SimpliveraCoverage Companion

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SimpliveraCoverage Companion

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Blue adVantage Classic (HMO-POS) — HMO LOUISIANA, INC. | Simplivera

Blue adVantage Classic (HMO-POS)

HMO LOUISIANA, INC.

HMOPOS

MOOP (in-network): $4,500
MOOP (combined): —
Part C+D premium: $0/mo
Part D premium: $0/mo

Plan information

Contract / Plan / Segment: H6453 / 013 / 001
Part D drug coverage: Included ($0/mo)

Other segments for this plan:

Segment 002 Segment 003 Segment 004 Segment 005

Service area

LA: 16 counties