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Premera Blue Cross Medicare Advantage HMO Plans - PowerPoint PPT Presentation

Premera Blue Cross Medicare Advantage HMO Plans !"#$%&"'()*)(+ ,-.)"/(011 Meeting agenda ! "#$%&'(#)*'+%&+ ! ,-.()"#$%&'(#)-/0%-1+ ! 2(#3#(')45.#)6(-++)"#$%&'(#) 7$8'10'9#)25'1+ !


  1. Premera Blue Cross Medicare Advantage HMO Plans !"#$%&"'()*)(+ ,-.)"/(011

  2. Meeting agenda ! "#$%&'(#)*'+%&+ ! ,-.()"#$%&'(#)-/0%-1+ ! 2(#3#(')45.#)6(-++)"#$%&'(#) 7$8'10'9#)25'1+ ! :1(-55%19)%+)#'+;< ! =>#)1#?)&.+0-3#()#@/#(%#1&#)A ?>'0)0-)#@/#&0

  3. !"#$%&'()*)+,$*#-$.+/)0'-+1 !"#$%&'()*#)"+#,-.(/&+-#*"%#0--.#1"#2-#&#3454#/(1(6-0#"+#+-7(.-01#&0.8 :);)73$<)="$ 23+$45 67/+-$'3+$45$ +7/>,='3+$-+7'($ EB EB #-$#(/+- '7/$/),'8(+/9 /),+',+$?@ABCD 9F+-G'7+7=(H$/),'8(+/$*#-$ IJ$G#7=",$#-$G#-+K

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

  5. (")*&&+,"$'B,)#*.2 !"#$#%&'(")*&&+,"$'-,)#*./' 0'+*"$12'3,4*),5'$1,'+*"$1'*45'%".'0'+*"$12'%4$,)'6*7)'89 $1 3#)$1'+*"$1 :""7%&'(")*&&+,"$'-,)#*./ ;<$*3,)'=9'> ?,<,+3,)'@ AB,<#%&'(")*&&+,"$'-,)#*./ (C%+B&,/'D*22'*4',+B&*6,)'<*E,)%F,'*)'+*E#"F'$*'",G'2,)E#<,'%),% ;B,"'(")*&&+,"$'-,)#*./ H%"7%)6'='> I%)<1'0=

  6. Original Medicare Part A and Part B

  7. !"#$%&"'()*%+'(%#$,'))- !"./%0&%+'(,%1(,,#$/%&0/(./0'$- 2,#%+'(%1'3#,#*%4+5 6 789)'+#,%1'3#,.:# 6 ;$0'$%1'3#,.:# 6 <'3#,.:#%/",'(:"%&9'(&# 2,#%+'(%,#/0,#*=%9).$$0$:%/'%,#/0,#%',%,#/0,0$:%)./#- 7$,'))0$:%0$%>#*01.,#%0&%#.&+?%@,#8#,. 1.$%"#)9A

  8. E$(F(<#/&G+8(:#$+?&"#$%&' !"#$%& ! "#$%&'&()&*$++&*,$&-,)%&.+,./+ H,).(%#/&I<)9$#<:+ ! 01+$+&()&#&234567&"#$%&'&8+89:%(;/+&.+$&;+<+*(%&.+$(,8 ! '*%+$&=7&8#>)&(<&%1+&1,).(%#/4&>,9&.#>? – 255@&.+$&8#>&:,.#>&*,$&=3AB7&8#>) – 2=C7&.+$&8#>&:,.#>&*,$&B3A3@7&8#>)D – '*%+$&8#>&3@74&>,9&.#>&#//&1,).(%#/&:,)%) D R#>)&B3A3@7&#$+&/(*+%(-+&$+)+$S+&8#>)T&01+>&#$+&,</>&:,S+$+8&,<:+&(<&#&/(*+%(-+T JIKLMNO&'MN&JEM&P73Q

  9. ;%'<'/)3&=$0'9)%$G&B)%.&C !"#$%& ! "#$%$&'(&)&*+,-&(.)/0)%0&12/.#34&5%$1'617 =$0'9)3&K/(6%)/9$ ! "#$%$&'(&)&*+8,&)//6)3&0$069.':3$ ! ;%'<'/)3&=$0'9)%$&92>$%(&8?@&2A&12(.&B)%.&C&92(.(D& 3$)>'/<&426&.2&5)4&.#$&2.#$%&E?@&A2%&($%>'9$(&3'F$G – =2(.&5#4('9')/&($%>'9$( – ;6.5).'$/.&.#$%)5'$( – H6%):3$&1$0'9)3&$I6'51$/. – J21$&#$)3.#&9)%$ 7 J'<#$%&'/921$(&1)4&5)4&)&#'<#$%&5%$1'61 LKMNOPQ&ROP&L;O&E?+8

  10. H"$)%).#4--().$%:)."-$+)/ !"#$%&%'()*+,"-%+./0#".,)1%!)."-$2 3.%"**+$+4."-%567%48%$9)%!"#$%&%:#)(+0(%84#%);)#2%5<=(4.$9%:)#+4*%$9"$% 240%*)-"2%).#4--().$>%?.%(4/$%,"/)/@%240%A+--%9";)%$4%:"2%$9)%:)."-$2% );)#2%(4.$9%84#%"/%-4.B%"/%240%9";)%!"#$%&>% C4$%:-"..+.B%$4%#)$+#)%"$%"B)%DEF G40%,".%*),-+.)%!"#$%&%A+$940$%"%:)."-$2%+8%240%4#%240#%/:40/)%9";) B#40:%+./0#".,)%8#4(%".%)(:-42)#>

  11. Prescription Coverage Part D

  12. 7)243)0,'0#&+3#12)(-2?+7()'+8 !"#$%&% ! "#$%&'()*+,)#-)(.+)%&+/*+,)01('2+3#.,(&024 7)243)0,'0#&+8)%-+7$(&4 ! 5#.2+.(*+,(*+,2&($'*+6#)+$('2+7()'+8+ 2&)#$$.2&' ! 9#%+,(*+(+.#&':$*+,)2.0%. ! 9#%+,(*+(+,#)'0#&+#6+':2+;)%-+3#4' ! <#12)(-2+1()024+6)#.+,$(&+'#+,$(& ! 7$(&+;240-&4+.%4'+/2+2=%($+'#+#)+/2''2)+':(&+ 4'(&;();+>2;03()2+/2&260'+;240-&2;+/*+<>5

  13. !"#$%"&'(&)*+%),#"-.#/+!-"(+0+1#*#2&( + 0#34%(&15#+++ 678+ +,," !9:;+ ," )0+! / <*&(&-5+=),#"-.# 678+ /!" !9:;+ 2!" )-*./, >B;BA<= @A:;0 - =),#"-.#+>-' )!*+,, 678+ /!" 678+ -2" 0 =-(-$(")'?&%+ 678+ !" !9:;+ 1!" !"#$%&'( 678+'-I+ )-30,4 >#*#"&%+ -*3+ ).3!, L@"-*3+)"+ !" M<>8ABN+:AB+M7A+OPQR C?&$+&$+-*+#D-E'5#+)2+?)F+G#3&%-"#+!-"(+0+F)"H$+-*3+&$+*)(+&*(#*3#3+()+')"("-I+-+$'#%&2&%+'5-*J+ <*+$)E#+&*$(-*%#$K+(?#$#+%)$($+F&55+1#+-''")D&E-(#+-E)4*($J

  14. =%)61%7+$7,0'1,A)%&?)H'"#$%&'()*+ ! "#$%&'()*+',%'-,.'/01,2)'3456789:'76'$;)'0&2)',<'$;)'=&%$'>'8%4?'+%,?%&2' $,';)*+'5)0)<717&%7)6'+&9'<,%'8%4?'1,6$6@ ! "#$%&'()*+'76'&A&7*&5*)'<%,2'$;)'?,A)%02)0$'7<'9,4'2))$'1)%$&70' %)B47%)2)0$6@ ! C;,6)'$;&$'B4&*7<9'2&9'?)$';)*+'+&970?'2,0$;*9'+%)27426:'1,+&96:' 1,7064%&01):'&08'8)841$75*)6@ ! >,'9,4'B4&*7<9D'E,4'8,0F$'G0,.'40*)66'9,4'&++*9@

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

  16. Your Medicare coverage options

  17. #$%&'()$*'+,$)(-$*+./&+01 !"#$"%&'() 456745%'8%9:;%&.-(%<:+1%3:=1+.,1 *+','-./%012'3.+1 *>(':-%? *>(':-%@ A.+(%# 012'3.+1% 012'3.+1%#2=.-(.,1%A/.- 23+1.&/(4* !;>>/1<1-( 9 :+7;&0$1*<()/1*=*>*? &015)(0'$6 7-D;+.-31%A/.- 9 #(0@*'+,$)*.)$1')&./&+0* !" B (0%8+) %)5-1*(0%*7(@*&0'45%$* A.+(%C $A/)(*;$0$B&/1 012'3.+1 27$%&'(4* 9 #+0/34@*.(@7$0/*(1*4+C* A.+(%4%A+1D3+'>(':- &015)(0'$6 4+;,%A/.- (1*DE

  18. Premera Blue Cross Medicare Advantage Plans

  19. "#$%&'(#)*$+',-'.#)D8'(-)7E !"#$%&% ! "#$%&'(#)*$+',-'.#)/0',1)233#(#$)45) "#$%&'(#)*$+',-'.#)80',1 /(%+'-#)&26/',%#1 ! 7264%,#)8'(-1)*)',$)9 ! :3-#,)%,&0;$#)#<-('1)0%=#)3%-,#11)',$) >#00,#11?)$#,-'0?)+%1%2,?)',$)@#'(%,. ! "',5)'012)233#()8'(-)A)$(;.)&2+#('.# ! "2,-@05)/(#6%;61)'1)02>)'1)BC

  20. !"#$%&'()*+'%#('# ,$-.-/*&.%0-1$23 4*$5%0-1$23 !*'(+'%0-1$23 6.1(&2-$%0-1$23 ,7-8#$'%0-1$23 !"#$%&'$()*+ 9.#2+-/%0-1$23 ,8#5*2%0-1$23 :';*&%0-1$23 ,2')'$&%0-1$23

  21. '%()*#+%&/($#4-#<%&%=)<)A)=)-7 !"#$%&'()*+#*"%#,%-./# ! "#$%&'%()*#+%&,#+-.&/&0&1 ! 234-)45%&-3&6#7&735+&,#+-&1&6+%8)58 ! 93-&:#$%&%4(;.-#<%&+%4#=&().%#.%&>)4&83.-&*#.%.? ! "#$%&#&$#=)(&%4+3==8%4-&6%+)3( ! @)$%&)4&-:%&6=#4&.%+$)*%&#+%#

  22. ?@AB$%#&'()*#$C/)*$D)/'2- !"#$%#&'()*#$+*,-*).$*)/#0$)11$"#)1/"$)2&$ 3*#0(*'3/',2$&*4-$31)20$#)("$5#)*6$7)0#&$ ,2$)$31)280$94)1'/5$)2&$3#*:,*.)2(#;$ !"#$*)/'2-0$"#13$5,4$<2,=$",=$-,,&$) >,7$,4*$31)2$'0$&,'2-; !"#$%&'()$*#+,+#- ./0+$1#"22$3+456-#+$ 748-9:-;+$#+6+58+4$-9$"8+#-//$"<$=$"0:$ "<$>$?:-#$@-:59;$<#",$3+456-#+A$$ EFG#*5$5#)*6$%#&'()*#$#G)14)/#0$31)20$7)0#&$,2$)$HI0/)*$*)/'2-$050/#.;

  23. 6789)!"#$#"% &'(#)*"+,,) -#./0%"#)1.2%34%5#):'%3, ;:+<%3#)%3.);4#2#3,)*+(34/#, !"# &'()*+!,)*(-+!"# !"#$#"% &'(#)*"+,,) !"#$#"% &'(#)*"+,,)-#./0%"#) -#./0%"#)1.2%34%5# $!"#% 1.2%34%5#) .*)//01+$!"#% =>-?@)/,)3+4)%2%/'%A'#)/3);4#2#3,)*+(34B

  24. Let’s review Premera Blue Cross Medicare Advantage plans

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