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2019 SUMMARY OF BENEFITS

2019. SUMMARY OF. BENEFITS . Overview of your plan UnitedHealthcare Group Medicare Advantage (PPO). H2001-827. Group Name (Plan Sponsor): North Carolina State Health Plan for Teachers and State Employees Group Numbers: 12326, 12327, 12328, 12329, 12330, 12331, 12332, 12333. Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan. Toll-Free 1-866-747-1014, TTY 711. 8 8 ET, Monday Friday Y0066_160717_022133. Our service area includes the 50 United States, the District of Columbia and all US territories.

January 1, 2019 – December 31, 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.

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