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    November 12, 2020
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CarePartners of Connecticu MEDICARE HEALTH INSURANCE If you have one of these: CAROL E RICE 1EG4-TES-MK72 HOSPITAL (PART A) 03-01-2020 MEDICAL (PART B) 03-01-2020 OCarePartners HMO Plan you may want PCP DR. BOB SMTH Copay pe ov ReIN 0043 RPCN MEDDADV RAGRP RM Plan O one of these: MelivuR ID Name CAROL ERCE s90000001 Iued 0102001 CMS - H273-000 CAREPARTNERS OF CONNECTICUT IS NOW AVAILABLE IN MIDDLESEX COUNTY. CarePartners of Connecticut Medicare Advantage HMO and PPO plans are the only ones in the state created with local doctors. Get access to the affordable, high-quality care you deserve. Middlesex County Medicare beneficiaries may be eligible for: $0 monthly premium $0 primary care visits $0 annual physical $O Rx deductible $0 Tier 1 and Tier 2 Rx drugs' $0 Tier 6 vaccines, including Shingrix Up to $1,500 dental benefit? Up to $50 per calendar quarter for health-related items Virtual telehealth appointments Our Medicare Advantage HMO and PPO plans are now available to Middlesex Health patients. Call today! O 1-844-411-7613 (TTY: 711) 'On Tier l and Tier 2, retail supply copays apply to preferred pharmacies. The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Benefit limits and cost-shares apply. For the HMO plans, services must be performed by providers in the Dominion PPO Network. PPO members may choose to receive treatment from a non-participating dentist but may pay higher costs for services and are responsible for any cost above the Maximum Allowable Charge (MAC) charged by the non-participating dentist. CarePartners of Connecticut is an HMO/PPO plan with a Medicare contract. Enrollment in CarePartners of Connecticut depends on contract renewal. CarePartners of Connecticut complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity, ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingúistica. Llame al 1-888-341-1507 (TTY: 711). YO151_2021_31_M CarePartners of Connecticu MEDICARE HEALTH INSURANCE If you have one of these: CAROL E RICE 1EG4-TES-MK72 HOSPITAL (PART A) 03-01-2020 MEDICAL (PART B) 03-01-2020 OCarePartners HMO Plan you may want PCP DR. BOB SMTH Copay pe ov ReIN 0043 RPCN MEDDADV RAGRP RM Plan O one of these: MelivuR ID Name CAROL ERCE s90000001 Iued 0102001 CMS - H273-000 CAREPARTNERS OF CONNECTICUT IS NOW AVAILABLE IN MIDDLESEX COUNTY. CarePartners of Connecticut Medicare Advantage HMO and PPO plans are the only ones in the state created with local doctors. Get access to the affordable, high-quality care you deserve. Middlesex County Medicare beneficiaries may be eligible for: $0 monthly premium $0 primary care visits $0 annual physical $O Rx deductible $0 Tier 1 and Tier 2 Rx drugs' $0 Tier 6 vaccines, including Shingrix Up to $1,500 dental benefit? Up to $50 per calendar quarter for health-related items Virtual telehealth appointments Our Medicare Advantage HMO and PPO plans are now available to Middlesex Health patients. Call today! O 1-844-411-7613 (TTY: 711) 'On Tier l and Tier 2, retail supply copays apply to preferred pharmacies. The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Benefit limits and cost-shares apply. For the HMO plans, services must be performed by providers in the Dominion PPO Network. PPO members may choose to receive treatment from a non-participating dentist but may pay higher costs for services and are responsible for any cost above the Maximum Allowable Charge (MAC) charged by the non-participating dentist. CarePartners of Connecticut is an HMO/PPO plan with a Medicare contract. Enrollment in CarePartners of Connecticut depends on contract renewal. CarePartners of Connecticut complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity, ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingúistica. Llame al 1-888-341-1507 (TTY: 711). YO151_2021_31_M

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