1 2013 MA Plan Summaries San Diego HMOs HMO Premium: $0 MOOP: $3,400 PCP: $10 Specialist: $25 Hospital: $150 per days 1-8 PDP Benefit: $0/$10/$45/$95/33%

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Presentation transcript:

MA Plan Summaries San Diego HMOs HMO Premium: $0 MOOP: $3,400 PCP: $10 Specialist: $25 Hospital: $150 per days 1-8 PDP Benefit: $0/$10/$45/$95/33% Transportation Benefit, 24 Trips! $0 Generics in the Coverage Gap! HMO-POS Premium: $39 MOOP: $5,000 (in)/$5,000 (out) PCP: $10 (in)/ $35 (out) Specialist: $25 (in)/$50 (out) Hospital: $150 per day 1-8(in)/$300 per day 1-8(out) PDP Benefit: $0/$10/$45/$95/33% $0 Generics in the Coverage Gap! HMO-MA only Premium: $0 MOOP: $1,000 PCP: $0 Specialist: $0 Hospital: $0 per days PDP Benefit: not included Dental Vision Fitness Membership

2 Scripps Mercy Greater Tri Cities IPA Vantage IPA PCAMG IPA San Diego Network, highlights and additions...

MA Plan Summaries Riverside/San Bernardino HMOs HMO Premium: $0 MOOP: $3,400 PCP: $0 Specialist: $5 Hospital: $100 per days 1-5 PDP Benefit: $0/$10/$41/$92/33% Transportation Benefit, 24 Trips! $0 Generics in the Coverage Gap! HMO-POS Premium: $ 29 MOOP: $3,400 PCP: $0(in)/$35(out) Specialist: $5(in)/$50(out) Hospital: $100 per days 1-5)/$300 per day 1-8(out) PDP: $0/$10/$45/$95/33% $0 Generics in the Coverage Gap! HMO-MA only Premium: $0 MOOP: $1,000 PCP: $0 Specialist: $0 Hospital: $0 per days PDP Benefit: not included HMO-SNP Premium: $ 0 MOOP: $2,400 PCP: $0 Specialist: $0 Hospital: $0 per days PDP: 25%/25%/25%/25%/25%

4 Prime Care Choice IPA Empire IPA Vantage IPA Anchor IPA Emmit IPA Riverside Physicians Riverside Clinic San Bernardino Riverside Network, highlights and additions...

MA Plan Summaries PFFS Expansion PFFS – MA only Premium: $49 MOOP: $6,700 PCP: $10 Specialist: $40 Hospital: $220 per days 1-8 PDP Benefit: Not included PFFS Premium: $82 MOOP: $6,700 PCP: $10 Specialist: $40 Hospital: $220 per days 1-8 PDP: $4/$8/$35/$70/25%