Page 3 - Summary of Benefits_PPO_H2406-010_2019
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Summary of Benefits
January 1st, 2019 - December 31st, 2019
The benefit information provided is a summary of what we cover and what you pay. It doesn’t list
every service that we cover or list every limitation or exclusion. The Evidence of Coverage (EOC)
provides a complete list of services we cover. You can see it online at
www.AARPMedicarePlans.com or you can call Customer Service for help. When you enroll in the
plan you will get information that tells you where you can go online to view your Evidence of
Coverage.
About this plan.
AARP® MedicareComplete Choice® (PPO) is a Medicare Advantage PPO plan with a Medicare
contract.
To join this plan, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, live within
our service area listed inside the cover, and be a United States citizen or lawfully present in the
United States.
Use network providers and pharmacies.
AARP® MedicareComplete Choice® (PPO) has a network of doctors, hospitals, pharmacies, and
other providers. When looking at the following charts you’ll see the cost differences for in-network
vs. out-of-network care and services. If you use pharmacies that are not in our network, the plan
may not pay for those drugs, or you may pay more than you pay at an in-network pharmacy.
You can go to www.AARPMedicarePlans.com to search for a network provider or pharmacy using
the online directories. You can also view the plan Drug List (Formulary) to see what drugs are
covered, and if there are any restrictions.
January 1st, 2019 - December 31st, 2019
The benefit information provided is a summary of what we cover and what you pay. It doesn’t list
every service that we cover or list every limitation or exclusion. The Evidence of Coverage (EOC)
provides a complete list of services we cover. You can see it online at
www.AARPMedicarePlans.com or you can call Customer Service for help. When you enroll in the
plan you will get information that tells you where you can go online to view your Evidence of
Coverage.
About this plan.
AARP® MedicareComplete Choice® (PPO) is a Medicare Advantage PPO plan with a Medicare
contract.
To join this plan, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, live within
our service area listed inside the cover, and be a United States citizen or lawfully present in the
United States.
Use network providers and pharmacies.
AARP® MedicareComplete Choice® (PPO) has a network of doctors, hospitals, pharmacies, and
other providers. When looking at the following charts you’ll see the cost differences for in-network
vs. out-of-network care and services. If you use pharmacies that are not in our network, the plan
may not pay for those drugs, or you may pay more than you pay at an in-network pharmacy.
You can go to www.AARPMedicarePlans.com to search for a network provider or pharmacy using
the online directories. You can also view the plan Drug List (Formulary) to see what drugs are
covered, and if there are any restrictions.
