insurance that PUTS YOU · 4 Lasso Healthcare Insurance Company 2020 Lasso Healthcare MSA Overview...
Transcript of insurance that PUTS YOU · 4 Lasso Healthcare Insurance Company 2020 Lasso Healthcare MSA Overview...
insurance thatPUTS YOUIN CONTROL
2020Lasso Healthcare
MSAH1924_2020MSAPres4_M
2 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
One Type of MedicareAdvantagePlan
MSAs, or Medicare Medical Savings Accounts, combine a high-deductible health plan with a special medical savings account.
Optum Bank, a market leader in health savings and spending accounts, is our banking partner.
SNP
HMO
HMO POS
PPO
PFFS
MSAMedicalSavingsAccount
High-deductible
health planSavingsaccount
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2020 Lasso Healthcare MSA Overview
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BasicOperationof an MSA
MSAs are comparatively simple benefit plans...no copays, referrals or prior authorizations...and operate on four basic premises.
We deposit money intoyour MSA savings account
1
You decide how to spend, save and/or invest the funds
2
You are responsible for expenses until you reach the plan deductible, then we pay 100% of additional Medicare A/B expenses incurred
3
Any funds remaining atyear-end belong to you and roll over to the next year
4
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MSAs OfferUniqueFeaturesand Appeal
MSAs offer a combination of features unique to Medicare Advantage (MA) plans.
These features mean many different types of individuals can find value in an MSA plan.
No network —
see any Medicare provider
Only MA product
to give money (growth potential)
Enhanced
tax-free expensecoverage
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2020ServiceArea
State-specific maps and county listings are included in Appendix B.
Region 1
Region 2
Region 3
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CompetitiveBenefitStructure
Our MSA's member responsibility amounts are competitive with maximum out-of-pocket amounts of other MA plans. With $0 monthly premium and the chance to grow your funds over time, the MSA can provide a unique financial opportunity.
Region 1 $7,400 $3,240 $4,160
DEDUCTIBLE DEPOSIT MEMBER
RESPONSIBILITY
Region 2 $8,400 $3,240 $5,160
Region 3 $9,400 $3,240 $6,160
MSA PLANS ARE $0 PREMIUM BY LAW
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Preventive HealthIncentive Program
You can use MSA funds on preventive services tax-free, and those services count toward your plan deductible.
Our For Your Health program rewards you for seeking smart, preventive care, with up to $250 in gift card rewards to major brands like Amazon, Walmart and more, or a Visa® prepaid card.
Complete ahealth survey
Order labs and discuss results
Conduct an annual wellness visit and
establish a care plan
$100gift card
$75gift card
$75gift card
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Joiningan MSAPlan
As compared to other MA plans, there are additional requirements to join an MSA plan.
Medicare-eligible
Live in the Lasso Healthcare MSA service area
Reside in the U.S. for 183 days or more during the calendar year
Do not have other coverage that would cover the MSA plan deductible, including benefits under an employer or union group, TRICARE, the VA or FEHBP
Not currently eligible for Medicaid
Not currently receiving Medicare hospice benefits
Do not have end-stage renal disease, unless client was enrolled with an MA plan that left Medicare and hasn't yet joined another MA plan
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PlanEnrollmentand Setup
Enrollment in the Lasso Healthcare MSA plan is easy, and includes establishing both your Lasso Healthcare-backed health insurance, plus your Optum Bank-administered savings account.
You submit the completed application materials via web, phone, mail or fax.
1
We set up both your health insurance plan and your medical savings account
2
We deposit the funds into your medical savings account
3
You receive both a Lasso Healthcare member ID card and a debit card linked to your savings account
4
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2020 Lasso Healthcare MSA Overview
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Deposit and Deductible Amounts
Enrollment is generally for a full calendar year, unless you meet certain exceptions. As such, the plan deposit and deductible are full calendar year amounts. Both are prorated monthly for any enrollment or disenrollment happening within the calendar year.
You enrolleffective January 1
Receive full-year deposit and deductible amounts
You enrolleffective April 1
Receive 9-month prorated deposit and deductible
amounts
You disenrolleffective July 1
Owe 6-month prorated amount of current year's
deposit back to Lasso Healthcare
You remain amember through
December 31
Keep any remaining funds from current year's
deposit
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Payment Responsibilitywith theMSA
We pay any additional Medicare-covered services incurred after you reach your plan deductible. You are responsible for all other expenses. Remember, MSA funds are only taxed and penalized if used on non-qualified expenses.
Medicare-coveredexpenses
Non-MedicareIRS-deemed QMEs
LTC
Non-qualifiedexpenses
$0
Deductible
$ Am
ount
Spe
nt
MSA and/or out-of-pocket
(MSA funds not taxed)
MSA and/or out-of-pocket
(MSA funds not taxed)
MSA and/or out-of-pocket
(MSA funds taxed + penalty)
MSA and/or out-of-pocket
(MSA funds not taxed)
MSA and/or out-of-pocket
(MSA funds taxed + penalty)
These expenses are also considered Qualified Medical Expenses (QMEs) by the IRS.
For a full list of both Medicare and non-Medicare QMEs, see
IRS publication 502.
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What$3,240Can Cover
The deposit amount stretches quite a bit farther than you might think. Here are the average costs of Medicare's most frequently used procedures. As you can see, the deposit amount covers each expense many times over.
Existing Patient Dr Visit
$22 - $148
New Patient Dr Visit$22 - $210
Joint Aspiration/Injection
$62
Dermatology Biopsies$68 - $114
Eye and Cataract
$104 - $656
Ambulance$436
Colonoscopy-related
$352 - $437
Emergency Room$889
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ClinicalAccessin theMSA
With no plan network and clinical access just like Original Medicare, you are free to see any provider you choose, but get the most value by seeing Medicare-participating providers.
Medicare-Participating
MedicareNon-participating
MedicareOpt-out
REQUIRED TO
SEE YOU?
SERVICE
CHARGES
PLAN
HANDLING
Yes, if accepting new patients
No No
Pay lesser of billed charges or 100% Medicare rates
Can balance bill, where allowed by law, up to limiting
charge
Private contract between you and
provider; billing not limited by Medicare
Medicare-covered charges count
toward deductible
Excess charges not reimbursed by plan, do not count toward deductible
Charges not reimbursed by
plan, do not count toward deductible
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Prescription Drug and Ancillary Coverages
You can purchase additional, limited benefit policies that best fit your needs, and use your MSA funds to pay for items such as the plan copays or deductibles.
Common CoveragesUse MSA funds on:
Premiums Copays Coinsurance Deductibles
Standalone Medicare Prescription Drug
(Part D) Plan
Hospital IndemnityPolicy (HIP)
Critical IllnessInsurance
Long-termCare (LTC)
Dental
Vision
LTC
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How MSA ClaimsWork
Claims under the MSA work like any other MA plan with $0 copay — claims are submitted to Lasso Healthcare for repricing and a check to see if the plan deductible has been met to determine payment responsibility.
1 | You see Medicare-participating provider for
annual wellness visit($0 copay)
$150
2 | Provider bills visit to
Lasso Healthcare
$150$100
3 | Lasso Healthcarereprices to 100%
Medicare rate
4 | Lasso Healthcarechecks progress
toward deductible
$150$100
5 | Lasso Healthcaresends you the
Explanation of Benefits
4A | Lasso Healthcare pays
provider $100
$150$100 $150
$100
4B1 | Lasso Healthcarenotifies provider ofyour responsibility
4B2 | Providerinvoices you
4B3 | You pay provider(MSA or out-of-pocket)
Met
NotMet
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Optum Bank Benefits for Members
Once the initial deposit has been made to your Optum Bank-administered account, you are free to move the funds to your choice of financial institution.
However, Optum Bank provides special benefits to Lasso Healthcare MSA members.
NO custodial fees as long as you remain a Lasso Healthcare member*
1
2A debit card linked to
your account forusing MSA funds
NO minimum balanceto maintain 3
4Interest earned on the
account balance; see current rates on Optum’s website
Monthly statementsshowing account activity 5
6Option to invest any
balance over $2,000 to potentially grow funds
*Monthly maintenance fees will be charged if the account holder is no longer a Lasso Healthcare MSA member; alternatively, the account holder can transfer funds to a custodian of their choice, subject to a transfer fee.
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TaxImplications
MSAs offer tax advantages unique to MA, but also have special reporting requirements that must be followed.
Funds are not taxed when deposited into the account
Funds, and any gains, are not taxed while they remain in the account
Funds, and any gains, are not taxed upon withdrawal, if used for Qualified Medical Expenses
Optum Bank sends you a Form 1099-SA if MSA funds are withdrawn during the year (any amount/reason)
If you used MSA funds during the year (any amount/reason), you must file both IRS Forms 8853 and 1040, even if you are not otherwise required to file an income tax return
Review IRS Publications 969 and 502, and speak with a tax advisor for more information
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Maximizing Value and Health
With just a little discipline, the power of the MSA can be harnessed to get the most financial value...and better health...from your plan.
Establish a plan to cover the member responsibility portion of health costs
1
Partner with providers, be a good patient and health care consumer...and live a healthier lifestyle
2
Limit MSA funds used on non-qualified expenses
3
Consider investing excess MSA funds to potentially grow money for future health expenses
4
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COMING SOON!Meet MAISY, our Medicare Financial Analyst
Lasso Healthcare is the only Medicare Advantage carrier to offer Medicare Suggest, an experience-based Medicare coverage decision tool powered by industry expert, Milliman. MAISY is our Medicare Suggest mascot, and can help you assess the financial impact of Medicare coverage options.
MAISY
1 You securely import actual claims history (automated or manually), or answer a short series of health questions to build a generic health profile
234
MAISY privately extrapolates your info against millions of
Medicare enrollees' (blinded) data and all available MA
options in your county, plus Original Medicare
MAISY generates a list of financially-prioritized Medicare coverage options to consider
Review MAISY's results as part of annual coverage discussions
with your agent
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2020 Lasso Healthcare MSA Overview
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EnrollToday
Online:LassoHealthcare.com
Phone:
1-800-918-2795
Fax:
1-888-638-6943
Mail:
P.O. Box 60690Harrisburg, PA 17106-0690
Questions? Call us at 1-866-766-2583 / TTY: 711October 1 - March 31: 8 a.m. - 8 p.m. 7 days a week
April 1 - September 30: 8 a.m. - 8 p.m. Monday - Friday
We look forward to servicing you as a Lasso Healthcare member in 2020!
Lasso Healthcare MSA is a Medicare Advantage Medical Savings Account (MSA) plan with a Medicare contract. Enrollment in the Plan depends on contract renewal.
APPENDIX
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Appendix A: Enrollment and Disenrollment
Medicare Periods
AEPAnnual
EnrollmentPeriod
OEPOpen
Enrollment Period
ICEPInitial CoverageElection Period
(at 65)
OEP NEWOpen Enrollment Period — Newly
Eligible
SEPSpecialElectionPeriod
PeriodTiming Oct 15 - Dec 7 Jan 1 - Mar 31
Birth (entitlement) month + 3 months before + 3
months after3 months following ICEP Varies
Enroll in MSA? Yes No Yes No No
CoverageEffective Jan 1 N/A
3-1 mos. prior = first day of entitlement month
Birth & 1-3 mos. post = first day of month after completed enrollment
form received
N/A N/A
Disenroll from MSA? Yes No N/A No Yes, but limited*
Compared to other MA plans, there are limited opportunities to enroll and disenroll in an MSA. Generally speaking, enrollment is for a full calendar year.
CMS extends a special accommodation to first-time MSA enrollees who enroll during AEP: MSA-first-timers are allowed to change their mind and disenroll from an MSA by December 15. Keep in mind if you disenroll after December 7 (the end of AEP), your only option is to return to Original Medicare.
*Disenrollment is limited to AEP and a select set of SEP circumstances:• A permanent move out of the service area• Gaining Medicaid eligibility• Gaining other coverage duplicating Medicare A/B services• Enrolling in a 5-star MA plan
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Appendix B:2020 Region 1Deposit and Deductible Amounts by Month
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Appendix B:2020 Region 2Deposit and Deductible Amounts by Month
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Appendix B:2020 Region 3Deposit and Deductible Amounts by Month
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Apache 3 3 Cochise 3 3
Coconino 3 3 Gila 3 3
Graham 1 1 Greenlee 3 3
La Paz 1 3 Maricopa 1 1 Mohave 1 3 Navajo 3 3 Pima 1 1 Pinal 1 1
Santa Cruz 1 1 Yavapai 3 3 Yuma 3 3
LASSO HEALTHCARE MSA ARIZONA
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA ARIZONA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
28 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Arkansas 3 3 Garland 2 2 Newton 1 3 Ashley 3 3 Grant 2 3 Ouachita 3 3 Baxter 1 3 Greene 2 3 Perry 2 3 Benton 1 1 Hempstead 3 3 Phillips 2 3 Boone 1 2 Hot Spring 2 2 Pike 3 3
Bradley 3 3 Howard 3 3 Poinsett 2 3 Calhoun 3 3 Independence 2 3 Polk 2 3 Carroll 1 1 Izard 3 3 Pope 1 2 Chicot 3 3 Jackson 2 3 Prairie 2 3 Clark 2 3 Jefferson 1 2 Pulaski 2 1 Clay 2 3 Johnson 1 2 Randolph 2 3
Cleburne 2 2 Lafayette 3 3 St. Francis 2 3 Cleveland 3 3 Lawrence 3 3 Saline 2 2 Columbia 3 3 Lee 2 3 Scott 1 1 Conway 2 3 Lincoln 2 3 Searcy 1 3
Craighead 2 3 Little River 3 3 Sebastian 1 1 Crawford 1 1 Logan 1 1 Sevier 3 3 Crittenden 2 3 Lonoke 2 3 Sharp 3 3
Cross 2 3 Madison 1 2 Stone 2 3 Dallas 2 3 Marion 1 2 Union 3 3 Desha 2 3 Miller 3 3 Van Buren 2 3 Drew 3 3 Mississippi 3 3 Washington 1 1
Faulkner 2 2 Monroe 2 3 White 2 3 Franklin 1 1 Montgomery 2 2 Woodruff 2 3 Fulton 1 3 Nevada 3 3 Yell 2 2
LASSO HEALTHCARE MSA ARKANSAS
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA ARKANSAS 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
30 Lasso Healthcare Insurance Company
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Kent 1 3 New Castle 1 3
Sussex 1 3
LASSO HEALTHCARE MSA DELAWARE
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA DELAWARE 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
32 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Appling 2 N/A Chattahoochee 2 N/A Effingham 2 N/AAtkinson 3 N/A Chattooga 3 N/A Elbert 2 N/ABacon 3 N/A Cherokee 2 N/A Emanuel 3 N/ABaker 2 N/A Clarke 2 N/A Evans 2 N/A
Baldwin 2 N/A Clay 2 N/A Fannin 2 N/ABanks 2 N/A Clayton 2 N/A Fayette 2 N/ABarrow 2 N/A Clinch 3 N/A Floyd 3 N/ABartow 2 N/A Cobb 2 N/A Forsyth 2 N/ABen Hill 3 N/A Coffee 2 N/A Franklin 2 N/ABerrien 3 N/A Colquitt 2 N/A Fulton 2 N/A
Bibb 2 N/A Columbia 2 N/A Gilmer 2 N/ABleckley 3 N/A Cook 3 N/A Glascock 3 N/ABrantley 3 N/A Coweta 2 N/A Glynn 2 N/ABrooks 3 N/A Crawford 3 N/A Gordon 3 N/ABryan 2 N/A Crisp 2 N/A Grady 3 N/A
Bulloch 3 N/A Dade 3 N/A Greene 3 N/ABurke 2 N/A Dawson 2 N/A Gwinnett 2 N/AButts 2 N/A Decatur 3 N/A Habersham 2 N/A
Calhoun 3 N/A DeKalb 2 N/A Hall 3 N/ACamden 3 N/A Dodge 3 N/A Hancock 2 N/ACandler 3 N/A Dooly 2 N/A Haralson 3 N/ACarroll 3 N/A Dougherty 2 N/A Harris 2 N/A
Catoosa 3 N/A Douglas 2 N/A Hart 2 N/ACharlton 3 N/A Early 3 N/A Heard 2 N/AChatham 2 N/A Echols 3 N/A Henry 2 N/A
LASSO HEALTHCARE MSA GEORGIA
33 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA GEORGIA
Houston 3 N/A Mitchell 3 N/A Spalding 2 N/AIrwin 2 N/A Monroe 2 N/A Stephens 2 N/A
Jackson 2 N/A Montgomery 3 N/A Stewart 2 N/AJasper 2 N/A Morgan 2 N/A Sumter 2 N/A
Jeff Davis 3 N/A Murray 3 N/A Talbot 3 N/AJefferson 3 N/A Muscogee 2 N/A Taliaferro 3 N/AJenkins 3 N/A Newton 2 N/A Tattnall 3 N/AJohnson 2 N/A Oconee 2 N/A Taylor 2 N/A
Jones 2 N/A Oglethorpe 2 N/A Telfair 3 N/ALamar 2 N/A Paulding 3 N/A Terrell 2 N/ALanier 3 N/A Peach 2 N/A Thomas 3 N/A
Laurens 2 N/A Pickens 2 N/A Tift 2 N/ALee 2 N/A Pierce 3 N/A Toombs 2 N/A
Liberty 2 N/A Pike 2 N/A Towns 2 N/ALincoln 2 N/A Polk 3 N/A Treutlen 2 N/ALong 3 N/A Pulaski 3 N/A Troup 3 N/A
Lowndes 3 N/A Putnam 3 N/A Turner 2 N/ALumpkin 3 N/A Quitman 2 N/A Twiggs 2 N/AMcDuffie 2 N/A Rabun 3 N/A Union 2 N/AMcIntosh 2 N/A Randolph 2 N/A Upson 2 N/AMacon 2 N/A Richmond 2 N/A Walker 3 N/A
Madison 2 N/A Rockdale 2 N/A Walton 2 N/AMarion 2 N/A Schley 2 N/A Ware 2 N/A
Meriwether 2 N/A Screven 3 N/A Warren 2 N/AMiller 3 N/A Seminole 3 N/A Washington 2 N/A
34 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA GEORGIA
Wayne 3 N/AWebster 3 N/AWheeler 3 N/A
White 2 N/AWhitfield 3 N/AWilcox 3 N/AWilkes 3 N/A
Wilkinson 3 N/AWorth 2 N/A
35 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA GEORGIA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
36 Lasso Healthcare Insurance Company
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Hawaii 2 2 Honolulu 2 1 Kalawao 2 3
Kauai 2 2 Maui 2 2
LASSO HEALTHCARE MSA HAWAII
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA HAWAII 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
38 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 1 1 Fayette 1 1 Lawrence 3 3 Alexander 3 3 Ford 1 1 Lee 1 1
Bond 1 1 Franklin 2 2 Livingston 1 2 Boone 1 1 Fulton 1 1 Logan 1 1 Brown 1 1 Gallatin 3 3 McDonough 3 3 Bureau 1 1 Greene 1 1 McHenry 1 1 Calhoun 1 2 Grundy 1 1 McLean 1 1 Carroll 1 1 Hamilton 3 3 Macon 1 1 Cass 1 1 Hancock 2 2 Macoupin 1 1
Champaign 1 1 Hardin 3 3 Madison 1 1 Christian 1 1 Henderson 1 1 Marion 3 3
Clark 1 1 Henry 1 1 Marshall 1 1 Clay 2 3 Iroquois 2 2 Mason 1 1
Clinton 1 1 Jackson 2 3 Massac 3 3 Coles 2 2 Jasper 1 1 Menard 1 1 Cook 1 1 Jefferson 3 3 Mercer 1 1
Crawford 2 3 Jersey 1 1 Monroe 1 1 Cumberland 1 1 Jo Daviess 1 1 Montgomery 1 1
DeKalb 2 2 Johnson 3 3 Morgan 1 1 De Witt 1 1 Kane 1 1 Moultrie 1 1 Douglas 1 1 Kankakee 1 1 Ogle 2 1 DuPage 1 1 Kendall 1 1 Peoria 1 1 Edgar 1 1 Knox 1 1 Perry 3 3
Edwards 2 3 Lake 1 1 Piatt 1 1 Effingham 1 1 La Salle 2 3 Pike 1 1
LASSO HEALTHCARE MSA ILLINOIS
39 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA ILLINOIS
Pope 3 3 Winnebago 1 1 Pulaski 3 3 Woodford 1 1 Putnam 1 1
Randolph 1 1 Richland 2 3
Rock Island 1 1 St. Clair 1 1 Saline 2 3
Sangamon 1 1 Schuyler 3 3
Scott 1 1 Shelby 1 1 Stark 1 1
Stephenson 1 1 Tazewell 1 1
Union 3 3 Vermilion 1 1 Wabash 2 3 Warren 1 1
Washington 1 1 Wayne 2 3 White 3 3
Whiteside 1 1 Will 1 1
Williamson 2 2
40 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA ILLINOIS 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
41 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 1 1 Gibson 1 1 Martin 1 1 Allen 1 1 Grant 1 2 Miami 1 1
Bartholomew 1 1 Greene 1 1 Monroe 1 1 Benton 1 1 Hamilton 1 1 Montgomery 1 1
Blackford 1 1 Hancock 1 1 Morgan 1 1 Boone 1 1 Harrison 1 1 Newton 1 2 Brown 1 1 Hendricks 1 1 Noble 1 1 Carroll 1 1 Henry 1 1 Ohio 1 3 Cass 1 1 Howard 1 1 Orange 1 1 Clark 1 1 Huntington 1 1 Owen 1 1 Clay 1 1 Jackson 1 1 Parke 1 1
Clinton 1 1 Jasper 1 2 Perry 1 1 Crawford 1 1 Jay 1 1 Pike 1 1 Daviess 1 1 Jefferson 1 1 Porter 1 1
Dearborn 1 1 Jennings 1 1 Posey 1 1 Decatur 1 1 Johnson 1 1 Pulaski 1 2 De Kalb 1 1 Knox 1 1 Putnam 1 1
Delaware 1 1 Kosciusko 1 1 Randolph 1 1 Dubois 1 1 Lagrange 1 1 Ripley 1 1 Elkhart 1 1 Lake 1 1 Rush 1 1 Fayette 1 1 La Porte 1 1 St. Joseph 1 1 Floyd 1 1 Lawrence 1 1 Scott 1 1
Fountain 1 1 Madison 1 1 Shelby 1 1 Franklin 1 1 Marion 1 1 Spencer 1 1 Fulton 1 1 Marshall 1 1 Starke 1 1
LASSO HEALTHCARE MSA INDIANA
42 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA INDIANA
Steuben 1 1 Sullivan 1 1
Switzerland 1 1 Tippecanoe 1 1
Tipton 1 1 Union 1 1
Vanderburgh 1 1 Vermillion 1 1
Vigo 1 1 Wabash 1 1 Warren 1 1 Warrick 1 1
Washington 1 1 Wayne 1 3 Wells 1 1 White 1 1
Whitley 1 1
43 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA INDIANA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
44 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Allen 1 2 Ellis 3 3 Lane 3 3 Anderson 1 2 Ellsworth 3 3 Leavenworth 1 1 Atchison 1 2 Finney 3 3 Lincoln 3 3 Barber 3 3 Ford 3 3 Linn 1 2 Barton 3 3 Franklin 1 2 Logan 3 3
Bourbon 1 2 Geary 3 3 Lyon 2 2 Brown 3 3 Gove 3 3 McPherson 1 3 Butler 2 1 Graham 3 3 Marion 3 3 Chase 3 3 Grant 3 3 Marshall 3 3
Chautauqua 3 3 Gray 3 3 Meade 3 3 Cherokee 2 2 Greeley 3 3 Miami 1 1 Cheyenne 3 3 Greenwood 3 3 Mitchell 3 3
Clark 3 3 Hamilton 3 3 Montgomery 1 2 Clay 3 3 Harper 3 3 Morris 3 3
Cloud 3 3 Harvey 2 1 Morton 3 3 Coffey 2 3 Haskell 3 3 Nemaha 3 3
Comanche 3 3 Hodgeman 3 3 Neosho 3 3 Cowley 3 3 Jackson 2 2 Ness 3 3
Crawford 1 2 Jefferson 2 2 Norton 3 3 Decatur 3 3 Jewell 3 3 Osage 2 2
Dickinson 1 3 Johnson 1 1 Osborne 3 3 Doniphan 3 3 Kearny 3 3 Ottawa 3 3 Douglas 1 1 Kingman 3 3 Pawnee 3 3 Edwards 3 3 Kiowa 3 3 Phillips 3 3
Elk 3 3 Labette 1 2 Pottawatomie 2 2
LASSO HEALTHCARE MSA KANSAS
45 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA KANSAS
Pratt 3 3 Washington 3 3 Rawlins 3 3 Wichita 3 3
Reno 1 3 Wilson 3 3 Republic 3 3 Woodson 3 3
Rice 3 3 Wyandotte 1 1 Riley 3 3
Rooks 3 3 Rush 3 3
Russell 3 3 Saline 3 3 Scott 3 3
Sedgwick 2 2 Seward 3 3
Shawnee 2 2 Sheridan 3 3 Sherman 3 3
Smith 3 3 Stafford 3 3 Stanton 3 3 Stevens 3 3 Sumner 3 3 Thomas 3 3 Trego 3 3
Wabaunsee 2 2 Wallace 3 3
46 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA KANSAS 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
47 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adair 1 N/A Clay 1 N/A Henderson 1 N/AAllen 1 N/A Clinton 3 N/A Henry 1 N/A
Anderson 1 N/A Crittenden 3 N/A Hickman 3 N/ABallard 3 N/A Cumberland 3 N/A Hopkins 3 N/ABarren 3 N/A Daviess 1 N/A Jackson 1 N/ABath 1 N/A Edmonson 1 N/A Jefferson 1 N/ABell 1 N/A Elliott 1 N/A Jessamine 1 N/A
Boone 1 N/A Estill 3 N/A Johnson 3 N/ABourbon 1 N/A Fayette 1 N/A Kenton 1 N/A
Boyd 1 N/A Fleming 1 N/A Knott 3 N/ABoyle 3 N/A Floyd 3 N/A Knox 1 N/A
Bracken 2 N/A Franklin 1 N/A Larue 3 N/ABreathitt 1 N/A Fulton 3 N/A Laurel 1 N/A
Breckinridge 1 N/A Gallatin 1 N/A Lawrence 1 N/ABullitt 1 N/A Garrard 1 N/A Lee 1 N/AButler 1 N/A Grant 1 N/A Leslie 1 N/A
Caldwell 3 N/A Graves 1 N/A Letcher 3 N/ACalloway 1 N/A Grayson 1 N/A Lewis 1 N/ACampbell 1 N/A Green 3 N/A Lincoln 3 N/ACarlisle 3 N/A Greenup 1 N/A Livingston 1 N/ACarroll 1 N/A Hancock 1 N/A Logan 1 N/ACarter 1 N/A Hardin 1 N/A Lyon 3 N/ACasey 1 N/A Harlan 1 N/A McCracken 1 N/A
Christian 3 N/A Harrison 1 N/A McCreary 1 N/AClark 1 N/A Hart 1 N/A McLean 1 N/A
LASSO HEALTHCARE MSA KENTUCKY
48 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA KENTUCKY
Madison 1 N/A Robertson 3 N/AMagoffin 3 N/A Rockcastle 1 N/AMarion 3 N/A Rowan 1 N/A
Marshall 1 N/A Russell 3 N/AMartin 3 N/A Scott 1 N/AMason 3 N/A Shelby 1 N/AMeade 1 N/A Simpson 1 N/A
Menifee 1 N/A Spencer 1 N/AMercer 3 N/A Taylor 1 N/A
Metcalfe 3 N/A Todd 3 N/AMonroe 3 N/A Trigg 3 N/A
Montgomery 2 N/A Trimble 3 N/AMorgan 3 N/A Union 3 N/A
Muhlenberg 1 N/A Warren 1 N/ANelson 1 N/A Washington 3 N/A
Nicholas 3 N/A Wayne 3 N/AOhio 1 N/A Webster 1 N/A
Oldham 1 N/A Whitley 1 N/AOwen 1 N/A Wolfe 1 N/A
Owsley 3 N/A Woodford 1 N/APendleton 1 N/A
Perry 1 N/APike 3 N/A
Powell 1 N/APulaski 1 N/A
49 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA KENTUCKY 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
50 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGIONAcadia 3 N/A Jefferson 1 N/A St. Mary 3 N/AAllen 3 N/A Jefferson Davis 3 N/A St. Tammany 3 N/A
Ascension 1 N/A Lafayette 3 N/A Tangipahoa 3 N/AAssumption 3 N/A Lafourche 3 N/A Tensas 3 N/AAvoyelles 3 N/A LaSalle 3 N/A Terrebonne 3 N/A
Beauregard 3 N/A Lincoln 3 N/A Union 3 N/ABienville 3 N/A Livingston 1 N/A Vermilion 3 N/ABossier 3 N/A Madison 3 N/A Vernon 3 N/ACaddo 3 N/A Morehouse 3 N/A Washington 3 N/A
Calcasieu 3 N/A Natchitoches 3 N/A Webster 3 N/ACaldwell 3 N/A Orleans 1 N/A West Baton Rouge 1 N/A
Cameron 3 N/A Ouachita 3 N/A West Carroll 3 N/ACatahoula 3 N/A Plaquemines 3 N/A West Feliciana 3 N/AClaiborne 3 N/A Pointe Coupee 3 N/A Winn 3 N/AConcordia 3 N/A Rapides 3 N/ADe Soto 3 N/A Red River 3 N/A
East Baton Rouge 1 N/A Richland 3 N/AEast Carroll 3 N/A Sabine 3 N/A
East Feliciana 3 N/A St. Bernard 3 N/AEvangeline 3 N/A St. Charles 1 N/A
Franklin 3 N/A St. Helena 3 N/AGrant 3 N/A St. James 3 N/AIberia 3 N/A St. John the Baptist 3 N/A
Iberville 3 N/A St. Landry 3 N/AJackson 3 N/A St. Martin 3 N/A
LASSO HEALTHCARE MSA LOUISIANA
51 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA LOUISIANA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
52 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Allegany 3 3 Anne Arundel 3 1
Baltimore 3 1 Baltimore City 3 1
Calvert 3 3 Caroline 3 3 Carroll 3 3 Cecil 3 3
Charles 3 3 Dorchester 3 3 Frederick 3 3 Garrett 3 3 Harford 3 1 Howard 3 1
Kent 3 3 Montgomery 3 1
Prince George's 3 1 Queen Anne's 3 3
St. Mary's 3 3 Somerset 3 3
Talbot 3 3 Washington 3 3
Wicomico 3 3 Worcester 3 3
LASSO HEALTHCARE MSA MARYLAND
53 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA MARYLAND 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
54 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Aitkin 1 N/A Grant 1 N/A Murray 1 N/AAnoka 1 N/A Hennepin 1 N/A Nicollet 1 N/ABecker 1 N/A Houston 1 N/A Nobles 1 N/ABeltrami 1 N/A Hubbard 1 N/A Norman 1 N/ABenton 1 N/A Isanti 1 N/A Olmsted 1 N/A
Big Stone 1 N/A Itasca 1 N/A Otter Tail 1 N/ABlue Earth 1 N/A Jackson 1 N/A Pennington 1 N/A
Brown 1 N/A Kanabec 1 N/A Pine 1 N/ACarlton 1 N/A Kandiyohi 1 N/A Pipestone 1 N/ACarver 1 N/A Kittson 1 N/A Polk 1 N/ACass 1 N/A Koochiching 1 N/A Pope 1 N/A
Chippewa 1 N/A Lac qui Parle 1 N/A Ramsey 1 N/AChisago 1 N/A Lake 1 N/A Red Lake 1 N/A
Clay 1 N/A Lake of the Woods 1 N/A Redwood 1 N/AClearwater 1 N/A Le Sueur 1 N/A Renville 1 N/A
Cook 1 N/A Lincoln 1 N/A Rice 1 N/ACottonwood 1 N/A Lyon 1 N/A Rock 1 N/ACrow Wing 1 N/A McLeod 1 N/A Roseau 1 N/A
Dakota 1 N/A Mahnomen 1 N/A St. Louis 1 N/ADodge 1 N/A Marshall 1 N/A Scott 1 N/A
Douglas 1 N/A Martin 1 N/A Sherburne 1 N/AFaribault 1 N/A Meeker 1 N/A Sibley 1 N/AFillmore 1 N/A Mille Lacs 1 N/A Stearns 1 N/A
Freeborn 1 N/A Morrison 1 N/A Steele 1 N/AGoodhue 1 N/A Mower 1 N/A Stevens 1 N/A
LASSO HEALTHCARE MSA MINNESOTA
55 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA MINNESOTA
Swift 1 N/ATodd 1 N/A
Traverse 1 N/AWabasha 1 N/AWadena 1 N/AWaseca 1 N/A
Washington 1 N/AWatonwan 1 N/A
Wilkin 1 N/AWinona 1 N/AWright 1 N/A
Yellow Medicine 1 N/A
56 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA MINNESOTA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
57 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 3 3 Holmes 3 3 Newton 3 3 Alcorn 3 3 Humphreys 3 3 Noxubee 3 3 Amite 3 3 Issaquena 3 3 Oktibbeha 3 3 Attala 3 3 Itawamba 3 3 Panola 3 3
Benton 3 3 Jackson 3 3 Pearl River 3 3 Bolivar 3 3 Jasper 3 3 Perry 3 3
Calhoun 3 3 Jefferson 3 3 Pike 3 3 Carroll 3 3 Jefferson Davis 3 3 Pontotoc 3 3
Chickasaw 3 3 Jones 3 3 Prentiss 3 3 Choctaw 3 3 Kemper 3 3 Quitman 3 3 Claiborne 3 3 Lafayette 3 3 Rankin 3 3
Clarke 3 3 Lamar 3 3 Scott 3 3 Clay 3 3 Lauderdale 3 3 Sharkey 3 3
Coahoma 3 3 Lawrence 3 3 Simpson 3 3 Copiah 3 3 Leake 3 3 Smith 3 3
Covington 3 3 Lee 3 3 Stone 3 3 DeSoto 3 3 Leflore 3 3 Sunflower 3 3 Forrest 3 3 Lincoln 3 3 Tallahatchie 3 3 Franklin 3 3 Lowndes 3 3 Tate 3 3 George 3 3 Madison 3 3 Tippah 3 3 Greene 3 3 Marion 3 3 Tishomingo 3 3
Grenada 3 3 Marshall 3 3 Tunica 3 3 Hancock 3 3 Monroe 3 3 Union 3 3 Harrison 3 3 Montgomery 3 3 Walthall 3 3
Hinds 3 3 Neshoba 3 3 Warren 3 3
LASSO HEALTHCARE MSA MISSISSIPPI
58 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA MISSISSIPPI
Washington 3 3 Wayne 3 3
Webster 3 3 Wilkinson 3 3 Winston 3 3
Yalobusha 3 3 Yazoo 3 3
59 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA MISSISSIPPI 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
60 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Beaverhead 3 3 Liberty 3 3 Toole 3 3 Big Horn 1 1 Lincoln 1 1 Treasure 1 1
Blaine 3 3 McCone 3 3 Valley 3 3 Broadwater 1 1 Madison 3 3 Wheatland 1 1
Carbon 1 1 Meagher 3 3 Wibaux 3 3 Carter 3 3 Mineral 1 1 Yellowstone 1 1
Cascade 1 1 Missoula 1 1 Chouteau 1 1 Musselshell 1 1
Custer 1 1 Park 3 3 Daniels 3 3 Petroleum 3 3 Dawson 3 3 Phillips 3 3
Deer Lodge 1 1 Pondera 1 1 Fallon 3 3 Powder River 3 3 Fergus 1 1 Powell 1 1
Flathead 1 1 Prairie 3 3 Gallatin 1 1 Ravalli 1 1 Garfield 3 3 Richland 3 3 Glacier 3 3 Roosevelt 3 3
Golden Valley 1 1 Rosebud 1 1 Granite 3 3 Sanders 1 1
Hill 3 3 Sheridan 3 3 Jefferson 1 1 Silver Bow 1 1
Judith Basin 3 3 Stillwater 1 1 Lake 1 1 Sweet Grass 1 1
Lewis and Clark 1 1 Teton 1 1
LASSO HEALTHCARE MSA MONTANA
61 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
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LASSO HEALTHCARE MSA MONTANA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
62 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Churchill 1 N/AClark 1 N/A
Douglas 1 N/AElko 3 N/A
Esmeralda 3 N/AEureka 3 N/A
Humboldt 3 N/ALander 3 N/ALincoln 3 N/ALyon 1 N/A
Mineral 2 N/ANye 1 N/A
Carson City 1 N/APershing 3 N/AStorey 1 N/A
Washoe 1 N/AWhite Pine 3 N/A
LASSO HEALTHCARE MSA NEVADA
63 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
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LASSO HEALTHCARE MSA NEVADA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
64 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Bernalillo 1 N/A San Miguel 1 N/ACatron 3 N/A Santa Fe 1 N/AChaves 3 N/A Sierra 1 N/ACibola 1 N/A Socorro 1 N/AColfax 3 N/A Taos 3 N/ACurry 3 N/A Torrance 1 N/A
DeBaca 3 N/A Union 3 N/ADona Ana 1 N/A Valencia 1 N/A
Eddy 3 N/AGrant 1 N/A
Guadalupe 3 N/AHarding 3 N/AHidalgo 1 N/A
Lea 3 N/ALincoln 3 N/A
Los Alamos 3 N/ALuna 1 N/A
McKinley 3 N/AMora 3 N/AOtero 1 N/AQuay 3 N/A
Rio Arriba 1 N/ARoosevelt 3 N/ASandoval 1 N/ASan Juan 3 N/A
LASSO HEALTHCARE MSA NEW MEXICO
65 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
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LASSO HEALTHCARE MSA NEW MEXICO 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
66 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Alamance 1 1 Cumberland 1 1 Johnston 1 1 Alexander 1 1 Currituck 3 3 Jones 3 3 Alleghany 3 2 Dare 3 3 Lee 2 2
Anson 1 2 Davidson 1 1 Lenoir 3 3 Ashe 3 3 Davie 1 1 Lincoln 1 1 Avery 2 1 Duplin 3 3 McDowell 2 1
Beaufort 3 3 Durham 1 1 Macon 2 1 Bertie 3 3 Edgecombe 3 3 Madison 2 1 Bladen 2 3 Forsyth 1 1 Martin 3 3
Brunswick 3 3 Franklin 3 3 Mecklenburg 1 1 Buncombe 2 1 Gaston 1 1 Mitchell 2 1
Burke 1 1 Gates 3 3 Montgomery 2 2 Cabarrus 1 1 Graham 2 1 Moore 2 2 Caldwell 1 1 Granville 3 3 Nash 3 3 Camden 3 3 Greene 3 3 New Hanover 3 3 Carteret 3 3 Guilford 1 1 Northampton 3 3 Caswell 1 1 Halifax 3 3 Onslow 3 3
Catawba 1 1 Harnett 2 2 Orange 1 1 Chatham 1 1 Haywood 2 1 Pamlico 3 3 Cherokee 2 1 Henderson 1 1 Pasquotank 3 3 Chowan 3 3 Hertford 3 3 Pender 3 3
Clay 2 1 Hoke 2 2 Perquimans 3 3 Cleveland 1 1 Hyde 3 3 Person 1 1 Columbus 3 3 Iredell 1 1 Pitt 3 3
Craven 3 3 Jackson 2 1 Polk 2 1
LASSO HEALTHCARE MSA NORTH CAROLINA
67 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA NORTH CAROLINA
Randolph 1 1 Richmond 2 1 Robeson 2 3
Rockingham 1 1 Rowan 1 1
Rutherford 2 1 Sampson 2 2 Scotland 2 2
Stanly 1 2 Stokes 1 1 Surry 1 1 Swain 2 1
Transylvania 2 1 Tyrrell 3 3 Union 1 1 Vance 3 3 Wake 1 1
Warren 3 3 Washington 3 3
Watauga 3 3 Wayne 3 3 Wilkes 1 1 Wilson 3 3 Yadkin 1 1 Yancey 2 1
68 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA NORTH CAROLINA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
69 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 2 3 McIntosh 2 3 Ward 2 2 Barnes 2 2 McKenzie 3 3 Wells 2 3 Benson 2 3 McLean 2 2 Williams 2 2 Billings 2 3 Mercer 2 2
Bottineau 3 3 Morton 1 1 Bowman 2 3 Mountrail 3 3
Burke 3 3 Nelson 2 3 Burleigh 1 1 Oliver 2 3
Cass 1 1 Pembina 2 2 Cavalier 2 3 Pierce 2 2 Dickey 2 2 Ramsey 2 2 Divide 3 3 Ransom 2 2 Dunn 2 3 Renville 3 3 Eddy 2 3 Richland 1 1
Emmons 2 2 Rolette 2 3 Foster 2 2 Sargent 2 3
Golden Valley 3 3 Sheridan 2 3 Grand Forks 1 1 Sioux 2 3
Grant 2 3 Slope 2 3 Griggs 2 2 Stark 2 2
Hettinger 2 3 Steele 2 2 Kidder 2 2 Stutsman 1 1
LaMoure 2 2 Towner 2 3 Logan 2 3 Traill 2 2
McHenry 2 2 Walsh 2 2
LASSO HEALTHCARE MSA NORTH DAKOTA
70 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA NORTH DAKOTA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
71 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 1 N/A Fulton 1 N/A Marion 1 N/AAllen 1 N/A Gallia 1 N/A Medina 1 N/A
Ashland 1 N/A Geauga 1 N/A Meigs 1 N/AAshtabula 1 N/A Greene 1 N/A Mercer 1 N/A
Athens 1 N/A Guernsey 1 N/A Miami 1 N/AAuglaize 1 N/A Hamilton 1 N/A Monroe 1 N/ABelmont 1 N/A Hancock 1 N/A Montgomery 1 N/ABrown 1 N/A Hardin 1 N/A Morgan 1 N/AButler 1 N/A Harrison 1 N/A Morrow 1 N/ACarroll 1 N/A Henry 1 N/A Muskingum 1 N/A
Champaign 1 N/A Highland 1 N/A Noble 1 N/AClark 1 N/A Hocking 1 N/A Ottawa 1 N/A
Clermont 1 N/A Holmes 1 N/A Paulding 1 N/AClinton 1 N/A Huron 1 N/A Perry 1 N/A
Columbiana 1 N/A Jackson 1 N/A Pickaway 1 N/ACoshocton 1 N/A Jefferson 1 N/A Pike 1 N/ACrawford 1 N/A Knox 1 N/A Portage 1 N/ACuyahoga 1 N/A Lake 1 N/A Preble 1 N/A
Darke 1 N/A Lawrence 1 N/A Putnam 1 N/ADefiance 1 N/A Licking 1 N/A Richland 1 N/ADelaware 1 N/A Logan 1 N/A Ross 1 N/A
Erie 1 N/A Lorain 1 N/A Sandusky 1 N/AFairfield 1 N/A Lucas 1 N/A Scioto 1 N/AFayette 1 N/A Madison 1 N/A Seneca 1 N/AFranklin 1 N/A Mahoning 1 N/A Shelby 1 N/A
LASSO HEALTHCARE MSA OHIO
72 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA OHIO
Stark 1 N/ASummit 1 N/A
Trumbull 1 N/ATuscarawas 1 N/A
Union 1 N/AVan Wert 1 N/A
Vinton 1 N/AWarren 1 N/A
Washington 1 N/AWayne 1 N/A
Williams 1 N/AWood 1 N/A
Wyandot 1 N/A
73 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA OHIO 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
74 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Adams 3 2 Fayette 1 1 Philadelphia 3 3 Allegheny 1 1 Forest 1 1 Pike 3 3 Armstrong 1 1 Franklin 3 2 Potter 1 1
Beaver 1 1 Fulton 3 3 Schuylkill 2 1 Bedford 1 1 Greene 1 1 Snyder 2 1 Berks 2 1 Huntingdon 1 1 Somerset 1 1 Blair 1 1 Indiana 1 1 Sullivan 2 1
Bradford 3 3 Jefferson 1 1 Susquehanna 1 1 Bucks 3 3 Juniata 2 1 Tioga 2 2 Butler 1 1 Lackawanna 1 1 Union 2 1
Cambria 1 1 Lancaster 1 1 Venango 1 1 Cameron 1 1 Lawrence 1 1 Warren 1 1 Carbon 2 1 Lebanon 1 1 Washington 1 1 Centre 2 1 Lehigh 2 1 Wayne 1 1 Chester 3 3 Luzerne 2 1 Westmoreland 1 1 Clarion 1 1 Lycoming 2 1 Wyoming 1 1
Clearfield 1 1 McKean 1 1 York 1 1 Clinton 2 1 Mercer 1 1
Columbia 2 1 Mifflin 2 1 Crawford 1 1 Monroe 2 1
Cumberland 1 1 Montgomery 3 3 Dauphin 1 1 Montour 2 1
Delaware 3 3 Northampton 2 1 Elk 1 1 Northumberland 2 1 Erie 1 1 Perry 2 1
LASSO HEALTHCARE MSA PENNSYLVANIA
75 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA PENNSYLVANIA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
76 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Bristol 1 N/AKent 1 N/A
Newport 1 N/AProvidence 1 N/AWashington 1 N/A
LASSO HEALTHCARE MSA RHODE ISLAND
77 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA RHODE ISLAND 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
78 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Abbeville 2 N/A Horry 3 N/AAiken 3 N/A Jasper 3 N/A
Allendale 3 N/A Kershaw 3 N/AAnderson 2 N/A Lancaster 2 N/ABamberg 3 N/A Laurens 2 N/ABarnwell 3 N/A Lee 3 N/ABeaufort 3 N/A Lexington 2 N/ABerkeley 3 N/A McCormick 3 N/ACalhoun 2 N/A Marion 3 N/A
Charleston 2 N/A Marlboro 3 N/ACherokee 2 N/A Newberry 3 N/AChester 2 N/A Oconee 2 N/A
Chesterfield 2 N/A Orangeburg 3 N/AClarendon 3 N/A Pickens 2 N/AColleton 3 N/A Richland 3 N/A
Darlington 3 N/A Saluda 2 N/ADillon 3 N/A Spartanburg 2 N/A
Dorchester 3 N/A Sumter 3 N/AEdgefield 3 N/A Union 2 N/AFairfield 2 N/A Williamsburg 3 N/AFlorence 3 N/A York 2 N/A
Georgetown 3 N/AGreenville 2 N/A
Greenwood 2 N/AHampton 3 N/A
LASSO HEALTHCARE MSA SOUTH CAROLINA
79 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA SOUTH CAROLINA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
80 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Aurora 1 2 Gregory 2 3 Pennington 1 1 Beadle 2 2 Haakon 2 3 Perkins 2 3 Bennett 2 3 Hamlin 1 1 Potter 2 3
Bon Homme 1 1 Hand 2 2 Roberts 1 1 Brookings 1 1 Hanson 2 2 Sanborn 1 3
Brown 2 2 Harding 2 3 Oglala Lakota 2 3 Brule 2 2 Hughes 2 2 Spink 1 2
Buffalo 2 3 Hutchinson 1 1 Stanley 2 3 Butte 1 1 Hyde 2 3 Sully 2 3
Campbell 2 3 Jackson 2 3 Todd 2 3 Charles Mix 2 2 Jerauld 2 3 Tripp 2 3
Clark 1 1 Jones 2 3 Turner 1 1 Clay 1 1 Kingsbury 1 2 Union 1 1
Codington 1 1 Lake 1 1 Walworth 2 3 Corson 2 3 Lawrence 1 1 Yankton 1 1 Custer 1 1 Lincoln 1 1 Ziebach 2 3
Davison 1 1 Lyman 2 2 Day 1 2 McCook 2 2
Deuel 1 1 McPherson 2 3 Dewey 2 3 Marshall 2 2
Douglas 2 3 Meade 1 1 Edmunds 2 3 Mellette 2 3 Fall River 1 1 Miner 1 2
Faulk 2 3 Minnehaha 1 1 Grant 1 1 Moody 1 1
LASSO HEALTHCARE MSA SOUTH DAKOTA
81 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA SOUTH DAKOTA 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
82 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Anderson 1 3 Burleson 2 2 Cottle 3 3 Andrews 3 3 Burnet 2 1 Crane 3 3 Angelina 1 1 Caldwell 1 1 Crockett 3 2 Aransas 1 1 Calhoun 3 3 Crosby 3 3 Archer 3 3 Callahan 3 3 Culberson 3 3
Armstrong 3 3 Cameron 1 1 Dallam 3 3 Atascosa 1 1 Camp 3 3 Dallas 1 1
Austin 1 1 Carson 3 3 Dawson 3 3 Bailey 3 3 Cass 2 1 Deaf Smith 3 1
Bandera 1 1 Castro 3 3 Delta 1 1 Bastrop 1 1 Chambers 1 1 Denton 1 1 Baylor 3 3 Cherokee 1 1 DeWitt 3 3
Bee 1 1 Childress 3 3 Dickens 3 3 Bell 1 2 Clay 3 3 Dimmit 3 2
Bexar 1 1 Cochran 3 3 Donley 3 3 Blanco 3 2 Coke 3 2 Duval 3 3 Borden 3 3 Coleman 3 2 Eastland 3 3 Bosque 1 2 Collin 1 1 Ector 3 2 Bowie 2 1 Collingsworth 3 3 Edwards 3 3
Brazoria 1 1 Colorado 3 3 Ellis 1 1 Brazos 1 2 Comal 1 1 El Paso 1 1
Brewster 3 3 Comanche 3 3 Erath 3 3 Briscoe 3 3 Concho 3 2 Falls 1 2 Brooks 2 2 Cooke 1 1 Fannin 1 1 Brown 3 3 Coryell 1 2 Fayette 3 3
LASSO HEALTHCARE MSA TEXAS
83 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA TEXAS
Fisher 3 3 Harris 1 1 Johnson 1 1 Floyd 3 3 Harrison 3 2 Jones 3 3 Foard 3 3 Hartley 3 3 Karnes 3 3
Fort Bend 1 1 Haskell 3 3 Kaufman 1 1 Franklin 3 3 Hays 1 1 Kendall 1 1
Freestone 3 3 Hemphill 3 3 Kenedy 2 3 Frio 3 3 Henderson 1 1 Kent 3 3
Gaines 3 3 Hidalgo 1 1 Kerr 3 1 Galveston 1 1 Hill 1 2 Kimble 3 2
Garza 3 3 Hockley 3 3 King 3 3 Gillespie 3 1 Hood 1 1 Kinney 3 3
Glasscock 3 3 Hopkins 1 3 Kleberg 1 1 Goliad 3 3 Houston 1 2 Knox 3 3
Gonzales 3 2 Howard 3 3 Lamar 3 3 Gray 3 1 Hudspeth 2 2 Lamb 3 3
Grayson 1 1 Hunt 1 3 Lampasas 1 2 Gregg 1 2 Hutchinson 3 3 La Salle 3 3 Grimes 1 2 Irion 3 3 Lavaca 3 3
Guadalupe 1 1 Jack 3 3 Lee 3 2 Hale 3 3 Jackson 3 3 Leon 2 2 Hall 3 3 Jasper 1 1 Liberty 1 1
Hamilton 1 2 Jeff Davis 3 3 Limestone 2 2 Hansford 3 3 Jefferson 1 1 Lipscomb 3 3
Hardeman 3 3 Jim Hogg 2 2 Live Oak 3 3 Hardin 1 1 Jim Wells 1 1 Llano 1 2
84 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA TEXAS
Loving 3 3 Newton 1 1 Rusk 1 1 Lubbock 3 2 Nolan 3 3 Sabine 3 3
Lynn 3 3 Nueces 1 1 San Augustine 1 2 McCulloch 3 2 Ochiltree 3 3 San Jacinto 1 1 McLennan 1 2 Oldham 3 3 San Patricio 1 1 McMullen 3 3 Orange 1 1 San Saba 1 2 Madison 2 2 Palo Pinto 3 2 Schleicher 3 2 Marion 3 3 Panola 1 2 Scurry 3 3 Martin 3 3 Parker 1 1 Shackelford 3 3 Mason 3 2 Parmer 3 3 Shelby 1 2
Matagorda 1 2 Pecos 3 3 Sherman 3 3 Maverick 1 3 Polk 1 1 Smith 1 1 Medina 1 1 Potter 3 1 Somervell 3 2 Menard 3 2 Presidio 3 3 Starr 1 1 Midland 3 2 Rains 1 2 Stephens 3 3 Milam 1 2 Randall 3 1 Sterling 3 2 Mills 1 2 Reagan 3 2 Stonewall 3 3
Mitchell 3 3 Real 3 3 Sutton 3 2 Montague 3 2 Red River 2 1 Swisher 3 3
Montgomery 1 1 Reeves 3 3 Tarrant 1 1 Moore 3 1 Refugio 3 3 Taylor 3 2 Morris 3 3 Roberts 3 3 Terrell 3 3 Motley 3 3 Robertson 1 2 Terry 3 3
Nacogdoches 1 1 Rockwall 1 1 Throckmorton 3 3 Navarro 1 2 Runnels 3 2 Titus 2 1
85 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
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COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
LASSO HEALTHCARE MSA TEXAS
Tom Green 3 2 Yoakum 3 3 Travis 1 1 Young 3 2 Trinity 1 2 Zapata 3 3 Tyler 1 1 Zavala 1 3
Upshur 1 1 Upton 3 3 Uvalde 3 3
Val Verde 3 3 Van Zandt 1 1
Victoria 1 3 Walker 1 1 Waller 1 1 Ward 3 3
Washington 3 2 Webb 1 1
Wharton 1 2 Wheeler 3 3 Wichita 3 2
Wilbarger 3 3 Willacy 1 1
Williamson 1 1 Wilson 1 1
Winkler 3 3 Wise 1 1
Wood 1 1
86 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA TEXAS 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
87 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Beaver 3 3 Wasatch 2 2 Box Elder 2 2 Washington 3 3
Cache 2 2 Wayne 3 3 Carbon 3 3 Weber 1 1 Daggett 2 3
Davis 1 1 Duchesne 3 3
Emery 3 3 Garfield 3 3 Grand 3 3
Iron 3 3 Juab 3 3 Kane 3 3
Millard 3 3 Morgan 2 2
Piute 3 3 Rich 2 3
Salt Lake 1 1 San Juan 3 3 Sanpete 3 3 Sevier 3 3
Summit 2 2 Tooele 2 2 Uintah 3 3 Utah 1 1
LASSO HEALTHCARE MSA UTAH
88 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
LASSO HEALTHCARE MSA UTAH 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
89 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
District of Columbia 3 N/A
LASSO HEALTHCARE MSA WASHINGTON, D.C.
90 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
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Appendix C:
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LASSO HEALTHCARE MSA WASHINGTON, D.C. 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160
91 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com
Appendix C:
Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries
COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION COUNTY2020
REGION2019
REGION
Albany 3 3 Big Horn 3 3 Campbell 3 3 Carbon 3 3
Converse 3 3 Crook 3 3
Fremont 3 3 Goshen 3 3
Hot Springs 3 3 Johnson 3 3 Laramie 3 3 Lincoln 3 3
Natrona 3 3 Niobrara 3 3
Park 3 3 Platte 3 3
Sheridan 3 3 Sublette 3 3
Sweetwater 3 3 Teton 3 3 Uinta 3 3
Washakie 3 3 Weston 3 3
LASSO HEALTHCARE MSA WYOMING
92 Lasso Healthcare Insurance Company
2020 Lasso Healthcare MSA Overview
Your money. Your choice. Take control with Lasso Healthcare.
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Appendix C:
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LASSO HEALTHCARE MSA WYOMING 2020 SERVICE AREA MAP
Region 1Deposit = $3,240
Deductible = $7,400Member Responsibility = $4,160
Region 2Deposit = $3,240
Deductible = $8,400Member Responsibility = $5,160
Region 3Deposit = $3,240
Deductible = $9,400Member Responsibility = $6,160