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H3528_16_4006_01r2 CMS Approved 12/09/2015 Last Update 12/07/2015
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The Plans described herein are offered by ConnectiCare, Inc. ConnectiCare, Inc. is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium. SilverSneakers® is a registered mark of Healthways, Inc.
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