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Capital Blue Cross Essential (HMO) — KEYSTONE HEALTH PLAN CENTRAL, INC. | Simplivera
Capital Blue Cross Essential (HMO)
KEYSTONE HEALTH PLAN CENTRAL, INC.
HMO
MOOP (in-network)
$6,000
MOOP (combined)
—
Part C+D premium
$0/mo
Part D premium
$0/mo
Plan information
Contract / Plan / Segment
H3962 / 022 / 001
Part D drug coverage
Included ($0/mo)
Other segments for this plan:
Segment 002
Segment 003
Segment 004
Segment 005
Service area
PA
: 5 counties
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