Advantage 65
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| Advantage 65 + Dental/Vision
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Advantage 65 - Medical Only* |
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Advantage 65 - Medical Only+ |
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Dental/Vision* |
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*These plans do not include prescription drug coverage
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Option I - Medicare Complementary |
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Option II - Medicare Supplemental |
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Option II + Dental/Vision |
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** Two persons may choose the same plan or different Medicare-eligible plans; the total premium is the sum of each selection. |
Important: Timely payment of the total premium is the State retiree group member's responsibility whether the premium is withheld from a retirement benefit or billed directly by the health plan. Failure to pay premiums within 31 days of the due date will result in termination of coverage. |
