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PLAN INFORMATION - Benefits

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Starts INFORMATIONCOUNTY OF RIVERSIDEUnitedHealthcare group medicare advantage (HMO) Effective January 1, 2015 through December 31, 2015Group number: 9000132015 Plan GuideTable of contentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3More plan informationRead all about your plan Benefits , including services and supportfor your overall health and well-being. Benefit Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6Plan INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8Summary of Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17Required INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33Drug listFind out which drugs are covered under this plan.

Your plan sponsor has chosen a UnitedHealthcare® Group Medicare Advantage plan. What is a Group Medicare Advantage plan? The word “Group” means that this is a

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