2021 Summary of Benefits - Dignity Health Plan
Premiums and Benefits Dignity Health Plan (HMO I-SNP) Monthly Plan Premium You pay $3 0.00 You must continue to pay your Medicare Part B premium. Medical Part B Deductible $ 203.00 These are 2021 cost sharing amounts. Maximum Out-of- Pocket Responsibility (does not include prescription drugs) You pay no more than $7,550 annually ................
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