Transcription of Devoted Health Prime (HMO) Plan
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Devoted Health Prime (HMO) Plan
Devoted Health Prime (HMO) Plan2021 | SUMMARY OF BENEFITSPBP Number: H2697-002 Cuyahoga, Erie, Geauga, Huron, Lake, Lorain, Medina, Ottawa, Portage, Sandusky, Seneca, Stark, Summit CountiesNeed Help? Call 1-800-385-0916 (TTY 711) 1 Devoted Health Prime (HMO)Summary of BenefitsThis Summary of Benefits tells you about our Devoted Health Prime (HMO) plan . It includes information on plan costs and some of the common services we cover. It's valid for the 2021 plan year, which starts on January 1, 2021 and ends December 31, this document is a summary, it doesn't list all of the coverage details for this plan . If you need to know more, check the plan 's Evidence of Coverage at Or, call us at 1-800-385-0916 (TTY 711) and we can mail you I join this plan ?To join Devoted Health Prime (HMO), you must be entitled to Medicare Part A and enrolled in Medicare Part B.
counseling Tobacco use cessation counseling (counseling for people with no sign of tobacco-related disease) Vaccines covered under the medical benefit, including flu shots, hepatitis B shots, pneumococcal shots “Welcome to Medicare” preventive visit (one time) Any additional preventive services approved by
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