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* Limited pharmacy coverage for Part C only plans.
You must continue to pay your Medicare Part B premium. 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 co-payments/co-insurance may change on January 1 of each year.
You may be able to get Extra Help to pay for your prescription drug premiums and
costs. To see if you qualify for getting Extra Help, call: