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2/24/2017 Your Medicare Health Plan Comparison

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Your Plan Comparison
Zip Code: 32783
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits, drug costs and
coverage and star ratings. Drug List ID: 7892434304
Password Date: 02/24/2017
Important Coverage Information

Symbols

Some Dental Coverage Some Vision Coverage Some Hearing Coverage
* Estimated

BlueMedicare HMO LifeTime (HMO) AARP MedicareComplete Choice Plan 2 (Regional
PPO)
(H1026­040) Plan Type: HMO (R7444­003) Plan Type: Preferred Provider Organization
Organization: Florida Blue HMO Organization: UnitedHealthcare
Members: 1­800­926­6565 Members: 1­800­643­4845
1­800­955­8770(TTY/TDD) 711(TTY/TDD)
Non Members: 1­855­601­9465 Non Members: 1­800­555­5757
1­800­955­8770(TTY/TDD) 711(TTY/TDD)
Coverage: Provides health and drug coverage Coverage: Provides health and drug coverage

Costs and Other Important Information

BlueMedicare HMO LifeTime (HMO) AARP MedicareComplete Choice Plan 2 (Regional PPO)

Monthly Health Plan Premium $0.00 Monthly Health Plan Premium $0.00

Monthly Drug Plan Premium $0.00 Monthly Drug Plan Premium $0.00
Health Plan Deductible $0 Health Plan Deductible $0
Other Health Plan Deductibles? No Other Health Plan Deductibles? No
Maximum Out­of­Pocket Enrollee $6,500 In­network Maximum Out­of­Pocket Enrollee $10,000 In and
Responsibility (does not include Responsibility (does not include Out­of­network
prescription drugs) [?] prescription drugs) [?] $6,700 In­network
Prescription Drugs Covered? Yes Prescription Drugs Covered? Yes
Choice of Doctors? Plan Doctors for Choice of Doctors? Any Doctor
Most Services
Optional Supplemental Benefits? No Optional Supplemental Benefits? No

Benefits

BlueMedicare HMO LifeTime (HMO) AARP MedicareComplete Choice Plan 2 (Regional PPO)

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