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Our Secure (HMO) plan offers medical (Part A and B) benefits plus a few extras, but no Part D prescription drug coverage. The Summary of Benefits, Evidence of Coverage, and other information below explain the details about this plan:
Benefits
 Summary of Benefits — This booklet explains general information about the Secure plan and compares it to original Medicare. It also includes information about premiums, cost sharing, out-of-network coverage, any limitations, and more. (H1099_MP2647 CMS Approved 09152011)
Evidence of Coverage — This book contains detailed information about the Secure plan. (H1099_EL2706 File and Use 09182011)
Prescription drug information
The Secure plan does not include coverage for Part D prescription drugs.
If you're interested in a plan that does include Part D prescription drug coverage, please consider one of our other options:
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Medical + Part D (MA-PD) plans — Rewards (HMO), Value (HMO) & Classic (HMO-POS) plans include Part A and B medical and Part D prescription drug coverage
- Part D (PDP) plans — Essential (PDP) and Prime (PDP) plans include Part D prescription drugs only, but no medical services
Provider directory
Search for physicians
Printable directory — includes information about authorizations, our network, and ancillary services like labs, fitness centers, etc. (H1099_MP2621 CMS Approved 09072011)
Your privacy, rights, and procedures for grievances, appeals, exceptions
Medical prior authorizations, appeals and grievances
Notice of privacy practices
For more about these topics, as well as your and our rights and responsibilities, please refer to your Evidence of Coverage (EOC):
Evidence of Coverage (H1099_EL2706 File and Use 09182011)
For more information about our quality assurance policies and procedures or to obtain an aggregate number of the our grievances, appeals, and exceptions, contact customer service.
H1099_MP2760 CMS Approved10212011
Last updated: 1/3/2012
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