1![H9689-Health Alliance Medicare (HMO DSNP) Summary of Benefits January 1, 2016 – December 31, 2016 The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. H9689-Health Alliance Medicare (HMO DSNP) Summary of Benefits January 1, 2016 – December 31, 2016 The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.](https://www.pdfsearch.io/img/5242f673acf40ead65526efed58129e3.jpg) | Add to Reading ListSource URL: medicare.healthalliance.orgLanguage: English - Date: 2016-08-22 02:11:33
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2![STATE OF DELAWARE GROUP SPECIAL MEDICFILL®
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3![Microsoft Word - Part A - Web.doc Microsoft Word - Part A - Web.doc](https://www.pdfsearch.io/img/51872b1841684858169b1debfa6008e0.jpg) | Add to Reading ListSource URL: www.proseniors.orgLanguage: English - Date: 2010-03-13 12:08:48
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4![STATE OF DELAWARE GROUP SPECIAL MEDICFILL®
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5![Summary of HealthChoice High and Low Option Medicare Supplement Plans Medicare Part A (Hospitalization) Services All benefits are based on Medicare Approved Amounts Services Summary of HealthChoice High and Low Option Medicare Supplement Plans Medicare Part A (Hospitalization) Services All benefits are based on Medicare Approved Amounts Services](https://www.pdfsearch.io/img/f1f08bd3b2246dcef7768042ce34f09c.jpg) | Add to Reading ListSource URL: www.ok.govLanguage: English - Date: 2012-01-06 12:13:09
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6![Medicare Benefit Policy Manual Medicare Benefit Policy Manual](https://www.pdfsearch.io/img/551552e72ec556ca0bbc0e15ab613c82.jpg) | Add to Reading ListSource URL: cms.govLanguage: English - Date: 2015-03-02 18:38:10
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7![• Part A Hospital ›› 61-90 days — $304/day ›› [removed]days — $608/day (lifetime reserve days) ›› Beyond 150 days — 100% for 365 days • Parts A and B Blood Deductibles (1st three pints) • Part B • Part A Hospital ›› 61-90 days — $304/day ›› [removed]days — $608/day (lifetime reserve days) ›› Beyond 150 days — 100% for 365 days • Parts A and B Blood Deductibles (1st three pints) • Part B](https://www.pdfsearch.io/img/86a8726e1dab7b4b4ffe6439fc56a150.jpg) | Add to Reading ListSource URL: www.ncdoi.comLanguage: English - Date: 2013-12-10 11:22:47
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8![Medicare Benefit Policy Manual Crosswalk Medicare Benefit Policy Manual Crosswalk](https://www.pdfsearch.io/img/dd614b2faa5561b213422b9a56598282.jpg) | Add to Reading ListSource URL: cms.govLanguage: English - Date: 2015-03-02 18:45:20
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9![Medicare Benefit Policy Manual Crosswalk Medicare Benefit Policy Manual Crosswalk](https://www.pdfsearch.io/img/93153354d385f7551da33b7abb8eb5bb.jpg) | Add to Reading ListSource URL: www.cms.govLanguage: English - Date: 2013-11-22 10:40:35
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10![Medicare Benefit Policy Manual Medicare Benefit Policy Manual](https://www.pdfsearch.io/img/4d6091abd1bccaf1cadb3734ad83db7e.jpg) | Add to Reading ListSource URL: www.cms.govLanguage: English - Date: 2013-11-22 10:40:34
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