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Important Disclosure Information

M0001_M_PE_MM_90810 (09/2009)Plan Benefi tsCovered services include most types of treatment provided by primary care physicians, specialists and hospitals. However, the health plan does exclude and/or include limits on coverage for some services , including but not limited to, cosmetic surgery and experimental procedures. In addition, in order to be covered, all services , including the location (type of facility), duration and costs of services , must be medically necessary as defi ned below and as determined by Aetna. The Information that follows provides general Information regarding Aetna health plans.

M0001_M_PE_MM_90810 (09/2009) Plan Benefi ts Covered services include most types of treatment provided by primary care physicians, specialists

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