CSUT23PP0049808_000 Página 1 de 8 Solicitud de Inscripción 2023 o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445.2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsY0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_CMedical Plans. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc.License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc ...Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...This page features plan details for 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) H0271 – 038 – 0 available in Select Counties in Utah. IMPORTANT : This page has been updated with plan and premium data for 2023.1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. Y0066_SB_H0271_027_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsY0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo año Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711.Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C Jan 1, 2023 · Y0066_SB_H0271_027_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... UnitedHealthcare - H0271 For 2023, UnitedHealthcare - H0271 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 3.5 stars Drug Services Rating: 3 stars Every year, Medicare evaluates plans based on a 5-star rating system. Why Star Ratings are Important Medicare rates plans on their health and ...Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. Check eligibility, explore benefits, and enroll today.Y0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo añoJan 1, 2023 · h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Plan ID: H0271-038-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ...Resumen de Beneficios 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud que Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. Check eligibility, explore benefits, and enroll today.Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. The average monthly premium for Medicare Advantage plans in Salt Lake is $5.83 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Salt Lake County have an average Medicare Star Rating of 3.83 in 2023.*. Plans rated four stars or higher are considered top-rated ... H0271 - 038 - 0 Click to see other plans: Member Services: 1-866-480-1086 TTY users 711 — Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the UnitedHealthcare Dual Complete Choice (PPO D-SNP) benefit detailsUnitedHealthcare - H0271 For 2023, UnitedHealthcare - H0271 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 3.5 stars Drug Services Rating: 3 stars Every year, Medicare evaluates plans based on a 5-star rating system. Why Star Ratings are Important Medicare rates plans on their health and ... Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. Check eligibility, explore benefits, and enroll today.Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages.2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. 2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Location: Grant, New Mexico Click to see other locations. Plan ID: H0271 - 034 - 0 Click to see other plans. Member Services: 1-800-643-4845 TTY users 711.The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage. h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... Y0066_SB_H0271_036_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...H0271 - 038 - 0 Click to see other plans: Member Services: 1-866-480-1086 TTY users 711 — Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the UnitedHealthcare Dual Complete Choice (PPO D-SNP) benefit details Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Social Security Number (Required for people who are enrolling in D-SNP plans): _ _ Medicare Number Permanent Residence Street Address (P.O. Box is not allowed) City County State ZIP Code Mailing Address (Only if it’s different from above. You can give a P.O. Box.) City5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...UnitedHealthcare Dual Complete Choice (PPO D-SNP) in UT - H0271-038-0 Benefits & Contact Info Box Elder: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Tier 1: $0.00 all covered insulin pay $35 or less: n/a Jan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. H0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...Jan 1, 2023 · h0271-005-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Y0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo añoJan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. 2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de CoberturaUnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Social Security Number (Required for people who are enrolling in D-SNP plans): _ _ Medicare Number Permanent Residence Street Address (P.O. Box is not allowed) City County State ZIP Code Mailing Address (Only if it’s different from above. You can give a P.O. Box.) CityEnrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000 H0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP NeitherGuía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Área de servicio: Utah - condados de Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery,H0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271; Number of Members enrolled in this plan in (H0271 - 028): 4,682 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...The average monthly premium for Medicare Advantage plans in Salt Lake is $5.83 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Salt Lake County have an average Medicare Star Rating of 3.83 in 2023.*. Plans rated four stars or higher are considered top-rated ...Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply. UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply. Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ... UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... 2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Golden Valley, Montana Click to see other locations. Plan ID: H0271 - 030 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ...UnitedHealthcare Dual Complete Choice (PPO D-SNP) in UT - H0271-038-0 Benefits & Contact Info Box Elder: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Tier 1: $0.00 all covered insulin pay $35 or less: n/a 5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated UnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium.The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply.2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Activate the column resize button and use the right and left arrow keys to resize a column or use your mouse to drag/resize. Press escape to cancel the resizing.
2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details. Site location
Plan ID: H0271-038-0 Medicare Advantage Plan Details. $0 /mo. monthly premium. UnitedHealthcare Dual Complete Choice (PPO D-SNP) Additional Coverage. Overall Star ...2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsSummary of Benefits 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) H0271-034-000 Look inside to take advantage of the health services and drug coverages the plan provides.2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageJan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Utah Health Plans Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Steps to Enroll UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) Steps to Enroll Steps to an easy enrollment.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsUnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsJan 1, 2023 · Y0066_SB_H0271_027_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... Jan 1, 2023 · h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. 2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncWe would like to show you a description here but the site won’t allow us.H0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...Plan ID: H0271-038-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, • H0271-038 = Group # 90064/Optum DSNP Choice • H0271-039 = Group # 90065/Optum DSNP Select • H7404-021 = Group # 90034/Optum PPO.
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