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PLAN DESIGN AND BENEFITS PROVIDED BY …

State of New Jersey aetna medicare SM plan (HMO). Custom medicare HMO Open Access plan Arizona, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Maine, New Jersey, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, Virginia plan DESIGN AND BENEFITS . PROVIDED BY aetna HEALTH INC. plan FEATURES PARTICIPATING PROVIDERS / REFERRED. Out-of-pocket Maximum $2,500. Includes deductible. Certain other member cost sharing elements may not apply towards the Payment Limit including any costs for eyewear, hearing aid and outpatient prescription drugs. Lifetime Maximum Unlimited Primary Care Physician Selection Recommended Referral Requirements No referral required when using In-network providers.

Custom Medicare HMO Open Access Plan State of New Jersey PLAN DESIGN AND BENEFITS Aetna Medicare SM Plan (HMO) PROVIDED BY AETNA HEALTH INC Arizona, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Maine, New

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