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Important Plan Information

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You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/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.

Medicare Part D Plan Notice:

Prescription drug plan is provided by Blue Cross and Blue Shield of Oklahoma, which refers to HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HISC's plan depends on contract renewal.

Medicare Advantage Plan Notice:

HMO plan available in Canadian, Cleveland, Grady, Lincoln, Logan, Oklahoma, Okmulgee and Pottawatomie counties.

HMO plan provided by Blue Cross and Blue Shield of Oklahoma, which refers to GHS Health Maintenance Organization, Inc. d/b/a BlueLincs HMO (BlueLincs). BlueLincs is an Independent Licensee of the Blue Cross and Blue Shield Association. BlueLincs is a Medicare Advantage organization with a Medicare contract. Enrollment in BlueLincs' plan depends on contract renewal.