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: $20/mo
Part D premium: $20/mo

Plan information

Contract / Plan / Segment: H3957 / 050 / 003
Part D drug coverage: Included ($20/mo)

Other segments for this plan:

Segment 001 Segment 002 Segment 004 Segment 005

Service area

PA: 6 counties