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H3528_15_4006_01r4 CMS Approved 12/17/2014 Last Update 12/7/2014
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ConnectiCare, Inc. is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal. 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, premium and/or copayments/ co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. © 2014 ConnectiCare, Inc. & Affiliates.
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