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2015-025E
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2015-025E
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Last modified
4/26/2016 1:20:46 PM
Creation date
4/26/2016 1:19:49 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/17/2015
Control Number
2015-025E
Agenda Item Number
8.I
Entity Name
BlueMedicare Group Florida Blue
Subject
Master Agreement
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i <br /> •,w V <br /> In the pursuit of health' <br /> * BlueMedicare Group PPO out-of-pocket maximum includes all covered health services member <br /> cost share rendered in/out of network on a calendar year basis. Supplemental services and Part <br /> D costs are not applied to out-of-pocket maximum. <br /> Medicare Part B-the premium provided under this plan excludes the Medicare Part B premium <br /> payments. (Members must continue to pay the Medicare Part B premium unless paid by <br /> Medicaid or another third party ) <br /> Florida Blue is a PPO Plan with a Medicare contract. . <br /> Y0011 31917 0913R2 EGWP C: 09/2013 5 <br />
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