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$0 Premium Passage Plan 1 (HMO) can give you a better value and a simple pathway to the services you need. With this plan, your primary care doctor (PCP) guides your care, referring you to specialists to help you get the right care at the right cost. If your PCP is in the Passage network, or if you're looking for a new PCP, this plan can be a cost-saver.

Flex Plan 1 (HMO-POS), Flex Plan 2 (HMO-POS) and Flex Plan 3 (HMO-POS) give you the most flexibility. They are Point-of-Service Plans that give you affordable cost shares for in-network services PLUS the flexibility to get care nationally, outside our network.

Choice Plan 1 (HMO) and Choice Plan 2 (HMO) let you manage your care your way with access to thousands of network doctors and many hospitals. Please note: Choice Plan 2 does not include prescription drug coverage.



Medical Benefits - Passage Plan

Passage Plan Grid

Plan Documents   Information for help with prescription drugs costs



Medical Benefits - Flex Plans

Flex Plan Grid

Plan Documents   Information for help with prescription drugs costs



Medical Benefits - Choice Plans

Choice Plan Grid

Plan Documents   Information for help with prescription drugs costs



Part D Prescription Drug Coverage for Passage Plan 1, Flex Plan 1, Flex Plan 2, Flex Plan 3, and Choice Plan 1 NOTE: Choice Plan 2 DOES NOT include prescription drug coverage

Drug Coverage

Plan Documents   Information for help with prescription drugs costs



Part D Prescription Drug Coverage Gap

Drug Gap Coverage

Plan Documents   Information for help with prescription drugs costs





H3528_18_4006_01  Approved 10/05/2017
Last Update 03/09/18

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