Summary Plan Description MEDICAL PLAN …

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Summary plan DescriptionMEDICAL plan ANTHEM BLUE CROSS BlueCard PPO Network 201501/01/2010Your MEDICAL plan OptionsThe MEDICAL plan offers eligible participants the following coverage options. Aetna Basic Option A Point of Service (POS) health plan that covers carereceived from in-network or out-of-network providers with no physician referral. Refer to theseparate Summary plan Description for plan details, including deductibles, coinsurance levelsfor in-network and out-of-network care and out-of-pocket limits.

Summary Plan Description MEDICAL PLAN – ANTHEM BLUE CROSS BlueCard PPO Network 2015

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