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AARP® MedicareComplete® SecureHorizons Plan 2 (HMO) 2016

This is a Medicare Advantage HMO plan underwritten by United Healthcare. This plan includes a prescription drug plan. This robust plan offers medical coverage with an emphasis on wellness and preventive care.
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Monthly premium:$0Deductible:$0In network out of pocket maximum:$4,900Primary doctor copay:$10Specialist copay:$25Inpatient hospital visits:$220 copay per day for days 1 – 8. You pay nothing per day for days 9 – 90. You pay nothing per day for days 91 and beyond.No copay for many health screening and preventive services Preferred generic drug copay:$2Non-preferred generic drug copay$12Large pharmacy network Routine foot care copay:$25 per Medicare-covered visitRoutine hearing exam copay:$10HospitalMemorial Medical CenterSutter Medical NetworkYesSkilled Nursing$0 days 1 – 20, $160 copay per day for days 21 – 51, $0 per day for days 52 – 100

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

CVMG, through Sutter Gould Medical Foundation, is a contracted provider with UnitedHealthcare. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Other providers are available in these plans’ networks. Other providers are available in the UnitedHealthcare network.

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