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Summary of benefits 2022 - retiree.uhc.com

Summary of Medicare Advantage plan benefits 2022. HealthSelectSM Medicare Advantage Plan Group Number: 13546. H2001-817-000. Look inside to take advantage of the health services the plan provides. Call Customer Service or go online for more information about the plan. Toll-free (855) 853-0453, (TTY: 711). 7 - 7 CT, Monday - Friday; 7 - 3 CT, Saturday Y0066_SB_H2001_817_000_2022_M. Summary of benefits January 1, 2022 - December 31, 2022. 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. The Evidence of Coverage (EOC). provides a complete list of services we cover. You can see it online at or you can call Customer Service for help. You will receive information that tells you where you can go online to view your Evidence of Coverage once Medicare accepts your enrollment in this plan. About this plan HealthSelect Medicare Advantage Plan is a Medicare Advantage PPO plan with a Medicare contract (MA PPO).

Vaccines, including those for the flu, Hepatitis B, pneumonia, or COVID-19 “Welcome to Medicare” preventive visit (one-time) Any additional preventive services approved by Medicare during the contract year will be covered. This plan covers preventive care screenings and annual physical exams at 100%.

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