
Chemo Drugs 20%- 30% 20%/ 17%-20% 20%/50% 20% - 50%
Out of Pocket Maximum, $500 Out-of network
PCP Co-Pay $10 0%- 20% $35 or 0-20%
Specialist Co-Pay 20% per visit $50, %- 50%
Out of Pocket Maximum $6,700 $6,700
- Catahoula
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/catahoula.pdf?sfvrsn=c2f77452_12
- %/30% 20%/30% 20%/17%-20% 20%
Out-of-Pocket Maximum $6,700 $6,700 $6,700 $6,700
Medicare Advantage, Out-of network $500 Out-of network $500 Out-of network
PCP Co-Pay $5 $35/0%-20% $20/0%-20% $15/0, 20% 20%/50% 20% 20%/50%
Out-of-Pocket Maximum $6,700 $6,700 $5,500 $3,000
Medicare Advantage Plans, No
Chemo Drugs 20%
Out-of-Pocket Maximum $6,700
- Jefferson Davis
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/jefferson-davis.pdf?sfvrsn=b4f57452_12
- No No No
Chemo Drugs
20%
30%
20%
30%
20%
17%-20%
20%
30%
Out-of-Pocket Maximum $6,700/ $10,000 $6,700, Deductible $500 Out-of-network $500 Out-of-network $500 Out-of-network No - In network
PCP Co-Pay, %
20%
50%
20%
50%
20%
Out of Pocket Maximum $6,700 $5,500 $3,000 $6,700
2018 Medicare Advantage, 20%
Out of Pocket Maximum $6,700
- Morehouse
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/morehouse.pdf?sfvrsn=b9f57452_12
- 20% 20%/50%
20%
30%
20%
17%-20%
Out-of-Pocket Maximum $6,700 $6,700/ $10,000 $6,700/ $10,000,
Health Plan Deductible $1,000 annual deductible
$500 Out-of-Network
deductible
$500 Out,
Chemo Drugs
20%
30%
20%
50%
20%
50%
20%
Out-of-Pocket Maximum $6,700 / $10,000 $5,500, HMO-POS
Monthly Consolidated Premium $0
Health Plan Deductible $500 Out-of-Network deductible
PCP, Drug Deductible $380
Additional Coverage in the Gap No Gap coverage
Chemo Drugs
20%
50%
Out
- Natchitoches
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/natchitcohes.pdf?sfvrsn=a0f57452_12
- Deductible $1,000 Out-of-Network $1,000 annual deductible $1,000 annual deductible $1,000 annual, 20%/30% 20%/30% 20%/ 30% 20%/ 17%-20%
Out-of-Pocket Maximum $6,700 / $10,000 $6,700/ $10,000, $31.00 $0
Health Plan Deductible $500 Out of network $500 Out-of network Contact Plan $500 Out, in the Gap No Yes No No
Chemo Drugs 20%/50% 20% / 50% 20% 20% / 50%
Out of Pocket Maximum $5,500