SimpliveraCoverage Companion

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Complete Blue HMO Distinct (HMO) — HIGHMARK CHOICE COMPANY | Simplivera

Complete Blue HMO Distinct (HMO)

HIGHMARK CHOICE COMPANY

HMO

MOOP (in-network): $5,900
MOOP (combined): —
Part C+D premium: $25/mo
Part D premium: $25/mo

Plan information

Contract / Plan / Segment: H3957 / 050 / 004
Part D drug coverage: Included ($25/mo)

Other segments for this plan:

Segment 001 Segment 002 Segment 003 Segment 005

Service area

PA: 9 counties